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Resource Library

These resources offer a range of information and support for medical professionals and others seeking education on gender-affirming care. By staying informed and up-to-date on best practices in trans health, clinicians can offer the best possible evidence-based, patient-centred care.

Key Terms

  • HRT: hormone replacement therapy

  • GAHT: gender-affirming hormone therapy

  • Self-medicating: accessing HRT without supervision from a medical professional

  • Bridging prescriptions: prescribing HRT to transition a self-medicating patient to a safer alternative

Standards of Care for Transgender and Gender Diverse People Version 8

World Professional Association for Transgender Health

These standards provide expert clinical guidance for healthcare professionals working with transgender and gender diverse (TGD) patients to develop individualised, age-appropriate care plans to improve health and overall well-being.

Guidelines to Human Rights-Based Trans-Specific Healthcare

Transgender Europe

This guide addresses how the specific services trans people access in the healthcare system relate to human rights principles. It aims to support the creation of healthcare legislation and protocols that are compliant with human rights. The guidelines depict what trans-specific healthcare should look like, providing concrete examples of what trans people’s rights look like and what should or shouldn’t happen in trans-specific healthcare.

Supporting My Trans Clients and Patients: Information for Clinicians

TransHub

This section of TransHub is for health professionals who are seeking to strengthen the clinical care they deliver to trans patients and clients. It contains guidelines on the informed consent model and hormone therapy.

Additional companion resources:

Sherbourne’s Guidelines for Gender-Affirming Primary Care with Trans and Non-Binary Patients

Sherbourne Health & Rainbow Health Ontario

Guidelines for gender-affirming primary care, including assessing readiness, diagnosis, hormone therapy, blood work monitoring and links to the surgeries that are covered by OHIP. Also included are consent forms and EAP forms.

Additional companion resources:

Protocols for the Initiation of Hormone Therapy for Trans and Gender Diverse Patients

Equinox Gender Diverse Health Centre

These guidelines are designed to reduce barriers and improve health outcomes for trans, gender diverse and non binary people accessing hormone therapy to affirm their gender. Under an ‘informed consent’ model of care, general practitioners perform the initial assessment, play a key role in mental health and risk assessments for TGD & NB clients, and organise referral for secondary consultation where required. It would be envisaged that the general practitioner would remain the primary treating physician for the majority of clients.

Hormone Therapy Prescriber Guidelines

TransLine

Clinical protocols for the administration of gender-affirming hormone therapy including both exogenous and supplemental dosing guides for estrogen and testosterone. It includes pros, cons, dosing recommendations, and lab recommendations for monitoring purposes.

Maintenance GAHT prescribing for adult transgender patients

Goodfellow Unit

This MedCase considers how GPs can safely provide repeat prescriptions for patients who have already commenced gender-affirming hormone therapy.

Transgender Health Guide for Health Professionals: Helping your trans patient to live their life more easily

GenderGP

This reference guide combines knowledge and theory, together with current international guidance, research and opinion to inform general practice teams about how to help those patients whose gender identity differs from the one they were assigned at birth. It serves as an accessible aid, offering top-line guidance and best practice to those who need it.

Quick Guide: Gender Affirming Hormone Therapy by the Primary Care Provider

Johns Hopkins Medicine

Pocket reference for fast, at-the-bedside support around gender affirming hormone therapy (GAHT). This guide is for use in the day-to-day practice of a primary care provider.

Informed Consent Standards of Care for Gender Affirming Hormone Therapy

Australian Professional Association for Transgender Health

These new national Standards of Care are intended to assist and enable clinicians across Australia to better meet the medical gender affirmation needs of their trans women, trans men and non-binary patients. They unapologetically centre the trans person seeking hormonal intervention and empower the clinician to facilitate this access.

Little Backpocket Guide to Bridging Prescriptions

Queer Health

This guide is for anyone who wants to know more about one of the lesser known routes to accessing hormones via the NHS. This guide provides peer-produced information and links to resources about bridging prescriptions.

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