Gender-Affirming Hormone Therapy in Portland
Starting hormone therapy shouldn't require proving yourself to a series of gatekeepers. This practice provides gender-affirming hormone therapy on an informed-consent basis: you understand the effects, benefits, and risks of treatment, and you decide — no therapist letter required, no waiting period designed to test your certainty. What you get instead is a doctor who takes the medicine seriously: thorough baseline labs, careful dosing, real monitoring, and primary care that sees your whole health, not just your hormones. Whether you're starting for the first time, restarting, or transferring established care, you're welcome here.
Overview
WHAT THIS COVERS
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Gender-affirming hormone therapy for adults, including:
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Estrogen-based therapy — estradiol with androgen blockers as needed, in the formulation that fits you (injections, patches, or pills)
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Testosterone-based therapy — injections or gel, dosed to your goals
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Informed-consent starts — for most patients, no letter or prior therapy requirement
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Transfer or restart of care if you've been on hormones before
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Baseline and ongoing lab monitoring done properly
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Referral and support letters for gender-affirming surgery
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Care for nonbinary patients, including lower-dose or nonstandard regimens matched to your goals
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Ongoing primary care from a provider you don't have to educate
WHAT TO EXPECT
Care starts with a thorough first visit: your goals, health history, and a real conversation about what hormone therapy does and doesn't do, on what timeline, with what risks. If you're ready and it's medically safe, we get baseline labs and start — the informed-consent model means the decision is yours to make once you're fully informed. From there, follow-up labs and visits track your levels, your response, and your health, with dose adjustments along the way. Visits are available in person in Portland or by telehealth across Oregon and Washington.
COMMON QUESTIONS
What does "informed consent" actually mean here?
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It means the decision to start hormones is yours. My job is to make sure you fully understand the effects, timeline, risks, and unknowns — and to make sure treatment is medically safe for you — not to judge whether your gender is real enough. For most patients, that means no therapist letter, no mandated counseling, and no arbitrary waiting period.
Do I ever need a letter or a therapist?
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Rarely. I don't require therapy or a letter to start hormones. In uncommon situations where there's a significant medical or safety concern, I may ask that we bring in additional support before or alongside starting — that's about taking good care of you, not about doubting you. If you're already working with a therapist you like, great; it's just not a requirement.
How soon can I start?
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Quickly, in most cases. The first visit covers your goals, health history, and the full informed-consent conversation; from there I'll typically want baseline labs before prescribing, which usually means a prescription within days of your first visit rather than months of hoops. If your situation allows a same-visit start, we can talk about that — but labs first is the norm, because starting safely matters as much as starting soon.
Do you work with nonbinary patients?
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Yes. Hormone therapy isn't one-size-fits-all, and your goals don't have to match a binary template. Lower doses, partial effects, and nonstandard regimens are all things we can discuss and monitor properly.
Do you take insurance?
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This is a direct-pay practice, so visits are paid out of pocket at transparent flat rates — see the pricing page. Many patients use HSA or FSA funds, and I can provide a superbill you can submit to your insurance for possible out-of-network reimbursement. Prescriptions and labs can still be billed to your insurance as usual.
Do you see patients in Washington?
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Yes — I'm licensed in both Oregon and Washington and see Washington patients by telehealth. Prescriptions go to your local pharmacy, and lab work can be done near you.