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Transgender & Non-Binary Health Services

Over the last few years, Campus Health has actively taken steps to more effectively meet the healthcare needs of Tulane’s transgender and non-binary student population. Our staff has undergone extensive training to learn best practices in providing service to our transgender and non-binary community. These trainings have been offered by leaders in transgender health care, including the Centers of Excellence for Transgender Health and the World Professional Association for Transgender Health.

Routine Healthcare Needs

Developing a clinical staff to meet your needs is a priority of Campus Health. For acute and primary care concerns, a regular clinic appointment is available to those receiving transgender services. If you feel more comfortable seeing certain providers, please call our front desk to indicate your preferences.

Gender- Affirming Hormone Replacement Therapy

The Health Center Uptown can initiate hormone therapy and provide medical management to undergraduate and graduate students on stable hormone regimens. In order to facilitate access to care and avoid gatekeeping, Campus Health uses an informed consent model (explained below).

Procedure for Initiating HRT

Campus Health provides both feminizing and masculinizing hormone replacement therapy (HRT) to transgender and non-binary students through an informed consent model. Before scheduling a transgender health appointment, students are asked to meet at least once with a licensed mental health professional. The purpose of this is not to require approval or a recommendation for HRT, but to ensure that students are connected to a source of support should they need one during their medical transition. Students can either meet with any of the clinicians at The Counseling Center, all of whom have received training on gender-affirming care, or any off-campus provider of their choosing. If students choose an on-campus provider, no documentation is required. If they choose an off-campus provider, a letter simply stating that they have had at least one session is required.

Transgender health appointments are available on Tuesday and Friday afternoons at the uptown Health Center. The initial appointment is an hour-long consultation, in which the student meets with a provider to discuss the student’s health concerns, expectations of the gender journey, and possible treatment options. The provider will also discuss the informed consent model, which provides the student an overview of what to expect with the use of gender-affirming hormone therapy, the physical and emotional changes they may experience, and the benefits and risks associated with transitioning. At the end of the visit, the student is given appropriate educational materials to review at home.

During the second visit, the student will be given an opportunity to further discuss any questions or concerns they have with the provider. Then they will sign the informed consent if they wish to proceed with gender-affirming hormone therapy. Follow-up appointments are dependent on the student’s needs and expectations. The provider will work with the student to create a follow-up plan

At our uptown Health Center, nurses are available to administer testosterone injections. Education on self-administration of testosterone is also available for students who are interested in doing it themselves. Feminizing hormones are offered through oral supplements, injections, or through patch therapy. For care beyond the scope of the Student Health Center, our Referral Coordinator can guide students to the appropriate resources in the community.

Referrals for Other Transgender Health Needs

The Health Center can provide students with a list of local resources tor transgender health care and wellness needs beyond HRT, such as gender-affirming surgery consultations, hair removal, voice training, social support, etc. The Health Center is not connected to and does not endorse any of the providers on the list, but it was designed to provide a starting point for students looking for needed support and services in the New Orleans area. 

Legal Name and Gender Marker Change Paperwork

Campus Health providers are able to assist current patients requiring documentation of their medical transition to legally change their name and/or gender marker. Patients should familiarize themselves with the documentation needed before discussing their need with their provider during a visit. For more information on name and gender changes, click here.