Kids Deserve a New Gender Paradigm (The Walrus March 20, 2023)
The crisis of Trans Health Care in Canada (Canadian Dimension, March 6, 2023)
New study highlights increasing prevalence of muscle dysmorphia among Canadian boys, young men (CTV News, February 5, 2023)
Testosterone Shortage Affecting Trans Men in Canada, Worldwide (LGBTQ Nation, January 17, 2023)
Testosterone Shortage Puts Trans Men at Risk (The Advocate, January 13, 2023)
Welcome to Trans Health Care
Welcome to the Trans Health Program at the Health Centre. The Trans Health Team specializes in trans and non-binary related health care with wraparound support including physicians, a dedicated program nurse, social workers and other supports as well as referrals to affirming specialists.
Our funding and care model ensures that we can provide care for clients who reside in London, Ontario. If you require care but do not live in London, you can consult your local community health centre of contact Rainbow Health Ontario.
Prospective clients need a referral from their primary care provider (family physician). Those prospective clients that do not have a family doctor are able to self refer. In either case, you or your physician need to complete the Trans Health Referral Form: 2021 Trans Health Referral Form.
The wait time form referral to your first visit is generally around two-weeks.
Informed Consent and the Patient-Centred Approach
The current prevailing model used by clinicians to inform health care provision to transgender patients is the World Professional Association of Transgender Health Standards of Care. WPATH is a non-profit health professional body that advocates for “high quality care for transsexual, transgender, and gender non-conforming individuals internationally”. WPATH publishes clinical guidelines for assessing and referring trans people for hormones and transition-related surgeries. The WPATH-SOC is intended to provide clinical guidance, and it is designed to be flexibly interpreted across clinical specialties. Here, the Path to Patient-Centred Care resource provides WPATH-SOC instruction through an informed consent and patient-centred care model.
The Informed Consent Model (ICM) offers a more collaborative and patient-centred approach that addresses debates surrounding exactly how and when trans people should access these gender-affirming medical treatments that persist amongst clinicians and researchers.
Using ICM in gender-affirming medicine allows for trans people to access hormones and transition-related surgeries with self-determination and autonomy, without the need for: a gender dysphoria diagnosis, mandatory pre-transition psychosocial readiness assessments, and unwanted mental health treatments. Visit the Path to Patient-Centred Care to learn more about this approach.
Trans Health Care Services
The Trans Health Team provides wraparound care – that means we can support your physical and mental health and provide you with support and referrals as needed.
Our Health Centre services include:
– Hormone Replacement Therapy, initiation and dosage titration*
– Blood (serum) monitoring for the therapeutic effect of hormones, and associated known possible common or usual eventualities at prescribed intervals
– Referral for Trans Related Surgery through MOHLTC and surgical services
– Collaboration with Trans affirming surgeons and post Trans related surgical assessment and support
– Mental Health support regarding Transition
– Pubertal suppression (as per Rainbow Health Ontario Guidelines)
– Counseling and support to children/prepubescent adolescents
– Clinical mentoring support to regional partners and services
– Referral to endocrinology – gynecology or other specialties when indicated
– Identification – identity remediation support
*following Guidelines for Gender-Affirming Primary Care with Trans and Non-Binary Patients, produced by Rainbow Health Ontario in collaboration with Sherbourne Health.
Primary Care Collaboration: You, the Team & Your Family Doctor
The London Intercommunity Health Centre’s Trans Health Program operates in collaboration with clients’ own personal medical providers (doctors/nurse practitioners), and as such, only manages aspects of Transgender care.
In 2016, the province deregulated Trans care from the only centralized option at the Centre for Addiction and Mental Health in Toronto, and placed it where it rightly belongs, in the purview of primary care providers across the province, in an individual’s home communities.
Trans care starts with your primary care provider. To assist you in preparing for this important conversation, we recommend “How Can I Start a Conversation…” published by Rainbow Health Ontario.
If you do not have a family doctor, you can self refer but having an affirming primary care physician is an important part of Trans Health. Health Care Connect assists Ontarians find family physicians and can support you with your search.
A Guide to Trans & Non Binary Health