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LGBTQ+ Resources
PrEP (Pre-Exposure Prophylaxis) Resources
Gender Affirming Hormone Therapy Guidelines from Transline
Transline: A Transgender Medical Consultation Service
Clinical consultation service for medical providers to submit questions / cases
Numerous resources including surgical letter templates, identification changes, billing/coding, hormone guidelines, and legal protections
UCSF Guidelines for the Primary and Gender Affirming Care of Transgender and Gender Non-Binary People
Clinical guidelines regarding wide range of health issues managed in primary care setting
The Fenway Institute’s National LGBTQIA+ Health Education Center
Numerous free resources and CMEs on variety of LGBTQIA+ health topics
Insurance Criteria for Gender Affirming Surgeries
Important information to document in patient’s chart and include in referral letters
Trans-feminine Surgery Resources
Trans-feminine surgeries are an important part of transgender care and include vaginoplasty, orchiectomy, facial feminization, breast augmentation, and other surgeries. These procedures are sometimes covered by insurance, ie vaginoplasty/orchiectomy. But procedures such as facial feminization may not be covered by insurance is considered cosmetic by the individual’s plan. Dr. Johnson and Dr. Topal are excellent local options for breast augmentation. Dr. Oates, Dr. Spiegel, and Dr. Winograd provide care locally in Massachusetts, however traveling for this specialized care may be preferred by some patients due to surgeon experience. Dr. Rumer and Dr. Meltzer have large practices for transgender surgeries in Pennsylvania and Arizona, respectively. I have summarized their practices below.
I would also like to highlight the importance of hair removal. The Stonewall center maintains a website of options for local electrolysis and laser therapy by transgender-experienced providers (https://www.umass.edu/stonewall/resources/western-massachusetts-trans-resource-guide/electrologistslaser-hair-removal-professionals).
National ID Documents Center for Massachusetts: Guidelines for name changes, amending birth certificates, drivers licenses
· https://transequality.org/documents/state/massachusetts
includes links for patient’s affidavit letter and physician statement form.