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My desire to work with gender identity was a critical component to my inspiration in becoming a sex therapist. When I came out as trans and reached out to the community for help, everyone had something good to say about Outside In. Dr. Meltzer will operate on minors with parental consent. Surgery Requirements Dr. Meltzer follows WPATH guidelines for Gender Surgery: Financing & Insurance Dr. Meltzer accepts cash, credit cards and medical financing. Our services for our transgender and gender diverse individuals include: Outside In provides high quality and supportive healthcare to all our clients, whether you are questioning your gender or have been transitioning for years. Doernbecher Childrens Hospital700S.W. We will: Get your childs medical history and family history. Ophthalmology . During graduate school, I interned at TransActive Gender Center, providing mental health services for transgender/gender non-binary youth, adolescents, and their families. Referrals to specialty providers & community . Fax: 207-662-5528. I love working in this space, helping people discover their truth, explore gender expression, come to greater peace within themselves, and navigate transitions. Responsibilities include rooming patients, collecting patient information, preparing patients for examination, assisting with procedures, and assisting with overall delivery of patient care. A typical "full" clearing would consist of the entire mapped area being treated and the electrologist making the area hair free by the end of service. I've completed professional training in gender-affirmative care and I have experience working with binary trans, non-binary, agender, and other gender-diverse folks. In teens, hormone therapy can make appearance, emotions, sexual feelings and other traits more closely match gender identity. 500 NE Multnomah St., Suite 100, Portland, OR 97232. We work with patients of all ages and their families to build strength, gain better understanding and offer ongoing support while they are with our clinic. The Doernbecher Gender Clinic works with the, Call Doernbecher Pediatric Endocrinology at, Bridges Program (Pediatric Palliative Care), Childrens Palliative Care FAQ and Resources, Emotional Support and Preparation for Siblings, Facility Dogs and Animal-Assisted Therapy, Adolescent and Young Adult Hematology/Oncology, World Professional Association for Transgender Health (WPATH) guidelines for care. It gives adolescents time to explore their gender. I continuously increase my knowledge and skills for helping clients address Gender Dysphoria. Gender Diversity Increases the awareness and understanding of the wide range of gender diversity in children, adolescents, and adults by providing family support, building community, increasing societal awareness and improving the well-being for people of all gender IDs. I love Outside In people. By signing up, you agree to receive news about CAP, Prism Health, Our House, and our services via our email newsletter. Most teens have the maturity to make these decisions by age 16. of care. 2236 SE Belmont St Portland, OR 97214 TriMet Stop ID: 408 SE Belmont & 23rd Eastbound Prism Health is a center of excellence for comprehensive, compassionate and culturally affirming healthcare for everyone with the aim of addressing long-standing health disparities in the LGBTQ+ community and promoting equitable access to healthcare. We will discuss risks and fertility-saving options with you. Help the Transgender Health Program build access to inclusive, affirming health care. I am an LGBTQ+ affirming provider and believe that each person should be able to make choices for their own body, and experience in this world. I wanted to belong. He operates at Scottsdale Healthcare Osborn Campus at the Greenbaum Surgery Center and also has privileges at Scottsdale Healthcare Shea Campus. We also strive to increase access to health care for the transgender and gender-nonconforming communities at OHSU and beyond. A letter from your hormone specialist stating you have been on 12 months of continuous hormones for genital procedures, unless clinically contraindicated. Located on Powell Blvd in Portland, OR. Estrogen: Estrogen can be given in a pill, skin patch or injection. When the Gender Identity Development Service for Children and Adolescents (GIDS) at the Tavistock and Portman NHS trust in London was established in 1983, it was a different era in terms of the. Transition desires: Most teens with gender dysphoria will carry it into adulthood. The bupivicaine injection into the spermatic cord and scrotal nerve numbs the area for 4-8 hours. We appreciate your patience and will respond to you as soon as possible. Learn how to apply. Minors aged 13 to 18 can withhold mental health records from parents for " sensitive " conditions, which include both "gender dysphoria" and "gender-affirming care." Insurers in Washington must cover a wide array of "gender-affirming treatments" from tracheal shaves to double mastectomies. During his plastic surgery residency, Dr. Esmonde worked in the Transgender Health Program at Oregon Health & Science University (OHSU). He started performing Vaginoplasty at OHSU in 1993. 25 received pubertal suppression . Through Outside Ins guidance and support, I was in my own apartment completely self-sufficient within a week. 5702 North 19th Avenue, Phoenix Arizona, 85015. The Gender Identity Clinic (GIC) is the largest and oldest gender clinic in the UK, dating back to 1966. Hales Skelton savors victories large and small now that his outside more closely aligns with his inside. Email us today to reach our intake specialist. Prism Health provides compassionate, high-quality primary care services that work to help address your unique health concerns. Get the details here >>, Get the latest news from The Portland Clinic. They treat hundreds of patients a year. He currently performs approximately 200 genital reconstruction surgery cases per year in Scottsdale, Arizona and Portland, Oregon. Plastic and Reconstructive Surgery . A mental health professional can help with these and other challenging aspects of gender dysphoria. Given my experience with Dr. Meltzer and his staff, there is absolutely no way I would have ever considered going to a different surgeon. You will also find gender-neutral restrooms across our campuses. The Senza Pelo MedSpa has opened a satellite treatment room at the Meltzer Clinic. I found Outside In. The OHSU Transgender Health Program can connect you with international leaders in care for the transgender and gender-nonconforming communities. I have received academic training on working with gender non-conforming folks as well as my personal life experience. Hillsboro Medical Center 335 SE 8th Ave. Hillsboro, OR 97123 Phone: 503-681-1111 More detailed contact information Oregon Health & Science University is dedicated to improving the health and quality of life for all Oregonians through excellence, innovation and leadership in health care, education and research. Some teens may go on to transition with hormone therapy or surgery. For information about your benefits coverage, please contact Member Services at 800-464-4000. Medical treatment usually doesnt begin until puberty. Possibly do a physical exam and blood test to assess the extent of puberty. Our Portland women's health team brings together broad clinical expertise and deep understanding of the unique needs of women during every phase of their lives to provide the whole-person care you need and deserve every step of the way. The child has shown a long-term, intense pattern of gender nonconformity or gender dysphoria, whether suppressed or expressed. You are invited to our quarterly Grand Rounds. It may be safer for teens to appear physically mature as they get older. Rose Haven is a day shelter and community center serving women, children and gender-nonconforming people in Portland. I have supported clients through gender affirmation surgery and have experience writing letters for transition surgery. I'm well versed in the WPATH & the emerging 'Informed Consent' standards of care, as well as associated psycho-social challenges (e.g., social anxiety) experienced by transgender and gender-queer people. COVID-19 clinic information and resources. Non-binary can also be an umbrella term that includes identities such as agender, bigender, genderqueer or gender fluid. Despite the move to Scottsdale, Dr. Meltzer always maintained roots in Portland. We believe that trying to change a persons gender identity is harmful. And build relationships that last. Contact the OHSU Transgender Health Program at: Parking is free for patients and their visitors. Injections into a muscle every three months. I completed the WPATH Global Education Institute's Foundations Course training online in 2021. Every person deserves to live a life in their most congruent gender. Today, as Reed recovers from her own gender confirmation surgery, the map is spreading on social media again, now with 862 mapped locations and almost 1.8 million views. I have specialized training in working with LGBTQ populations, especially trans, and continue to update my training. Members apply to serve two-year terms. The Gender and Sexuality Program at Hasbro Children's Hospital is accepting new pediatric, adolescent, and young adult patients. Dr. Meltzer is board-certified in both General and Plastic Surgery. Well discuss all aspects of this treatment to help you make an informed decision. External Research into improving treatments and outcomes. Outreach care: We provide care for transgender and gender-nonconforming children and teens in seven cities across Oregon and southwest Washington. You don't have JavaScript turned on. It's OK to ask for help. Training for OHSU employees and for health care professionals in the community. We work with community partners to provide advocacy, to shape policies and to train health care professionals. You do not need a referral for a primary care appointment. I continue to provide affirmative care for the community and their families. Please see our team page to find providers. Do you need a letter, or support on your gender journey? Washington. I am open to learning about and exploring identities outside of this list as well. 602-246-1966. StoryCorps and OHSU are partners in bringing the stories of OHSU patients, providers and others to life. Molly Palmer and her wife, Melissa,reflect on Mollys transition. OHSU providers work together to make sure you get the care you need. for any health care need,such as primary care, mental health care and gender-affirming services. We can answer questions and discuss: Specialists: We recommend that your child see a specialist in treating puberty-related conditions, such as: Our specialists, for example, can identify the start of puberty. Commitment to inclusion: OHSU is dedicated to inclusive care and to offering welcoming facilities. Fertility: Suppressants should not affect your childs ability to have children. Vancouver Clinic is searching for a full time Medical Assistant to join the Internal Medicine team at NW Portland! Mabel Wadsworth Center offers a safe and affirming environment." Services include: Abortion Care Annual Wellness Exams Birth Control Cancer Screenings Colposcopy Infertility Consultation Intrauterine Insemination LGBTQ Healthcare Gender Affirming Hormone Therapy Men's Health Menopause Consultation Mental Health Counseling Small implants placed under the skin of the inner upper arm. Oregon Health & Science University (OHSU) medical network offers a Gender Clinic for chest binding, puberty blockers, and transgender health program. I identify as a non-binary or genderqueer individual, and am connected to many different queer and trans communities. Instead of questioning the obvious group-think dynamic the little girls were experiencing . Children and adults with gender dysphoria face an increased risk for depression, anxiety, self-esteem problems, suicidality, bullying and stress. We usually do not prescribe medications during the first visit. I work with families and individuals to explore the gender spectrum in support of exploration with who we are as unique human beings and how to navigate systems: society's idea of who we are (binary polarities) and other essential areas. Non-binary describes people who do not identify (or do not exclusively identify) as male or female or man or woman. They may identify as no gender, as a gender other than male or female, or as Posted: February 02, 2023. Dr. Meltzer was awarded the Independent Equality Award by the HRC and was honored at the 2016 HRC Awards Gala. Whatever decisions you make about your health, we listen and provide support without judgment. Youll find: Referrals: Patients need a referral, usually from their pediatrician, to be seen at one of our Doernbecher Gender Clinic locations. You will need to provide two referrals from qualified mental health professionals for genital procedures; one referral for other procedures unless otherwise specified by insurance. LMFT. The researchers followed 148 transgender adolescents who were receiving gender-affirming medical treatment. They protected me. The Gender Clinic Children can stop taking them at any time. Ideas of gender are forced upon us before we are even born. We offer treatment to patients of all ages with both pediatric and adult services. 2001-2022 Oregon Health & Science University. Uh oh. We are happy to meet with you and your child before that, though. Alexa Adams (she/her/hers) Licensed Marriage Family Therapist. I consider it a privilege to support clients in bridging this conflict to whatever extent they choose, from explorations of identity and experiences through social and medical transitions. Insurance Coverage for Gender Care. We follow the guidelines set forth by the World Professional Association of Transgender Health (WPATH) to offer care on an informed consent basis for those who are 15 and older, per Oregon law. Some changes, such as to fertility or a deeper voice, may be permanent. 1132 SW 13th Ave, Portland, OR 97205 Contact 503.535.3860 transinfo@OutsideIn.org Clinic Hours *We are closed until 12:30 p.m. on the 2nd Tuesday of every month. An MA I is expected to perform in accordance with established policies, procedures, and regulations. The New England Gender C.A.R.E. PrEP, a once-a-day medication to prevent HIV transmission, might be a good choice for you if you are at risk for HIV transmission or want to add more peace of mind to your life.