After consensus has been reached by you and your gender clinicians, a recommendation can be made to your GP about hormones. This would normally only happen after your second assessment appointment.
Separate protocols exist for children and adolescents – read more on the Gender Identity Development Service website
The GIC has patients from all over the UK, so it is not possible for us to prescribe and monitor hormones directly. We depend on GPs or local services to do this, with our guidance.
Non-binary people seek a variety of hormonal outcomes at the clinic. Therefore there is not a standard hormone treatment protocol and endocrinology appointments will be offered for those who wish to discuss non-binary hormonal outcomes.
There is some uncertainty about the possible risks of long-term masculinising and feminising hormone treatment. We will always discuss the potential risks and importance of regular monitoring with you before hormonal treatment begins.
Hormone therapy can reduce fertility and may eventually render people completely infertile. Your specialist will discuss the potential impacts of hormone treatment on fertility before starting treatment. They will also discuss with you the option of storing eggs or sperm (known as gamete storage) in case you want to have children in the future. We advise that people seeking hormone therapy decide whether they wish to retain fertility before beginning treatment as there is no guarantee that fertility will return to normal if hormones are stopped.
Please see the Human Fertilisation and Embryology Authority website for information about local fertility services http://www.hfea.gov.uk/
While you are taking hormones you will need to have regular check-ups, usually at your local GP surgery, to check for any health problems and to find out if the hormone treatment is working.
You may be frustrated with how long hormone therapy takes to produce results, as it can take some months for physical changes to develop. It is important to have realistic expectations about what hormones can achieve for you. For example, hormones cannot change bone structure or height. For more information about the risks and effects associated with hormone treatment please see the information booklets.
Self-medicating with hormones
There are significant health risks associated with self-medication with hormones, so we cannot endorse this. However, we also do not penalise people for it, nor do we discriminate against patients who have chosen to access private gender care.
Our main concern is that hormones are taken safely. We routinely carry out blood tests, where appropriate, and will advise you about any risks to your health. Remember that hormones bought over the internet may not be licensed or safe.