TRANSGENDER HEALTH: SERVICES

Our Center of Excellence regional trans care hubs each serve a group of two to four other clinics and provide a core group of expert providers and support tools for that area. 

Note: Extension of available services may be limited by your health insurance.

ADULT & TEEN SERVICES

PRIMARY CARE


Our providers do not only provide transgender-specific care but the full extension of services to you and your family. This means fewer medical visits and none of the potential conflicts that can arise when using different providers. Among these care services include annual physicals; updates on immunizations; surgical pre-op clearance and post-op follow-up care; prescription of medications for all medical issues; screenings for cancer, diabetes, depression and much more.


GENDER-AFFIRMING HORMONE THERAPY


Borrego Health uses informed consent for gender-affirming hormone replacement therapy (HRT). We check your progress following the most current international standards for testing, levels, and needs of our patients.


SEXUAL AND REPRODUCTIVE HEALTH


Our services include routine STI testing and treatment, breast health, and reproductive organ health. We offer twilight anesthesia for personal exams if needed. We can also provide or refer for wellness exams for all genders — anal and cervical exams, mammograms, high-resolution anoscopy, colonoscopy, and more.
Complete testing and treatment services for hepatitis A, B, and C, as well as a full range of HIV services, including PrEP and PEP, are available.


SURGICAL EVALUATIONS


Our medical team can provide the core evaluations and necessary Letters of Support for patients seeking surgeries in alignment with the World Professional Association for Transgender Health Standards of Care, v7.


BEHAVIORAL HEALTH SERVICES


Our team of Behavioral Health providers is dedicated to the needs of the trans community, and our approach follows the advanced practice of dysphoria/incongruence being a result of social challenges.

 

URGENT CARE


Borrego Health has several urgent care clinics that treat issues that are serious but that might not need emergency services.


IN-HOUSE PRIVATE PHARMACY


We offer full-service pharmacies at many clinic locations as well as free prescription delivery options.

 

REFERRAL COORDINATION


If you need services beyond our scope, we can refer you to specialists of various medical fields, including plastic and reconstructive surgery, who are sensitive to your needs. We can also help you make the specialist appointment and get preauthorization from your insurance carrier, if needed.

YOUTH & PEDIATRIC SERVICES

Understanding the goals and concerns of the patient is important to support the individual and the family, or larger support system. 


Whether and when any gender-affirming medical interventions are recommended or started depends on the patient’s specific situation and needs.

 
We are also aware that family includes parent(s) and sibling(s) as well as extended family and friends. Gender affirming treatment for transgender and gender-diverse youth within Borrego Health is handled through your primary care provider. Youth and their parent(s)/guardian(s) work together with the medical providers and behavioral health providers to develop a treatment plan based on the goals of treatment and any care needs based on age, development, medical, and mental health conditions.


Our criteria for puberty suppression and hormone therapy are informed by the WPATH (World Professional Association for Transgender Health) Standards of Care (2011), UCSF Center of Excellence for Transgender Health Guidelines, and Endocrine Society Clinical Practice Guidelines, employing the most reliable and factual information available in pediatric care.

BCHF is a Federally Qualified Health Center and a Federal Tort Claims Act Deemed organization. The Federal Government is the primary insurer.
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