There’s an informed consent clinic list here which may also be helpful for you, though it’s not complete. Some Planned Parenthood clinics provide transgender care as well. Also consider notifying your state medical board or investigating if the physician broke an anti-discrimination law.If you’re near one, your best chances are likely in big cities. Accidental misgendering does happen, even by the best of providers. If the misbehavior was serious or negatively affected your health, consider consulting an attorney.

There may also be a website that’s compiled your local resources. Sometimes there truly isn’t a knowledgeable health care provider near you. Remember that you may be very different from trans people your provider has seen before, or will see later. Remember that you’re also helping other folks who meet this physician in the future. There may be corrective actions the provider may want to take as a result of a complaint. The Transgender Law Center, the NCTE, and others can probably help. don’t I need a letter from a therapist or something? It depends on your situation and the physician you see. Version 7 does recommend a letter from a mental health provider before getting hormones.

For example, I stumbled onto Trans Ohio the other day and they appear to have a nice big list! Try a query like “transgender health care near….” Help! In that case, your best option may be to find a provider who’s willing to learn. You can save a few bucks by calling the office and asking instead of going in to meet face to face. I generally have found that there are two different learning curves: learning how to give hormones, and learning how to treat trans people with respect. There is support out there for physicians willing to learn about trans care. I recommend: I was treated badly by a provider or their staff. If you can, meet in person with the physician responsible. WPATH’s Standards of Care (version 6) used to require 3 months of therapy and a letter from a therapist before hormones could be started. Many physicians do feel more comfortable prescribing if they have that letter. They don’t require a letter, but do ask that you sign paperwork saying that you understand the risks involved.

Others only begin to realize it when they begin to enter puberty. You can do something about it, or you can not do something about it. I say/write “trans”, with the implication that I could be using either.

Still others don’t realize that they’re trans for decades — until they’re in their 30s, 40s, 50s, or beyond. I think I might be trans, but I don’t like the things I’m supposed to… Not all women like to wear dresses and not all men like (American) football. You can continue to live your life the way you have been. My working distinction between transsexual and transgender, when a distinction is needed?

In some instances a letter or therapy may be required.

For example, if you’re close to age 18, have comorbid psychiatric conditions, or are at university, Call your physician before making the appointment to find out their policy.

If you know right now that you need to transition, you can. There is no psychotherapy or drug that will make you stop having gender dysphoria.

If you ultimately decide to transition at age 80, you can.

Whenever you being to suspect you’re trans, or whenever you decide to explore gender, it’s OK. It doesn’t make you any less a person nor any less trans. Transsexual is specifically an individual who is cross-sex identified, typically fits within the gender binary, and wants to go through full transition including genital surgery. First, know that you don’t necessarily need to see an endocrinologist.

If a health care provider or therapist says you should like and do stereotypical things, that’s a red flag. Transgender includes non-binary identified people and people who do not want to do a full transition. A family doctor or internist can deliver all the same care!

Some physicians have intake sheets specifically for trans patients which ask about gender history, and pronouns may be included there.