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  • Guidelines for the Primary and Gender-Affirming Care of Transgender and . . .
    REVISION FORTHCOMING 2026 Some interim updates have been made Second Edition Madeline B Deutsch, MD, MPH Editor; Guidelines for the Primary Care of Transgender and Gender Nonbinary People Medical Director, UCSF Gender Affirming Health Program Professor of Clinical Family and Community Medicine; University of California, San Francisco
  • Overview of feminizing hormone therapy | Gender Affirming Health Program
    Estrogens The primary class of estrogen used for feminizing therapy is 17-beta estradiol, which is a "bioidentical" hormone in that it is chemically identical to that from a human ovary The general approach is similar to estrogen replacement in agonadal (i e , Turner syndrome) or menopausal states, with some dosing modifications 17-beta estradiol (or simply estradiol) is most commonly
  • Gender Affirming Care at UCSF | Gender Affirming Health Program
    The UCSF Gender Affirming Health Program is a multidisciplinary program consisting of experts in transgender medicine, surgery, and related fields at UCSF Health All of our physicians are members of the UCSF Faculty, and maintain offices and practices at UCSF Our faculty are engaged in educating medical students, residents, and learners from other disciplines on topics in gender affirming
  • Overview of masculinizing hormone therapy
    Interpretation of laboratory results requires special attention in the context of transgender care Numerous sources publish target ranges for serum estradiol, total estrogens, free, total and bioidentical testosterone, and sex hormone binding globulin However, these specific ranges may vary between different laboratories and techniques
  • Introduction | Gender Affirming Health Program
    Introduction to the guidelines UCSF Transgender Care at the University of California - San Francisco is proud to present these Guidelines for the Primary and Gender-Affirming Care of Transgender and Gender Nonbinary People Transgender people have a gender identity that differs from the sex which they were assigned at birth, and are estimated to represent 0 5% of the U S population [1
  • Overview of gender-affirming treatments and procedures
    Supporting evidence for providing gender-affirming treatments and procedures Transgender people may seek any one of a number of gender-affirming interventions, including hormone therapy, surgery, facial hair removal, interventions for the modification of speech and communication, and behavioral adaptations such as genital tucking or packing, or chest binding All of these procedures have been
  • Initiating hormone therapy | Gender Affirming Health Program
    Assessing readiness and appropriateness While historically a "referral letter" from a mental health professional was required prior to initiation of hormone therapy, many large volume and experienced providers of transgender care have for years used an "informed consent" pathway to hormone initiation
  • Terminology and definitions | Gender Affirming Health Program
    A detailed discussion of terminology in the context of the great diversity of transgender and gender nonconforming people encountered across cultures and languages is beyond the scope of these Guidelines Below are definitions for some commonly encountered terms, which will be used throughout these Guidelines as indicated
  • Welcome | Gender Affirming Health Program
    Welcome to the UCSF Gender Affirming Health Program We are pleased to offer a range of medical and surgical services for transgender people, as well as an e-consult service for providers within the UCSF Health System, resources for outside providers of transgender care, and a clinical training experience for UCSF residents, fellows, students, and learners Maddie Deutsch, MD, MPH Professor of
  • Transgender patients and the physical examination
    Introduction Physical examination should be relevant to the anatomy that is present, regardless of gender presentation, and without assumptions as to anatomy or identity Sensitive history taking is required to understand the myriad and individualized changes and characteristics in the context of hormone administration and surgical intervention Consideration should be given throughout the





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