Trans Medicine

NUNM Health Centers – Lair Hill has a unique commitment to providing safe and affordable health care to people who identify as transgender, genderqueer or gender fluid. Below are some frequently asked questions about trans medicine and our affirming services. We offer a low cost time of service discount to patients who do not have health insurance or whose health insurance does not meet their needs. Learn more about Trans Medicine at NUNM Health Centers.

What lab work do I need?

For Male to Female patients, the following lab tests are recommended:

  • Complete blood count (CBC)
  • Complete metabolic panel (CMP)
  • Cholesterol and other fats/lipids
  • Thyroid stimulating hormone (TSH)
  • Prolactin

For Female to Male patients these lab tests are recommended:

  • Complete blood count (CBC)
  • Complete metabolic panel (CMP)
  • Cholesterol and other fats/lipids
  • Thyroid stimulating hormone (TSH)

Does NUNM have a lab where I can get these tests done?

Yes, NUNM has a CLIA certified lab on site at the NUNM Health Centers – Lair Hill. Patients of the NUNM Health Centers and our community based clinics can have their lab work done here. All lab work must be ordered by a licensed health care provider.

How much do the lab tests cost?

Prices for laboratory testing can change and vary, so please call our clinic for current prices, 503.552.1551, option 4. If you have health insurance, we can work with you to see if the tests will be covered by your insurance plan.

How often do I need to be seen?

Patients who are being seen for hormone therapy can expect the following:

First office visit
During your first office visit, the provider will go over your complete medical history. You will sign and review consent forms and the laboratory tests will be ordered. Your lab tests will be done on a different day when you’ll come in just for the lab tests.

Second office visit
Your second office visit is usually 1-2 weeks after the first visit. It will include a physical exam and then a review of injection technique. You and your doctor will review the initial lab tests and prescriptions for hormones will be initiated.

Lab tests repeated: Before the third office visit, you will be asked to come in and repeat the initial lab tests (except TSH if it was originally within normal limits).

Third office visit
Three months after the second visit, you and your doctor will review the repeat labs (except for TSH if normal previously). Prescription is can be increased to full dose at this visit

Lab tests repeated: Before the next office visit, you will be asked to come in and repeat lab tests.

Fourth office visit
6-9 months after visit with a review of repeat labs.

Then you will have a yearly follow up visit with updated health history, physical exam and review of lab tests. You can also come in at any time for help with any health concern.

How do I make an appointment?

Call us. NUNM Health Centers at 503.552.1551. NUNM Community Clinics at 503.552.1515.