This is part of a series by the STFM Group on LGBT Health for LGBT Pride Month.
By Eli Pendleton, MD; Susan Sawning, MSSW, and Stacie Steinbock, MEd
My male-to-female transgender patient is in her mid-50s. She has a well-established relationship with a sex therapist, who has written a thorough letter of explanation and support. Her wife is engaged and supports her decisions. The patient comes to me hoping to begin her hormonal transition.