Starting hormone replacement therapy (HRT) is an important decision. If you feel you may benefit from feminizing or masculinizing hormones, speaking to a supportive medical provider is key. There are several steps to beginning HRT in Michigan:
Find a Trans-Friendly Provider
Many providers in Michigan offer HRT services for transgender patients. Ideal providers include:
- Endocrinologists with experience treating transgender patients
- Informed consent clinics focusing on LGBTQ healthcare
- Primary care doctors versed in gender-affirming care
Resources to find a suitable provider:
- Hormone Harmony Clinic() - Offering telehealth HRT specifically for transgender individuals
- GLMA Provider Directory
- Local LGBTQ centers and support groups
Understand the Informed Consent Model
Many providers follow the informed consent model for HRT:
- Patients learn about HRT effects and risks
- Providers determine if HRT is appropriate
- Patients give informed consent to begin medications
This bypasses requirements like therapy letters or minimum time living as one's gender.
Patients over 18 can start HRT simply by demonstrating understanding of the treatment.
Schedule an Intake Appointment
During the first visit, the provider will:
- Confirm gender dysphoria diagnosis
- Review medical history and medications
- Check blood pressure, weight and other health markers
- Discuss hormone regimen options and effects
- Obtain consent to start treatment
Receive a Prescription
If cleared to begin HRT, patients will receive an initial hormone prescription, which can include:
Follow-up blood tests will monitor hormone levels.
The provider may adjust dosages to reach ideal therapeutic ranges.
Take Medications and Monitor Changes
It's crucial to:
- Take hormones as directed
- Attend follow-up appointments
- Track physical and emotional changes
- Report concerns or side effects
With close provider guidance, feminizing or masculinizing HRT helps patients achieve gender expression aligning with their identity. Connect with a medical professional to explore whether HRT is suitable for your needs.
