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Bonnie Malone Senior Director, Consulting Knowledge | North America

Bonnie Malone

Bonnie brings a customer-centric perspective to email strategy. She contributes to a variety of industry publications and events.

What effects you expect to see from feminizing/masculinizing medications

Health history (current and past medical and mental health conditions, surgical history, medications, allergies, smoking status, exercise, nutrition, family history, etc.)

Your understanding of long-term risks associated with hormone therapy

Your support network and strategies for thriving in your changing gender expression with family and friends, at work and at school.

Your health care provider will usuallyperform an exam. They will also likely ask you to do some laboratory work, such as a blood test.

If you are a youth seeking puberty blockers or hormone therapy, you will typicallyreceive a hormone readiness assessment with a qualified mental health professional. Then you will be referred to a pediatricendocrinologist who prescribes and monitors the treatment. For recommendations of mental health professionals who work with trans youth, Contact Us .

For youth, when you visit your mental health professional to talk about starting puberty blockers or hormones, they will likely want to discuss:

How you understand your gender identity

The way you express your gender identity

How you feel about your body

How you are doing emotionally

Your relationships with peers and family

Your experiences at school and in the community

What to expect from puberty blockers/hormone treatments

What puberty blockers/hormone treatments won’t do

Yes. Hormone therapy can be medically necessary for a range of people, including those who are genderqueer, gender variant, or gender non-conforming.

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The four criteria for hormone therapy for adults are:

Persistent, well-documented gender dysphoria.

Capacity to make a fully informed decision and to consent to treatment.

Age of majority (in BC, the age of majority is 18).

If significant medical or mental health concerns are present, they must be reasonably well-controlled.

For children and youth under the age of 18, the criteria for hormone therapy are:

A long-lasting and intense pattern of gender non-conformity or gender dysphoria

Gender dysphoria emerged or worsened with the onset of puberty