Medical Care

Trans and gender non-conforming people often seek to change their bodies to better align with their gender identity. The Center for Transgender Medicine and Surgery (CTMS) offers trans-specific medical care to provide hormone therapy and other interventions to help achieve this goal. CTMS also offers primary care to help trans and gender non-conforming people meet all of their health needs in a sensitive and supportive environment.

Primary Care

CTMS primary care providers are highly experienced in working with trans and gender non-conforming people. Our providers are committed to delivering expert care in a safe and respectful environment. CTMS providers offer routine screening / health maintenance, as well as yearly physicals, sick visits, and referrals to specialists experienced in working with trans and gender non-conforming people.

Hormone Replacement Therapy

CTMS offers hormone replacement therapy both for people with primary care at CTMS and for primary care elsewhere. With expert providers on staff, including endocrinologists, CTMS strives to give you the best possible outcomes in your hormone care. A CTMS provider will make sure that you understand the risks and benefits of hormone therapy. As well, our providers will optimize your regimen both to maximize effects from hormones and to keep you safe.

  • Feminizing Hormone Therapy
    Many trans and gender non-conforming people choose to take feminizing hormones to help develop a more feminine appearance. Feminizing hormone therapy can help to develop breasts, change the shape of the face and body, and change some of the body hair growth patterns. CTMS providers help achieve these effects using estrogen therapy and testosterone suppressing therapy per patient preference to best meet patient goals and help create the ideal self. CTMS providers offer oral, injected, and transdermal medications to reach this goal.
  • Masculinizing Hormone Therapy
    Many trans and gender non-conforming people choose to take masculinizing hormones to create a more masculine appearance. Using testosterone therapy, CTMS providers can help develop facial and body hair, deepen the voice, change the shape of the face and body, and stop menstruation. CTMS providers offer topical testosterone, injections, or patches to help reach these goals.

Endocrinology

CTMS endocrinologists are experts in overseeing hormone replacement therapy. CTMS can also assist with general endocrine needs including:

  • Weight loss
  • Diabetes
  • Bone health
  • Adrenal disorders
  • Thyroid disorders
  • Cardiovascular disease
  • Fertility
  • Interaction of hormone-replacement therapy with other medical treatment

Plastic Surgery

The CTMS plastic surgery team offers many surgical procedures to help with your transition. CTMS plastic surgeons bring their years of experience in plastic surgery to the field of transgender health to offer high-quality, innovative care and the best possible surgical outcomes.

Gynecology

The CTMS gynecology team is very experienced in working with trans and gender non-conforming people who require both routine and gender-specific care. CTMS providers offer any screenings or care in a sensitive manner, and can help prepare for hysterectomy, vaginectomy, and other gynecological procedures when desired.

Urology

The CTMS urology team collaborates on phalloplasty and vaginoplasty cases, assists with post-operative care for these procedures, and offers orchiectomy, or removal of the testes. The team is also available for any issues that affect genitals or urination, regardless of surgical status.

Otolaryngology and Vocal Training

Working with the Mount Sinai Hospital otolaryngology (ENT) department, CTMS is able to offer a variety of services to help trans and gender non-conforming people change the pitch of their voice and avoid vocal strain. Speech-language pathologists (SLP) offer vocal coaching, and otolaryngology doctors can help with both tracheal shaves and voice feminization surgery.

Other Specialty Care

The Mount Sinai Hospital System is not only home to CTMS, but offers a full range of medical and surgical services.