Adult Gender Affirming Care

overview

Respectful Hormone Care, Centered on You

Gender affirming care is healthcare that supports a person’s health, well-being, and affirmed gender. For some patients, this includes hormone therapy and ongoing endocrine monitoring. For others, it may involve education, lab review, coordination with other clinicians, or support in understanding available options. The goal of gender affirming endocrine care is to provide medically appropriate, respectful, and individualized hormone-related care in a setting where patients can ask questions and participate in informed decisions.

A gender affirming endocrine visit typically includes a detailed discussion of your health history, goals, current medications, prior hormone use, mental health support, fertility considerations, family history, and any medical conditions that may affect treatment planning. Lab testing may be used to evaluate hormone levels, blood counts, liver function, cholesterol, metabolic health, or other markers, depending on the treatment plan. Monitoring is important because hormone therapy can affect different body systems, and care should be adjusted based on both goals and safety considerations.

Hormone therapy may include feminizing or masculinizing treatment depending on the patient’s needs and goals. Feminizing hormone therapy may involve estrogen therapy and medications that reduce the effects of testosterone when appropriate. Masculinizing hormone therapy may involve testosterone therapy. The specific medication, dose, route, and monitoring plan should be individualized by the clinician and patient together. The content on this page is general because treatment decisions require medical evaluation and should not be made from website information alone.

Discussing expectations in advance helps patients make informed decisions that align with their goals and values.

Gender affirming care may also involve coordination with a broader care team. Depending on the patient’s needs, this can include primary care clinicians, mental health professionals, surgeons, gynecologists, urologists, reproductive specialists, or other clinicians. Endocrine care focuses on hormone-related evaluation and management, but whole-person support often includes multiple areas of healthcare.

Safety monitoring is also important. Depending on the therapy used, clinicians may monitor hormone levels, blood counts, cholesterol, blood pressure, liver function, metabolic markers, prolactin, bone health, and cancer screening considerations for organs that are present. We believe respectful communication matters. Patients should feel comfortable asking questions, discussing goals, and raising concerns without judgment. Our clinicians aim to provide medically sound care while recognizing the personal importance of gender affirming treatment for many patients. The goal is not a one-size-fits-all plan, but a thoughtful approach that considers identity, health, safety, and long-term well-being.

If you are considering hormone therapy, currently taking gender affirming hormones, transferring care, or looking for endocrine monitoring in Northern Virginia, The Endocrinology Group offers gender affirming care. Contact the office to learn more about scheduling and whether our clinicians can support your specific care needs.

frequently asked questions

Common questions about Adult Gender Affirming Care

Gender affirming hormone care is endocrine care that supports a patient’s affirmed gender through education, hormone therapy when appropriate, lab monitoring, and ongoing medical guidance.

Yes. Lab monitoring helps clinicians evaluate hormone levels, safety markers, and other health factors that may affect treatment.

In many cases, patients can establish care for ongoing hormone monitoring and management. Prior records, medication details, and lab results are helpful.

Yes. Treatment plans should reflect the patient’s goals, medical history, risk factors, and ongoing response to therapy.

Ready to get started?

Same-week appointments available. All providers currently accepting new patients.

Request an Appointment
Telehealth available for follow-up visits
What to Bring
  • Insurance card & photo ID
  • Current medication list with doses
  • Recent A1C and lab results
  • CGM or pump data if applicable
  • List of current concerns or questions
Insurance Accepted

We accept most major insurance plans. Contact our office to verify your specific coverage before your visit.

related services

Other services we offer

Obesity Management

A multifaceted, long-term approach that goes beyond diet and exercise, integrating behavioral counseling, lifestyle changes, and, when necessary, pharmacotherapy (e.g., GLP-1 agonists) or metabolic surgery.

GLP-1 Therapy
Obesity & Weight Management
Metabolic Syndrome

Diabetes / Insulin Pump & CGM

Comprehensive care for Type 1 & Type 2 diabetes, from diagnosis to advanced therapy management.

Prediabetes & Insulin Resistance
Type 2 Diabetes
Type 1 Diabetes
Continuous Glucose Monitor (CGM) Setup
Insulin Pump Initiation & Training

Pituitary & Adrenal

Evaluation and management of adrenal insufficiency, Cushing's syndrome, pituitary tumors, and related conditions.

Hypopituitarism
Primary Aldosteronism
Adrenal Insufficiency
Addison's Disease
patient stories

Hear From Our Patients

Highly recommended for diabetics

Thoughtful and thorough health evaluation, and discussion for making even better - highly recommended for diabetics looking for more in depth consultation. Thank you Wendy

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Verified Patient
Michael Conner
Actively listens to my concerns and provides personalized advice

I consistently have great virtual appointments with my doctor, who actively listens to my concerns and provides personalized advice. Dr. Thien-Giang Bach-Huynh genuinely cares about my well-being and that of her patients, making her an exceptional doctor.

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Verified Patient
Claudia Rocabado
Was highly approachable and kind

I was very pleased with my appointment. The doctor offered multiple options for treatment of my condition. He was thorough and explained everything in a highly understandable way. He was highly approachable and kind. I look forward to working with him to maximize my treatment outcomes.

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Verified Patient
BARBARA JEAN BLODGETT
Allows me to make inputs on my treatment

The physician who attends to me is very attentive and patient with me. She answers all of my questions, discusses each detail of the process and allows me to make inputs on my treatment. My only regret is that it took me so long to making the appointment after receiving the referral from my PCP.

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Verified Patient
Joyce Williams
Going here for almost 15 years

I have been going here for almost 15 years now and Dr. Huang has been great. Today I got my bloodwork done at the lab they have downstairs and had the smoothest/painless blood draw by a lovely new young lady. Thank you all for your service and hard work in bringing strong professionals into this group.

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Verified Patient
Ron Hershner
Fantastic listening skills, empathy, and warmth

I met with PA Hafsah Iqbal. Ms. Iqbal is an incredible physician’s assistant! She took the time to listen to my concerns and had fantastic listening skills, empathy and warmth. She presented me with multiple options and next steps and explained everything clearly in plain language. She didn’t rush me and was incredibly compassionate and understanding.

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Verified Patient
Bridget Shea Westfall