{"id":629431,"date":"2024-08-20T15:53:32","date_gmt":"2024-08-20T19:53:32","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=629431"},"modified":"2024-10-25T09:46:52","modified_gmt":"2024-10-25T13:46:52","slug":"guide-to-health-and-wellness-for-the-transgender-community","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/guide-to-health-and-wellness-for-the-transgender-community\/","title":{"rendered":"Guide to health and wellness for the transgender community"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Members of the LGBTQ+ community typically have <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/lgbtq-health-and-wellness\/\"><span style=\"font-weight: 400;\">physical and mental health concerns<\/span><\/a><span style=\"font-weight: 400;\"> that the rest of the population does not. Transgender members, in particular, often require additional health care, including gender-affirming healthcare, personalized primary care, and mental health care from medical providers experienced in transgender health and wellness. Although there are still <\/span><a href=\"https:\/\/journals.lww.com\/co-endocrinology\/abstract\/2016\/04000\/barriers_to_healthcare_for_transgender_individuals.14.aspx\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">barriers to health care for transgender individuals<\/span><\/a><span style=\"font-weight: 400;\">, it&rsquo;s becoming easier to navigate health care and find the right transgender-friendly provider.<\/span><\/p>\n<h2 id=\"finding-transgender-friendly-healthcare-providers\"><b>Finding transgender-friendly healthcare providers<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Transgender individuals who have experienced discrimination in a healthcare setting may be distrustful of healthcare providers. However, sharing your gender identity with your healthcare providers will give them a more complete understanding of your healthcare needs. Finding the right provider may be a tricky task, but you can make it easier by:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Asking trusted friends, especially other transgender individuals in your life, for provider recommendations.&nbsp;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Finding <\/span><a href=\"https:\/\/telehealth.hhs.gov\/providers\/health-equity-in-telehealth\/telehealth-for-lgbtq-patients\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">telehealth providers<\/span><\/a><span style=\"font-weight: 400;\"> to initiate non-urgent transgender-friendly health care, especially mental health services. This allows you to have an initial appointment in a comfortable setting, such as your home, minimizing the need for anxiety-inducing in-person appointments. You may choose to ask to turn your <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8520334\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">camera off<\/span><\/a><span style=\"font-weight: 400;\"> for the session if you feel uncomfortable for any reason.<\/span><\/li>\n<\/ul>\n<h3 id=\"questions-to-ask-when-seeking-care\"><b>Questions to ask when seeking care<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Although specific questions depend on the type of gender-affirming care you are seeking, some general questions to ask when vetting transgender-friendly healthcare providers are:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have you treated transgender patients in the past?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Have you and your staff undergone inclusivity training?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Can you provide information on what gender-affirming care you offer?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Is there an LGBTQ+ healthcare provider at this clinic?<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do you follow the WPATH Standards of Care for the Health of Transgender and Gender Diverse People?&nbsp;<\/span><\/li>\n<\/ul>\n<h3 id=\"online-resources-and-directories\"><b>Online resources and directories<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The World Professional Association for Transgender Health (WPATH) hosts an <\/span><a href=\"https:\/\/www.wpath.org\/provider\/search\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">online directory<\/span><\/a><span style=\"font-weight: 400;\"> of transgender-friendly healthcare providers.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">WPATH also maintains the most updated <\/span><a href=\"https:\/\/www.wpath.org\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">treatment guidelines<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.outcarehealth.org\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">OutCare<\/span><\/a><span style=\"font-weight: 400;\"> provides a database of trans-affirming healthcare providers.&nbsp;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The <\/span><a href=\"http:\/\/teganandsarafoundation.org\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Tegan and Sara Foundation<\/span><\/a><span style=\"font-weight: 400;\"> provides an <\/span><a href=\"https:\/\/lgbtqhealthcaredirectory.org\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">LGBTQ+-friendly healthcare directory<\/span><\/a><span style=\"font-weight: 400;\"> of providers that includes a filter to search for telehealth providers.&nbsp;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/queerdoc.com\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">QueerDoc<\/span><\/a><span style=\"font-weight: 400;\"> is a database of queer-friendly telehealth providers.<\/span><\/li>\n<\/ul>\n<p><a href=\"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2024\/08\/checklist-for-finding-transgender-friendly-healthcare-providers.png\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-629544 aligncenter\" src=\"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2024\/08\/checklist-for-finding-transgender-friendly-healthcare-providers.png\" alt=\"A checklist for finding transgender-friendly healthcare providers\" width=\"840\" height=\"1680\" srcset=\"https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2024\/08\/checklist-for-finding-transgender-friendly-healthcare-providers.png 840w, https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2024\/08\/checklist-for-finding-transgender-friendly-healthcare-providers-150x300.png 150w, https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2024\/08\/checklist-for-finding-transgender-friendly-healthcare-providers-512x1024.png 512w, https:\/\/www.singlecare.com\/blog\/wp-content\/uploads\/2024\/08\/checklist-for-finding-transgender-friendly-healthcare-providers-768x1536.png 768w\" sizes=\"auto, (max-width: 840px) 100vw, 840px\" \/><\/a><\/p>\n<h2 id=\"insurance-coverage\"><b>Insurance coverage<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">As with most healthcare services, coverage varies significantly between states and insurance providers. Some states allow insurance policies to omit coverage for important services for transgender individuals, such as &ldquo;sex reassignment surgeries.&rdquo; <\/span><a href=\"https:\/\/www.healthcare.gov\/transgender-health-care\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">HealthCare.gov recommends<\/span><\/a><span style=\"font-weight: 400;\"> carefully checking the wording of your health insurance contract for terminology such as &ldquo;transgender&rdquo; or &ldquo;gender\/sex change<\/span><span style=\"font-weight: 400;\">,<\/span><span style=\"font-weight: 400;\">&rdquo; as well as any variations and truncations (e.g. &ldquo;trans&rdquo;). You may also choose to apply for <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/prior-authorization\/\"><span style=\"font-weight: 400;\">preauthorization<\/span><\/a><span style=\"font-weight: 400;\"> with your insurance company for any transition-related services just to make sure your plan covers them.<\/span><\/p>\n<h3 id=\"tips-for-advocating-for-coverage\"><b>Tips for advocating for coverage<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Healthcare coverage for transgender individuals continues to <\/span><a href=\"https:\/\/www.npr.org\/sections\/health-shots\/2024\/04\/29\/1247896150\/transgender-health-insurance-west-virginia-north-carolina-appeals-court\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">expand each year<\/span><\/a><span style=\"font-weight: 400;\">, but some plans may illegally discriminate. <\/span><a href=\"https:\/\/transequality.org\/resources\/know-your-rights-healthcare\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Knowing your rights<\/span><\/a><span style=\"font-weight: 400;\"> may be critical to ensuring you receive the care you are entitled to. One is the right to <\/span><a href=\"https:\/\/www.healthcare.gov\/appeal-insurance-company-decision\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">file an appeal<\/span><\/a><span style=\"font-weight: 400;\"> if your insurance company refuses to pay a claim or ends your coverage due to medically necessary transgender healthcare.&nbsp;<\/span><\/p>\n<h3 id=\"resources-for-navigating-insurance-challenges\"><b>Resources for navigating insurance challenges<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">An insurance company that excludes transgender health services is likely engaging in unlawful sex discrimination, as <\/span><a href=\"https:\/\/www.healthcare.gov\/transgender-health-care\/#:~:text=These%20transgender%20health%20insurance%20exclusions%20may%20be%20unlawful%20sex%20discrimination.%20The%20health%20care%20law%20prohibits%20discrimination%20on%20the%20basis%20of%20sex%2C%20among%20other%20bases%2C%20in%20certain%20health%20programs%20and%20activities.\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">healthcare laws prohibit discrimination<\/span><\/a><span style=\"font-weight: 400;\"> based on sex for specific health programs and activities.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you experience discrimination, file a complaint with your state&#8217;s Department of Insurance or email the Centers for Medicare &amp; Medicaid Services. If possible, <\/span><a href=\"https:\/\/transequality.org\/resources\/trans-legal-services-network-directory\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">speak with an attorney<\/span><\/a><span style=\"font-weight: 400;\"> to help navigate this process, especially if you feel the discrimination is illegal.<\/span><\/p>\n<h2 id=\"advocating-for-your-health\"><b>Advocating for your health<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Advocating for your health is essential for receiving the care and respect you deserve. By taking an active role in your healthcare, you&rsquo;ll assert your rights and find providers who support your identity.<\/span><\/p>\n<h3 id=\"self-advocacy-tips\"><b>Self-advocacy tips<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stand up for yourself by asserting your right to receive the healthcare you are legally entitled to.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If you feel comfortable doing so, state your preferred pronouns and name.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bring a friend or family member to the appointment if you have trouble speaking up for yourself.&nbsp;<\/span><\/li>\n<\/ul>\n<h3 id=\"overcoming-barriers-to-care\"><b>Overcoming barriers to care<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Barriers to health care for transgender people may be individual (e.g., limited financial resources, lack of access) or organizational (e.g., discrimination, health system barriers). If you experience such barriers, don&rsquo;t be afraid to switch providers to find one that affirms your gender.&nbsp;<\/span><\/p>\n<h3 id=\"asserting-your-rights-in-healthcare-settings\"><b>Asserting your rights in healthcare settings<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Don&rsquo;t feel you need to advocate for yourself alone. Some <\/span><a href=\"https:\/\/www.pennmedicine.org\/for-patients-and-visitors\/find-a-program-or-service\/lgbtq-health\/patient-care\/lgbtq-patient-navigation-program\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">patient advocacy programs<\/span><\/a><span style=\"font-weight: 400;\"> offer assistance specifically tailored to transgender patients navigating the healthcare system.<\/span><\/p>\n<h2 id=\"mental-health\"><b>Mental health<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Although the entire LGBTQ+ community faces discrimination, the additional challenges associated with being transgender may result in mental health disparities. Internalizing societal gender expectations may cause transgender individuals to be uncomfortable with their gender identity. These struggles lead to depression rates that are significantly higher than those of the general population.<\/span><\/p>\n<h3 id=\"addressing-stigma-and-discrimination\"><b>Addressing stigma and discrimination<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Although some of the causes of mental health struggles are internal, most are external and related to discriminatory acts perpetrated by people with anti-trans prejudices.&nbsp;<\/span><\/p>\n<h3 id=\"addressing-anxiety-and-depression\"><b>Addressing anxiety and depression<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">The stigma and discrimination that comes from being a transgender individual lead to higher levels of anxiety and depression than in the general population and even within the broader LGBTQ+ community.&nbsp;<\/span><\/p>\n<h4 id=\"seeking-professional-help\"><span style=\"font-weight: 400;\">Seeking professional help<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">You may feel uncomfortable with an in-person visit if you&rsquo;ve experienced discrimination in a healthcare provider&#8217;s office. Telehealth visits may be a great first step in seeking gender-affirming care, as you can receive the visit in the comfort of your own home. Plus, becoming comfortable with a new healthcare provider may be easier over the Internet. Once you feel comfortable with the provider, you can move to in-person visits if such a need arises.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Finding a telehealth provider with a physical location near you may be best. Then, if an in-person visit is necessary, it will be feasible. It&rsquo;s also important to find a therapist who understands multiple intersecting identities, such as <\/span><a href=\"https:\/\/nqttcn.com\/en\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">queer and trans people of color<\/span><\/a><span style=\"font-weight: 400;\">.&nbsp;<\/span><\/p>\n<h4 id=\"importance-of-support-networks\"><span style=\"font-weight: 400;\">Importance of support networks<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">Support networks play a vital role in the mental and emotional well-being of transgender individuals by ensuring they have a safe space to express themselves and receive guidance.<\/span><\/p>\n<h3 id=\"building-a-supportive-network\"><b>Building a supportive network<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Transgender people who are further along in their transition journey are excellent sources of wisdom and information about what to expect during gender-affirming care. Plus, those who are further along in their transition journeys may find it fulfilling to mentor and guide people who are just beginning their transition.<\/span><\/p>\n<h4 id=\"building-affirming-relationships\"><span style=\"font-weight: 400;\">Building affirming relationships<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">You deserve healthy relationships that make you feel secure and independent. Coming out to friends and family is often one of the most challenging parts of the transition journey. Finding the right partner and friends to support you may take time and may mean you need to form <\/span><a href=\"https:\/\/www.transhub.org.au\/relationships\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">new relationships<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h4 id=\"finding-community-resources\"><span style=\"font-weight: 400;\">Finding community resources<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">Finding a community you feel comfortable in is crucial for a sense of belonging and validation. Online communities on social media, in-person support groups, and LGBTQ+ events are all great options for finding a community you feel a part of.&nbsp;<\/span><\/p>\n<h3 id=\"navigating-relationships\"><b>Navigating relationships<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">It&rsquo;s important to set firm boundaries with people in your life. It&rsquo;s equally important to understand that these boundaries may shift over time as you become more comfortable with your gender identity. Let people know what pronouns you prefer<\/span><span style=\"font-weight: 400;\">,<\/span><span style=\"font-weight: 400;\"> as well as your preferred name.<\/span><\/p>\n<h4 id=\"addressing-relationship-challenges\"><span style=\"font-weight: 400;\">Addressing relationship challenges<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">Not everyone will be equipped to handle their partner&rsquo;s transition journey, and that&rsquo;s fine. You should be with a partner who affirms your gender identity. Sometimes, this means a breakup is necessary. Although it will initially be painful, it is important you are with a partner who makes you feel safe and secure.<\/span><\/p>\n<h3 id=\"building-self-confidence-and-respecting-your-identity\"><b>Building self-confidence and respecting your identity<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Throughout your gender-affirming journey, you may experience resistance and macro\/microaggressions. These encounters may lead to negative self-talk that, if left unchecked, may cause you long-term distress. Rejecting these negative narratives and asserting your gender identity will help you maintain your authenticity while building your resilience to similar situations.&nbsp;<\/span><\/p>\n<h4 id=\"strategies-for-self-care-and-self-compassion\"><span style=\"font-weight: 400;\">Strategies for self-care and self-compassion<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">Treating yourself with compassion and kindness shifts negative thoughts about feeling unworthy. Some strategies for coping include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Interrupting negative patterns of thoughts, especially those related to your body image<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/self-compassion.org\/exercises\/exercise-3-exploring-self-compassion-through-writing\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Self-compassionate writing exercises<\/span><\/a><\/li>\n<\/ul>\n<h4 id=\"strategies-for-maintaining-self-esteem-and-resilience\"><span style=\"font-weight: 400;\">Strategies for maintaining self-esteem and resilience<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">A good start is to realize that every emotion you experience regarding the challenges you face as a transgender person is valid. Building and maintaining self-esteem and resilience to these challenges will help you feel more comfortable with your authentic self. Mindfulness, meditation, and therapy are great ways to cope with challenges and build resilience.<\/span><\/p>\n<h4 id=\"handling-invalidation-and-microaggressions\"><span style=\"font-weight: 400;\">Handling invalidation and microaggressions<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">Misgendering will likely happen at some point during your gender-affirming journey. Although it may be an awkward and demoralizing experience, it does not change who you are. If you&rsquo;re comfortable doing so, correct the person immediately or later in private. You may need to be more firm with the person if it happens repeatedly. It may be helpful to explain how the experience made you feel and why it hurt you. When correcting someone who has misgendered you, always put your safety first.<\/span><\/p>\n<h3 id=\"coping-with-gender-dysphoria\"><b>Coping with gender dysphoria<\/b><\/h3>\n<p><a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/gender-dysphoria\/symptoms-causes\/syc-20475255\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Gender dysphoria<\/span><\/a><span style=\"font-weight: 400;\"> is a feeling of discomfort in people whose gender identity differs from their sex assigned at birth or sex-related physical characteristics. Transgender individuals might experience gender dysphoria, whereas others may feel comfortable with their sexual characteristics. This means some individuals will require medical intervention, whereas others may not.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The Diagnostic and Statistical Manual of Mental Disorders (DSM) says gender dysphoria is when a person <\/span><a href=\"https:\/\/www.psychiatry.org\/psychiatrists\/diversity\/education\/transgender-and-gender-nonconforming-patients\/gender-dysphoria-diagnosis\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">exhibits two or more of the following<\/span><\/a><span style=\"font-weight: 400;\">:&nbsp;<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A marked difference between experienced gender and primary and\/or secondary sex characteristics. In adolescents, this includes a strong feeling of difference from their anticipated secondary sex characteristics.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A strong desire to be rid of primary and\/or secondary sex characteristics because these are at odds with the person&rsquo;s experienced\/expressed gender. This manifests in adolescents as a desire to prevent the development of their secondary sex characteristics.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A need for the primary and\/or secondary sex characteristics of the other gender.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A desire to be of a gender different from the one assigned at birth.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A desire to be treated as a gender different from the person&rsquo;s assigned gender<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Having feelings and reactions more closely associated with a gender different from the person&rsquo;s assigned gender.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Healthcare providers have learned that individuals require tailored treatment approaches, which may involve some combination of hormone therapy and surgery to alleviate gender dysphoria. Other individuals may need only one or neither of these treatments.<\/span><\/p>\n<h4 id=\"coping-mechanisms-and-self-care-strategies\"><span style=\"font-weight: 400;\">Coping mechanisms and self-care strategies<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">Coping with gender dysphoria can be a deeply personal experience. Developing effective coping mechanisms and self-care strategies is essential for managing the stress and discomfort associated with gender dysphoria. Here are some practical coping mechanisms and self-care strategies to help alleviate the distress of gender dysphoria and foster a sense of acceptance:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Wear gender-affirming clothes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Use gender-affirming products<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Use gender-affirming language<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Engage in voice training<\/span><\/li>\n<\/ul>\n<h2 id=\"physical-health\"><b>Physical health<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Taking care of your physical health is important for your overall well-being. For transgender individuals, proper health care helps align physical appearance with gender identity, improving mental and emotional health. Accessing the right medical treatments (like hormone therapy) and understanding the risks and benefits of these treatments are important steps in this process.<\/span><\/p>\n<h3 id=\"hormone-therapy\"><b>Hormone therapy<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Gender-affirming hormone therapy (GAHT) plays an important part in gender-affirming care for <\/span><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s11920-018-0973-0\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">more than 80% of transgender people<\/span><\/a><span style=\"font-weight: 400;\">. GAHT is either masculinizing or feminizing. Feminizing hormone therapy involves taking testosterone blockers as well as estrogen, whereas masculinizing hormone therapy involves taking testosterone. For transgender youths, it may be possible to delay puberty by taking <\/span><a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/gender-dysphoria\/in-depth\/pubertal-blockers\/art-20459075\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">puberty blockers<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h4 id=\"risks-and-benefits\"><span style=\"font-weight: 400;\">Risks and benefits<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">As with any medical intervention, hormone therapy has risks and benefits.&nbsp;<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">Risks<\/span><\/i><span style=\"font-weight: 400;\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">As with cisgender men, transgender men will likely experience some form of hair loss on their heads. Hair loss treatment may involve <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/finasteride\/what-is\"><span style=\"font-weight: 400;\">finasteride<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/dutasteride\/what-is\"><span style=\"font-weight: 400;\">dutasteride<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/minoxidil\/what-is\"><span style=\"font-weight: 400;\">minoxidil<\/span><\/a><span style=\"font-weight: 400;\">, or even hair transplants.&nbsp;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">It takes time to see the full effects of hormone therapy. Some patients may think that taking a higher dose will accelerate the process. However, doing so may not provide faster results and may endanger your health.<\/span><\/li>\n<\/ul>\n<p><i><span style=\"font-weight: 400;\">Benefits<\/span><\/i><span style=\"font-weight: 400;\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bringing your physical appearance in line with your internal gender identity may improve your mental health, including a reduction in anxiety and depression.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Helps prevent menopause-like symptoms as people with ovaries age.<\/span><\/li>\n<\/ul>\n<h4 id=\"accessing-hormone-therapy\"><span style=\"font-weight: 400;\">Accessing hormone therapy<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">In-person visits are generally preferable when accessing hormone therapy, as this gives your medical provider the chance to make a full assessment. However, if you cannot travel to a physical location, <\/span><a href=\"https:\/\/queerdoc.com\/telemedicine-services\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">telemedicine appointments<\/span><\/a><span style=\"font-weight: 400;\"> may be an option to receive HRT prescriptions and refills.<\/span><\/p>\n<h3 id=\"sexual-and-reproductive-needs\"><b>Sexual and reproductive needs<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Sexual health considerations will depend on transgender individuals&rsquo; gender identity and age<\/span><b>,<\/b><span style=\"font-weight: 400;\"> as well as which reproductive organs they have. For example, transgender men receiving hormone therapy <\/span><a href=\"https:\/\/www.tht.org.uk\/sexual-health\/trans-people\/trans-masculine\/safer-sex\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">may still become pregnant<\/span><\/a><span style=\"font-weight: 400;\">. Condom use plays an important role in preventing the transmission of STIs and unwanted pregnancies. Other contraception methods include pills, coils, and injections.<\/span><\/p>\n<h4 id=\"fertility-preservation-options\"><span style=\"font-weight: 400;\">Fertility preservation options<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">Although both surgical and hormone gender-affirming care may affect your fertility, it doesn&rsquo;t mean you&rsquo;ll never be able to have children. <\/span><a href=\"https:\/\/www.hopkinsmedicine.org\/gynecology-obstetrics\/specialty-areas\/fertility-center\/infertility-services\/fertility-preservation-and-restoration-center\/transgender-patients\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Reproductive health experts<\/span><\/a><span style=\"font-weight: 400;\"> can work closely with you to discuss your options for preserving your fertility, which may include freezing:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ovarian tissue<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Embryos<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Oocytes (eggs)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sperm<\/span><\/li>\n<\/ul>\n<h4 id=\"reproductive-health-services\"><span style=\"font-weight: 400;\">Reproductive health services<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">Transgender individuals require <\/span><a href=\"https:\/\/obgyn.coloradowomenshealth.com\/services\/transgender-gynecologic-care\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">personalized reproductive health care<\/span><\/a><span style=\"font-weight: 400;\"> that depends on their surgical history and goals. For example, transgender individuals require gynecologic care if they have retained their cervix, fallopian tubes, ovaries, or uterus.&nbsp;<\/span><\/p>\n<h3 id=\"regular-health-screenings\"><b>Regular health screenings<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Preventive care screenings are just as important for transgender individuals as they are to the broader population. Individuals require a unique approach to preventive care depending on factors such as the <\/span><a href=\"https:\/\/www.hopkinsmedicine.org\/health\/wellness-and-prevention\/transgender-health-what-you-need-to-know\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">sexual organs they have<\/span><\/a><span style=\"font-weight: 400;\">. Informing your primary care provider of any gender-affirming procedures you&rsquo;ve had will help determine which screenings and check-ups are necessary.<\/span><\/p>\n<h4 id=\"recommended-screenings-and-check-ups\"><span style=\"font-weight: 400;\">Recommended screenings and check-ups<\/span><\/h4>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pelvic exams<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/theros.org.uk\/information-and-support\/osteoporosis\/causes\/transgender-trans-people-and-osteoporosis\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Bone density scans<\/span><\/a><span style=\"font-weight: 400;\"> for patients who have had their ovaries or testes removed and have not been on hormone therapy<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Breast cancer screenings (mammographies)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cardiovascular screenings, due to a <\/span><a href=\"https:\/\/www.bhf.org.uk\/informationsupport\/heart-matters-magazine\/medical\/transgender-heart-risk\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">higher risk of stroke and heart attack<\/span><\/a><span style=\"font-weight: 400;\">&nbsp;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cervical cancer screenings (pap smears)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sexually transmitted infection (STI) screenings<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Contraception counseling<\/span><\/li>\n<\/ul>\n<h3 id=\"gender-affirming-surgery-and-procedures\"><b>Gender-affirming surgery and procedures<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">The length of a gender-affirming journey differs for each person and depends on individual needs and desires. Not every individual wants or needs all the procedures discussed in this section. A medical professional who is well-versed in transgender health issues will help you figure out where to begin and which treatments are ideal for meeting your goals.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Gender-affirming medical care is a multi-disciplinary approach that includes both surgical and non-surgical procedures. Many patients will require surgery to bring their body image in line with their internal gender identity, but non-surgical procedures also play a role in this process. Each procedure comes with risks and benefits. Transgender individuals should speak with their healthcare provider to gain a complete understanding of what to expect.<\/span><\/p>\n<h4 id=\"non-surgical\"><span style=\"font-weight: 400;\">Non-surgical<\/span><\/h4>\n<p><i><span style=\"font-weight: 400;\">Hair removal&nbsp;<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400;\">Hair removal plays a major role in helping transgender individuals express their gender identity and may even help <\/span><a href=\"https:\/\/jamanetwork.com\/journals\/jamadermatology\/fullarticle\/2782063\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">improve mental health outcomes<\/span><\/a><span style=\"font-weight: 400;\">. Unwanted hair is typically removed by laser hair removal or electrolysis.&nbsp;<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">Voice therapy<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400;\">Treatments to help your voice match your identity may be an important part of asserting your identity. Voice therapy focuses on making your voice sound more feminine, masculine, or gender-neutral<\/span><i><span style=\"font-weight: 400;\">,<\/span><\/i><span style=\"font-weight: 400;\"> depending on your goals. <\/span><a href=\"https:\/\/my.clevelandclinic.org\/health\/procedures\/voice-feminization-surgery\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Since it is reversible<\/span><\/a><span style=\"font-weight: 400;\">, it carries a much lower risk than voice surgery, meaning pursuing this option before permanent voice surgery is recommended.<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">Facial feminization and masculinization procedures<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400;\">As surgical procedures are expensive, permanent, and require downtime, many transgender people first opt for <\/span><a href=\"https:\/\/academic.oup.com\/asj\/article\/39\/5\/NP123\/5151357\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">non-surgical procedures<\/span><\/a><span style=\"font-weight: 400;\">. These are temporary and reversible, allowing patients to preview how their appearance may change after a more invasive, permanent surgery. Dermal fillers are a common non-surgical option and typically require maintenance once or twice per year.<\/span><\/p>\n<h4 id=\"surgical\"><span style=\"font-weight: 400;\">Surgical<\/span><\/h4>\n<p><i><span style=\"font-weight: 400;\">Top surgery<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400;\">Depending on your goals, top surgery may involve removing or augmenting breast tissue as well as surgery to contour the nipples. After being removed, <\/span><a href=\"https:\/\/uvahealth.com\/services\/transgender\/transgender-surgery-faqs\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">breast tissue does not grow back<\/span><\/a><span style=\"font-weight: 400;\">. Such procedures are typically performed under general anesthesia as outpatient procedures that require only a few hours to complete, but it <\/span><a href=\"https:\/\/www.dukehealth.org\/treatments\/plastic-and-reconstructive-surgery\/gender-affirming-surgery-top-surgery\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">may take up to six months<\/span><\/a><span style=\"font-weight: 400;\"> for swelling and scars to improve.<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">Bottom surgery (genital reconstruction and orchiectomy)<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400;\">Bottom surgery refers to <\/span><a href=\"https:\/\/my.clevelandclinic.org\/health\/procedures\/feminizing-bottom-surgery\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">feminization<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.hopkinsmedicine.org\/health\/treatment-tests-and-therapies\/phalloplasty-for-gender-affirmation\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">masculinization<\/span><\/a><span style=\"font-weight: 400;\"> procedures that transform or reconstruct reproductive organs. Not every transgender individual receives these procedures&mdash;only 4% to 13% of transgender men and women elect to have them.&nbsp;<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">Facial feminization and masculinization surgery<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400;\">Both facial feminization and masculinization surgical procedures involve reshaping the bone structure of a person&rsquo;s face. Facial feminization procedures produce features such as a smaller Adam&rsquo;s apple, a more rounded jawline, and a lower hairline. Facial masculinization procedures may produce a larger, more pronounced Adam&rsquo;s apple or more angular jawline.<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">Voice surgery<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400;\">Gender-affirming voice surgery focuses on changing the pitch of your voice. As this surgery permanently changes your voice, you may wish to attempt voice therapy first. Speaking with a <\/span><a href=\"https:\/\/www.mayoclinic.org\/tests-procedures\/transgender-voice-therapy-and-surgery\/about\/pac-20470545\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">speech-language therapist<\/span><\/a><span style=\"font-weight: 400;\"> will help you understand your options.&nbsp;<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">Body contouring surgery<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400;\">After other gender-affirming surgeries and non-surgical procedures, some transgender individuals may want body contouring to make their body shape more fully match their gender identity. This type of surgery involves changes to the skeletal structure and soft tissues and is performed on various parts of the body, including the chest and thighs. Common procedures include liposuction to redistribute fat, as well as tummy tucks and thigh lifts.&nbsp;<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">Tracheal shave<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400;\">Patients desiring a more feminine appearance who want to reduce the size of their Adam&rsquo;s apple undergo a tracheal shave procedure.&nbsp;<\/span><\/p>\n<h2 id=\"understanding-your-healthcare-rights\"><b>Understanding your healthcare rights<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Healthcare laws are constantly changing concerning transgender patient rights. Currently, many state and federal laws provide protections to members of the transgender community, such as the right to privacy under the <\/span><a href=\"https:\/\/www.hhs.gov\/hipaa\/for-professionals\/privacy\/laws-regulations\/index.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Health Insurance Portability and Accountability Act (HIPAA)<\/span><\/a><span style=\"font-weight: 400;\">. This act protects the privacy of medical information, including information related to a person&rsquo;s status as a transgender individual, preventing a provider from revealing such information unless there is a valid reason for doing so.<\/span><\/p>\n<h3 id=\"facing-healthcare-discrimination\"><b>Facing healthcare discrimination<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Discrimination against transgender individuals in healthcare settings comes in many forms, some of which may not be immediately obvious. <\/span><a href=\"https:\/\/transequality.org\/sites\/default\/files\/docs\/kyr\/KYR-Healthcare-June2017.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Recognizing discrimination<\/span><\/a><span style=\"font-weight: 400;\"> (PDF) is the first step in stopping it from happening. Discrimination may include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Refusing to treat you<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Encouraging\/forcing you to undergo conversion therapy before allowing you to receive medical treatment<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Using your incorrect pronouns and name<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Refusing to provide you with services provided to other patients<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Harassing behavior of any kind by the providers or their staff<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Going into a healthcare appointment armed with knowledge of what discrimination looks like will help you address it more quickly. Make sure you document every instance of discrimination you experience, as this will be helpful if you decide to file a complaint. Depending on its severity, you may be able to address these issues yourself, or you may require the services of a legal organization or lawyer to obtain a resolution.<\/span><\/p>\n<h4 id=\"legal-protections-and-recourse\"><span style=\"font-weight: 400;\">Legal protections and recourse<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">If you feel you&rsquo;ve been the victim of discrimination because of your gender identity, you may be able to sue a provider or healthcare company. In this case, it&rsquo;s best to <\/span><a href=\"https:\/\/transequality.org\/additional-help\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">approach a lawyer well-versed in transgender issues<\/span><\/a><span style=\"font-weight: 400;\"> and let the law firm handle your case instead of attempting to address it yourself. Not all issues will require a lawsuit&mdash;your lawyer may be able to resolve the issue by simply informing the organization of its legally mandated obligations to you.<\/span><\/p>\n<h3 id=\"protection-laws\"><b>Protection laws<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">A combination of federal and state laws have been passed to protect transgender individuals seeking gender-affirming medical care. In terms of <\/span><a href=\"https:\/\/www.americanprogress.org\/article\/protecting-advancing-health-care-transgender-adult-communities\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">federal protections<\/span><\/a><span style=\"font-weight: 400;\">, laws that protect transgender individuals in other situations have been extended to also apply in healthcare settings. A variety of states have <\/span><a href=\"https:\/\/www.lgbtmap.org\/equality-maps\/healthcare\/trans_shield_laws\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">&ldquo;shield&rdquo; laws<\/span><\/a><span style=\"font-weight: 400;\"> that protect transgender individuals if officials from their home state try to extradite them based on charges for receiving treatment in another state where gender-affirming care is legal.<\/span><\/p>\n<h4 id=\"advocacy-opportunities\"><span style=\"font-weight: 400;\">Advocacy opportunities<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">Many transgender individuals find meaning and fulfillment in advocating for their community. Those who are further along in their transition journey can advise someone else going through the same process. Various transgender advocacy groups list ways you can help on their websites, such as the <\/span><a href=\"https:\/\/transequality.org\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">National Center for Transgender Equality<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Advocacy groups for transgender individuals with multiple intersecting identities:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/blacktrans.org\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Black Trans Advocacy<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"http:\/\/www.twocc.us\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Trans Women of Color Collective<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.translatinacoalition.org\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Trans Latina Coalition<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/spartapride.org\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">SPARTA<\/span><\/a><span style=\"font-weight: 400;\"> (trans military members, both current and veterans)<\/span><\/li>\n<\/ul>\n<h2 id=\"resources\"><b>Resources<\/b><\/h2>\n<h3 id=\"government-agencies\"><b>Government agencies<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The <\/span><a href=\"https:\/\/www.acf.hhs.gov\/cb\/policy-guidance\/funding-support-lgbtq-families\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Children&rsquo;s Bureau<\/span><\/a><span style=\"font-weight: 400;\"> offers federal funding to support LGBTQ+ families<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.hhs.gov\/programs\/topic-sites\/lgbtqi\/resources\/index.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Department of Health and Human Services<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.healthcare.gov\/transgender-health-care\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">HealthCare.gov<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.patientcare.va.gov\/lgbt\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">U.S. Department of Veterans Affairs<\/span><\/a><\/li>\n<\/ul>\n<h3 id=\"legal-protections-and-advocacy-groups\"><b>Legal protections and advocacy groups<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The National Center for Transgender Equality provides a list of <\/span><a href=\"https:\/\/transequality.org\/know-your-rights\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">your rights as a transgender individual<\/span><\/a><span style=\"font-weight: 400;\"> and covers protections from airport security to Social Security issues.<\/span><\/li>\n<\/ul>\n<h3 id=\"mental-health-resources\"><b>Mental health resources<\/b><\/h3>\n<h4 id=\"hotlines\"><span style=\"font-weight: 400;\">Hotlines<\/span><\/h4>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The Trevor Project includes a <\/span><a href=\"https:\/\/www.thetrevorproject.org\/get-help\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">24\/7 hotline<\/span><\/a><span style=\"font-weight: 400;\"> for LGBTQ+ individuals needing immediate crisis support at (866) 488-7386.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/translifeline.org\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">TransLifeline<\/span><\/a><span style=\"font-weight: 400;\"> at (877) 565-5560.<\/span><\/li>\n<\/ul>\n<h4 id=\"support-groups\"><span style=\"font-weight: 400;\">Support groups<\/span><\/h4>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/translifeline.org\/resource_category\/support-group\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">TransLifeline support group resources<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.thetrevorproject.org\/visit-trevorspace\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">TrevorSpace<\/span><\/a><span style=\"font-weight: 400;\">&nbsp;<\/span><\/li>\n<\/ul>\n<h4 id=\"counseling-services\"><span style=\"font-weight: 400;\">Counseling services<\/span><\/h4>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.psychologytoday.com\/us\/therapists?category=transgender\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Psychology Today<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.atrh.org\/providermap\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Gender-affirming providers<\/span><\/a><span style=\"font-weight: 400;\">&nbsp;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.thetrevorproject.org\/get-help\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Trevor Project counselor 24\/7 hotline<\/span><\/a><\/li>\n<\/ul>\n<h4 id=\"online-resources-for-mental-health-support\"><span style=\"font-weight: 400;\">Online resources for mental health support<\/span><\/h4>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/nqttcn.com\/en\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">National Queer &amp; Trans Therapists of Color Network<\/span><\/a><span style=\"font-weight: 400;\"> works to ensure queer and trans black, Indigenous, and people of color have access to adequate mental health resources.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.genderconfirmation.com\/mental-health-support-for-trans-youth\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Mental health resources for trans youth<\/span><\/a><\/li>\n<\/ul>\n<h3 id=\"insurance-resources\"><b>Insurance resources<\/b><\/h3>\n<h4 id=\"guides-for-understanding-insurance-coverage\"><span style=\"font-weight: 400;\">Guides for understanding insurance coverage<\/span><\/h4>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/transequality.org\/health-coverage-guide\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">National Center for Transgender Equality Health Coverage Guide<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.healthcare.gov\/transgender-health-care\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Healthcare.gov&rsquo;s Transgender Health Care Guide<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/transhealthproject.org\/trans-health-insurance-tutorial\/understanding-denials\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Understanding Health Insurance Coverage Denials<\/span><\/a><\/li>\n<\/ul>\n<p><b>RELATED: Does Medicare cover hormone replacement therapy?<\/b><\/p>\n<h4 id=\"assistance-programs-and-advocacy-groups\"><span style=\"font-weight: 400;\">Assistance programs and advocacy groups<\/span><\/h4>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/out2enroll.org\/category\/faqs\/transgender\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Out2Enroll<\/span><\/a><\/li>\n<\/ul>\n<h3 id=\"transition-related-financial-support\"><b>Transition-related financial support<\/b><\/h3>\n<h4 id=\"tips-for-navigating-healthcare-expenses\"><span style=\"font-weight: 400;\">Tips for navigating healthcare expenses<\/span><\/h4>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Use in-network providers when possible<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Seek telehealth providers if you are unable to travel<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Get prior authorization for surgeries to ensure coverage<\/span><\/li>\n<\/ul>\n<h4 id=\"financial-assistance-programs-for-transition-related-care\"><span style=\"font-weight: 400;\">Financial assistance programs for transition-related care<\/span><\/h4>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/southernequality.org\/resources\/transinthesouth\/funding-your-transition\/#:~:text=Genderbands'%20aim%20is%20to%20help,for%20expenses%20related%20to%20care.\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">The Campaign for Southern Equality<\/span><\/a><span style=\"font-weight: 400;\"> list of grants for transition surgeries<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.pointofpride.org\/annual-transgender-surgery-fund\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Trans Surgery Fund<\/span><\/a><\/li>\n<\/ul>\n<h2 id=\"faq\"><b>FAQ<\/b><\/h2>\n<p><b>How do I know what procedures are right for me?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">The answer to this depends entirely on you and your goals. Talking with a therapist and provider may help you decide which gender-affirming procedures will ensure your external appearance matches your internal gender identity.<\/span><b><\/b><\/p>\n<p><b>Where can I find transgender-friendly healthcare providers?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">The easiest way is to search <\/span><a href=\"https:\/\/glma.org\/find_a_provider.php\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">online directories<\/span><\/a><span style=\"font-weight: 400;\"> for vetted transgender-friendly providers. You should also talk with friends or contact local LGBTQ+ centers for recommendations.<\/span><\/p>\n<p><b>What if I regret my procedures?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">The vast majority of transgender individuals who have undergone gender-affirming surgeries do not <\/span><a href=\"https:\/\/www.genderconfirmation.com\/blog\/regret\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">regret<\/span><\/a><span style=\"font-weight: 400;\"> them. However, in patients who do have regrets, these are most commonly due to unrealistic expectations, according to the Gender Confirmation Center. By discussing your specific desires and goals with your surgeon and a therapist, you will have a better idea of what to expect and how to manage your expectations.&nbsp;<\/span><\/p>\n<p><b>What do I do if I&rsquo;m not comfortable revealing my gender identity to a provider?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">To offer the best medical care, your healthcare provider needs to have a comprehensive understanding of your health. Whereas not every appointment will necessarily benefit from you revealing your gender identity, in some cases, you may not even <\/span><a href=\"https:\/\/www.reuters.com\/article\/idUSKBN20E2X8\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">realize it is important<\/span><\/a><span style=\"font-weight: 400;\">. Talking to friends and using the resources above are great ways to find a provider you feel comfortable with.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Members of the LGBTQ+ community typically have physical and mental health concerns that the rest of the population does not. Transgender members, in particular, often require additional health care, including gender-affirming healthcare, personalized primary care, and mental health care from medical providers experienced in transgender health and wellness. Although there are still barriers to health [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":629434,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[729,17777,450,8670],"coauthors":[8861],"class_list":["post-629431","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-doctor-visits","tag-mens-health","tag-mental-health","tag-womens-health","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Guide to health and wellness for the transgender community<\/title>\n<meta name=\"description\" content=\"Try these practical solutions for finding transgender-friendly health care, improving mental and physical well-being, and advocating for your rights and 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