Gender Affirming Medical Care for Youth and Adults
medical gender affirming care including hormone therapy (HRT) including:
testosterone gel & shots
bleeding suppression
multiple forms of estrogen delivery including estrogen patches, pills, and pellets
puberty blockers (Leuprolide)
prescriptions for numbing ointment before electrolysis, shots, or other painful minor procedures
surgery referrals and medical letters of support
fertility preservation referrals (as indicated)
voice coaching referrals: we partner with Undead Voice Lab and also offer referrals to traditional SLP practices
prenatal consultations with gender queer parents who are expecting in order to prepare a hospital-ready family infographic together to minimize misgendering and prepare families for delivery
evidence-based poetry workshop for improving mental health and building community — led by our gender care physician who was also developed the workshop protocol and was the lead author of a peer-reviewed study published out of Stanford validating the protocol
mental health letters of support for surgery
Care for Minors
At Transformation Clinic, a board-certified pediatrician provides gender-affirming care for youth and young adults via telehealth and in-person at our Seattle location. This can be provided as a stand-alone service or as part of broader pediatric primary care.
Puberty blockers can be considered after the earliest signs of puberty. Puberty blockers put a “pause button” on puberty and are completely reversible. We are also happy to meet with families of younger children to provide education, guidance, and discuss a plan for the future, so that families feel prepared.
We believe care works best when it is thoughtful, proactive, and centered on each young person’s unique needs and timeline, neither rushed nor unnecessarily delayed.
To get started scheduling an appointment with our gender affirming care physician or get in touch with our office, contact us.
In the State of Washington, minors can consent to some types of medical care independently including mental health care (ages 13+) and reproductive health care such as birth control, menstrual suppression, and STI testing (ages 14+).
For gender affirming care, family support and consent is required by law. Research shows that gender diverse young people who feel supported and accepted by their families have better mental health outcomes than youth who are unsupported. In fact, parental support makes an even bigger impact on improving mental health for LGBTQ+ children compared to their LGBTQ+ counterparts.
Our goal is to partner with your family and provide a calm, sane sounding board when youth and caregivers aren’t yet aligned on their goals of care. Schedule an appointment.
Our Pediatrician
Jane Thomas-Tran, MD (“Dr. Thomas”) (she/her)
Dr. Thomas (she/her) is a board-certified pediatrician who completed her medical degree at the Stanford School of Medicine and pediatrics residency at the University of Washington and Seattle Children’s Hospital. She has a special interest in gender affirming medical care, IV hydration therapy, supporting new queer parents, mental health, evaluation and treatment of anemia, and headache management. She has pursued additional training in Interpersonal Therapy through the University of Toronto. She has an interest in the medical humanities and developed a poetry workshop group therapy protocol aimed at improving mental health and was the lead author on a peer-reviewed paper demonstrating its effectiveness. In addition to working at Transformation Clinic, she also works as a pediatric hospitalist providing medical care for hospitalized children and newborns.