THInC patients start by providing a full medical history and receiving a physical exam, including blood tests to examine liver function which can be affected by hormones.
A second appointment with a hormone advocate ensures the patient can demonstrate "informed consent. The advocate then helps develop a transition plan, including ways to address workplace and relationship issues. At a third appointment, the patient and health care provider discuss test results, review the transition plan and decide which hormones, if any, are appropriate and begin treatment.
An optional fourth step is participation in a support group. Earlier this month, about 60 LGBT-focused mental health professionals and community members gathered at Center on Halsted to discuss the program.
Throughout the health care system, patients consent to all kinds of medical treatments every day, and using hormones to align a person's physical body with gender identity should be no different, Berkey said.
The key is informed consent, ensuring each patient understands the risks of hormones and is not impaired from making a fully informed decision. Liam Lair, a patient who participated during the pilot phase, said he felt "a great sense of relief of being able to be transparent with myself" throughout the process.
Lair said the program allowed him to follow the life narrative he experienced, instead of trying to fit into a narrow gender definition. The traditional approach contains barriers to access, according to many in the LGBT health community. While the THInC program can take as little as four to five weeks to start hormone treatment, the traditional process can take many months or years.
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