During your first visit*, you should expect your provider to discuss with you:

• Your desired goals in regard to gender affirmation
• Then, based on those goals, discuss the various treatment options which can help you achieve those goals
• An expected timeframe to start noticing these changes, including which changes may be permanent (non-reversible)
• Risks and benefits of such treatments, and suggestions on how to manage them
• Prevention of sexually transmitted diseases, risk of pregnancy (for those who still have a cervix/uterus), and the likely possibility of future infertility
• Any substantial underlying health issues which may require better management in conjunction with, or possibly before proceeding with hormonal therapy
• Signing an informed consent prior to starting a treatment plan at SHS
• Lastly, ordering any required initial screening testing as well as establishing the frequency of follow-up visits and testing

*Please keep in mind that depending on the complexity of your personal history, it is possible that it might take more than one visit to complete your initial intake.