Transgender Health
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Transgender Health
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Erickson-Schroth L, ed. General, sexual, and reproductive health. In: Trans Bodies, Trans Selves: A Resource for the Transgender Community. New York, N.Y.: Oxford University Press; 2014.
Feldman J, et al. Primary care of transgender individuals. https://www.uptodate.com/contents/search. Accessed Aug. 15, 2017.
AskMayoExpert. Transgender health. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2016.
Ten things transgender persons should discuss with their healthcare provider. GLMA. http://www.glma.org/index.cfm?fuseaction=Page.viewPage&pageID=692. Accessed Aug. 15, 2017.
Makadon HJ, et al. Fenway Guide to Lesbian, Gay, Bisexual, and Transgender Health. 2nd ed. Philadelphia, Pa.: American College of Physicians; 2015.
Nippoldt TB (expert opinion). Mayo Clinic, Rochester, Minn. March 5, 2017.
Gonzalez CA (expert opinion). Mayo Clinic, Kasson, Minn. May 10, 2017.
Rohren CH (expert opinion). Mayo Clinic, Rochester, Minn. May 10, 2017.
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Health concerns for transgender people
Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations.
Know the important health issues transgender people face, and get tips for taking charge of your health.
Transgender people can have unique health care needs. Here's help understanding these concerns and how to address them.
"Transgender" is an umbrella term used to capture the spectrum of gender identity and gender-expression diversity. Gender identity is the internal sense of being male, female, neither or both. Gender expression — often an extension of gender identity — involves the expression of a person's gender identity through social roles, appearance and behaviors.
Many health concerns that transgender people face are due to minority stress, which is characterized by:
For example, minority stress is linked to transgender people seeking out less preventive care and screenings than that of cisgender people of similar ages, whose gender identity and expression match the sex they were assigned at birth. This might be due to a lack of gender-related insurance coverage, being refused care, difficulty finding a doctor with expertise in transgender care or fear of discrimination in a health care setting.
In addition, because of minority stress, transgender people are at risk of:
If you're a transgender person, don't avoid seeing a doctor out of fear of a negative encounter. Instead, look for a doctor who is empathetic and respectful of your specific needs. By doing so, your doctor can help identify ways to reduce your risk of health concerns, as well as identify medical conditions and refer you to specialists when necessary.
To find a doctor with transgender expertise, check the website for the World Professional Association for Transgender Health (WPATH) or GLMA.
Once you're talking to your doctor, be honest. Share your gender identity. Tell your doctor about any medicines you take or have taken, any surgeries or procedures you've had, and any associated complications or concerns. Talk about any stress, discrimination, anxiety or depression you're experiencing and how you cope. Also, tell your doctor if you're sexually active. The more your doctor knows about your health history, the better the doctor will be able to help you.
Experts recommend that you take steps to protect your health based on your anatomy, regardless of your gender identity or expression. This might include:
Additional issues might need to be considered if you have had feminizing or masculinizing hormone therapy or surgery.
Your health is important — regardless of your gender identity or gender expression. If you're due for a screening or you have health concerns, don't put off seeing a doctor. Early diagnosis and treatment help promote long-term health.
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APP of the Year 2021 - Jill Crank, C.R.N.P., M.S.N., M.P.H.
Copyright © 2022 The Johns Hopkins University, The Johns Hopkins Hospital, and The Johns Hopkins Health System Corporation. All rights reserved.
Masks are required inside all of our care facilities . We are vaccinating all eligible patients. Learn more:
The Johns Hopkins Center for Transgender Health offers comprehensive, evidence-based and affirming care for transgender youth and adults that is in line with the standards of care set by the World Professional Association for Transgender Health (WPATH).
Embracing diversity and inclusion, the Center for Transgender Health provides affirming, objective, person-centered care. We improve health and enhance wellness; educate interdisciplinary health care professionals to provide culturally competent, evidence-based care; inform the public on transgender health issues; and advance medical knowledge by conducting biomedical research.
Dr. Fan Liang will start seeing patients for vaginoplasty consults as of September 15. Please call 844-546-5645 to request a consultation.
Our team is committed to providing high-quality, compassionate care that’s in line with the standards of care set by the World Professional Association for Transgender Health.
This course is a 2- or 4-week immersive clinical experience for urban health residents who want to learn more about the care of transgender and gender diverse patients.
See clinical trials and research options for the Center for Transgender Health community.
This fellowship will seek to train the future leaders in complex reconstructive surgery, gender affirming surgery, and microsurgery, with an additional focus on a multi-disciplinary approach to surgical planning and management.
Beginning July 1, all Johns Hopkins health insurance plans (EHP) will be updated and aligned enterprisewide to cover an expanded range of gender-affirming care for all users of these plans.
The Johns Hopkins Community Physicians Advanced Practice Provider (APP) of the Year award is given to the advanced practice provider who consistently achieves high standards in the practice of medicine and is looked upon as a role model by their peers.
Jill Crank is known among her colleagues for her clinical acumen and dedication to her patients. A provider at the Center for Transgender Health, N.P. Crank is recognized as a leader for her care of transgender patients in Baltimore, and has been invited to several speaking engagements on the subject. Her work with several hundred transgender patients has provided essential and exceptional care to this underserved population.
A Blog from the Center for Transgender Health
For a full list of topics: A-Z Index
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Transgender is an umbrella term for persons whose gender identity or expression (masculine, feminine, other) is different from their sex (male, female) at birth. Gender identity refers to one’s internal understanding of one’s own gender, or the gender with which a person identifies. Gender expression is a term used to describe people’s outward presentation of their gender.
Gender identity and sexual orientation are different facets of identity. Everyone has a gender identity and a sexual orientation, but a person’s gender does not determine a person’s sexual orientation. Transgender people may identify as heterosexual, homosexual, bisexual, or none of the above.
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Currently, all of our support groups are meeting on virtual platforms. In order to best meet the needs of our community, we have been working to keep up to date on in-person and virtual resources that are available both inside and outside of Fenway Health. You do not need to be a patient of Fenway Health to attend, and all Fenway Health groups are free to attend. If you have any questions or would like additional information, send us an email at transhealth@fenwayhealth.org
Trans, Non-Binary, Gender Diverse, and Questioning Peer Support Groups
1st & 3rd Tuesday of each month 6-7:30PM
1st & 3rd Wednesday of each month from 5:30-7PM
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How did we do? Whether it’s about your visit, the care you received, or our customer service, we want to know.
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At Fenway Health, we are committed to improving the health and wellbeing of trans and gender diverse communities. Whether through our groundbreaking research in the health and wellbeing of trans people, our ongoing policy and advocacy work, or the care we provide in our own neighborhood, we work to embody our organizational mission and values through all we do with our trans and gender diverse communities.
Our integrated model of care is one example of how we continuously work to lower the barriers trans and gender diverse people face in accessing care. From their first day at Fenway Health, our providers are trained to provide all aspects of care through an affirming, trauma-informed model. We also consider hormone therapy to be a part of primary care, and all of our Internal Medicine and Family Medicine providers are happy to work with our patients towards their individual goals.
In addition to working with current and prospective patients in accessing care, the Trans Health Program offers a number of supports and services to our trans and gender diverse community members. We currently host a variety of support groups for trans and gender diverse people and their loved ones. In addition to these recurring groups, we also host regular events and informational sessions for our community, providing reliable and accessible information on a variety of topics related to about trans and gender diverse people’s health, experiences, and resources. Our program regularly works together with local health centers, hospitals, community organizations, and other similar groups to meet the healthcare needs of our trans and gender diverse communities.
Are your questions not answered here? Would you prefer to speak with someone about our care and services for trans and gender diverse people before scheduling an appointment? Sign up for an appointment in our All Access Hours! These free 20 minute appointments with our Patient Advocate are available to anyone interested in learning more about the care Fenway Health provides and the resources and supports offered through the Trans Health Program.
You can schedule these appointments using the link below, or by giving us a call at 857.313.6589 .
Our integrated model of care means all of our providers are trained in and prepared to provide care to trans and gender diverse adults, including primary care and care specific to gender affirmation. To schedule an appointment, call the number listed below and request an appointment with a medical provider.
We have three clinical sites providing medical care at this time.
These sites see patients of all ages through Family and Internal Medicine:
This site sees only patients who are 12-29 years old:
To schedule a medical appointment, please call 617.927.6000 .
Looking for information about our care for trans and gender diverse youth?
For more information about what to expect, refer to the Gender Affirming and Medical Care tab, or reach out to us directly at 857.313.6589 or transhealth@fenwayhealth.org .
Fenway Health has behavioral health services that provide episodic treatment and assessments for surgery referrals for trans, nonbinary, and gender diverse patients of Fenway. It is best to call the Behavioral Health intake line at 617.927.6202 to ask what the current wait time is for starting treatment and whether the services available are the best fit for your needs. For additional information about services offered through our Behavioral Health department, click here .
To find a therapist outside Fenway Health, there are a few places people may search online. One category of websites is those created specifically for the purpose of tracking affirming providers. Some examples of these include transcaresite.org and inclusivetherapists.com. Other publicly available sites include those generally used to find behavioral health providers, such as psychologytoday.org and zencare.co, which may be narrowed down using key terms such as “transgender.” Also available are professional credentialing websites, such as the NASW.org website. Finally, many health insurance carriers have lists of therapists if you call the member services phone number on the back of your card. For further assistance in finding a behavioral health provider, feel free to directly contact the Trans Health Program or your Fenway medical provider
While not all of our trans and gender diverse patients pursue medical gender affirmation, many of our community members are looking for information on these topics that is up to date, and that they know they can trust. Our goal for all of our patients is to help them express their most authentic selves, including weighing the highest standards for safety and efficacy for all medical decisions. These documents are available for reference and to facilitate discussions with your medical provider.
For those who are pursuing gender affirming hormone therapy, we operate under a model of informed consent and shared decision making for all of our trans and gender diverse patients. This typically entails conversations between our patients and their medical providers, discussing their goals for gender affirmation and management of any current medical or behavioral health concer
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