Primary care physicians are learning how to fill the gaps in gender-affirming medicine

"We make gender-affirming care specialty care, and that automatically creates barriers in terms of access and a bottleneck."

Aug 1, 2023 - 20:00
Primary care physicians are learning how to fill the gaps in gender-affirming medicine

Harrison has an informal test that he runs on primary care physicians when he meets them for the first time: the eye contact test. When he arrives at the appointment and tells them that he’s transgender, he watches their eyes for a reaction. He’s looking for signs of shock — have they ever met a trans person before? Do they get nervous, or start talking at him, rather than with him?

Trying to find an accepting clinician, especially where he lives in the mountains of North Carolina, can be tough. He’s been ghosted before — doctors tell him to follow up over an online patient portal or to call back later, which he does, only to never hear back again.

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