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<!doctype html><html lang="en-US"><head><meta charset="UTF-8"><meta name="viewport" content="width=device-width, initial-scale=1, minimum-scale=1"><title>Clinical Guidelines with Information on Transfeminine Hormone Therapy - Transfeminine Science</title><link rel="preload" href="../../assets/images/branding/logo.png" as="image" /><link rel="preload" href="../../assets/images/branding/logo-dark.png" as="image" /><link rel="stylesheet" href="../../assets/css/vendor/normalize.css"><link rel="stylesheet" href="../../assets/css/variables.css"><link rel="stylesheet" href="../../assets/css/site-layout.css"><link rel="stylesheet" href="../../assets/css/article-content.css"><link rel="stylesheet" href="../../assets/css/print.css"><link rel="stylesheet" href="../../assets/css/hover-refs.css"><meta name="robots" content="noarchive"><link rel="apple-touch-icon" sizes="180x180" href="../../apple-touch-icon.png"><link rel="icon" type="image/png" sizes="32x32" href="../../favicon-32x32.png"><link 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href="index.html#united-states" class="toc-link">United States</a></div><div class="toc-h2"><a id="heading-6" href="index.html#canada" class="toc-link">Canada</a></div><div class="toc-h2"><a id="heading-7" href="index.html#europe" class="toc-link">Europe</a></div><div class="toc-h2"><a id="heading-8" href="index.html#united-kingdom" class="toc-link">United Kingdom</a></div><div class="toc-h2"><a id="heading-9" href="index.html#italy" class="toc-link">Italy</a></div><div class="toc-h2"><a id="heading-10" href="index.html#australia" class="toc-link">Australia</a></div><div class="toc-h2"><a id="heading-11" href="index.html#new-zealand" class="toc-link">New Zealand</a></div><div class="toc-h2"><a id="heading-12" href="index.html#south-africa" class="toc-link">South Africa</a></div><div class="toc-h2"><a id="heading-13" href="index.html#elsewhere" class="toc-link">Elsewhere</a></div><div class="toc-h2"><a id="heading-14" href="index.html#update-new-endocrine-society-and-ucsf-guidelines" class="toc-link">Update: New Endocrine Society and UCSF Guidelines</a></div><div class="toc-h2"><a id="heading-15" href="index.html#references" class="toc-link">References</a></div></div></div></div></div></div><div id="main-area"><div id="article"><h1 id="clinical-guidelines-with-information-on-transfeminine-hormone-therapy"> <a href="index.html#clinical-guidelines-with-information-on-transfeminine-hormone-therapy" aria-labelledby="clinical-guidelines-with-information-on-transfeminine-hormone-therapy" class="anchor-heading"><svg viewBox="0 0 16 16" aria-hidden="true"><use xlink:href="#svg-link"></use></svg></a> Clinical Guidelines with Information on Transfeminine Hormone Therapy</h1><p>By <a href="../../about/index.html#aly">Aly</a> | First published November 20, 2020 | Last modified November 17, 2024</p><h2 id="abstract--tldr"> <a href="index.html#abstract--tldr" aria-labelledby="abstract--tldr" class="anchor-heading"><svg viewBox="0 0 16 16" aria-hidden="true"><use xlink:href="#svg-link"></use></svg></a> Abstract / TL;DR</h2><p>This article is a collection of clinical practice guidelines throughout the world with information on transfeminine hormone therapy. Examples of these clinical guidelines include the World Professional Association for Transgender Health (WPATH) Standards of Care for the Health of Transgender and Gender Diverse People, the Endocrine Society guidelines, and the University of California, San Francisco (UCSF) Center of Excellence for Transgender Health guidelines, among many others.</p><h2 id="introduction"> <a href="index.html#introduction" aria-labelledby="introduction" class="anchor-heading"><svg viewBox="0 0 16 16" aria-hidden="true"><use xlink:href="#svg-link"></use></svg></a> Introduction</h2><p>Clinicians use <a href="https://en.wikipedia.org/wiki/Medical_guideline">clinical practice guidelines</a> (CPGs) to learn about and guide themselves in administering medical care for different indications. Clinical practice guidelines review and summarize the available scientific literature and research in a given medical area. They allow clinicians to competently administer care without necessarily having to delve into and develop their understanding via the primary scientific literature. <a href="https://en.wikipedia.org/wiki/Literature_review">Literature reviews</a> can serve a similar function. However, clinical practice guidelines are generally more substantial and are more founded in <a href="https://en.wikipedia.org/wiki/Evidence-based_medicine">evidence-based medicine</a>. They are also regularly updated. Clinical practice guidelines are developed and maintained by clinical organizations and societies, universities, government agencies, and sometimes even large medical clinics. They may be international/locationless or oftentimes region-specific.</p><p>There are many clinical practice guidelines for transgender medicine (for review, <a href="https://doi.org/10.1001/journalofethics.2016.18.11.stas1-1611">Deutsch, Radix, & Reisner, 2016</a>; <a href="https://doi.org/10.1016/j.ucl.2019.07.001">Radix, 2019</a>; <a href="https://doi.org/10.1007/978-3-030-05683-4_4">Radix, 2019</a>; <a href="https://www.uptodate.com/contents/society-guideline-links-transgender-health">UpToDate</a>; <a href="https://doi.org/10.1210/jendso/bvab048.1609">Bewley et al., 2021</a>; <a href="https://doi.org/10.1136/bmjopen-2021-048943">Dahlen et al., 2021</a>; <a href="https://doi.org/10.1089/trgh.2020.0043">Ziegler, Carroll, & Charnish, 2021</a>). These guidelines discuss topics such as psychotherapy, hormone therapy, voice therapy, and surgical management of transgender people, among others. In addition to educating and guiding clinicians, transgender clinical practice guidelines are useful materials for transgender people as they can help to inform them about their care.</p><p>This page is a maintained list of known English clinical guidelines throughout the world that include information specifically on the subject of transfeminine hormone therapy. The most major guidelines on transgender hormone therapy are the <a href="https://en.wikipedia.org/wiki/World_Professional_Association_for_Transgender_Health">World Professional Association for Transgender Health</a> (WPATH) <a href="https://en.wikipedia.org/wiki/Standards_of_Care_for_the_Health_of_Transsexual,_Transgender,_and_Gender_Nonconforming_People">Standards of Care for the Health of Transgender and Gender Diverse People</a> (SOC) (<a href="https://doi.org/10.1080/26895269.2022.2100644">Coleman et al., 2022</a>), the <a href="https://en.wikipedia.org/wiki/Endocrine_Society">Endocrine Society</a> guidelines (<a href="https://doi.org/10.1210/jc.2009-0345">Hembree et al., 2017</a>), and the <a href="https://en.wikipedia.org/wiki/University_of_California,_San_Francisco">University of California, San Francisco</a> (UCSF) guidelines (<a href="https://transcare.ucsf.edu/guidelines">Deutsch, 2016</a>). The WPATH SOC and the Endocrine Society guidelines are international, while the UCSF guidelines are based in the United States.</p><h2 id="international"> <a href="index.html#international" aria-labelledby="international" class="anchor-heading"><svg viewBox="0 0 16 16" aria-hidden="true"><use xlink:href="#svg-link"></use></svg></a> International</h2><div class="table-wrapper"><table><thead><tr><th>Title</th><th>Author / Organization</th><th>Year</th><th>Form</th></tr></thead><tbody><tr><td><a href="https://doi.org/10.1210/jc.2017-01658">Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline</a> [<a href="https://academic.oup.com/jcem/article-pdf/102/11/3869/21533864/jc.2017-01658.pdf">PDF</a>] [See also: <a href="https://doi.org/10.1210/jc.2009-0345">1st/2009 edition</a>]</td><td>Hembree et al. / Endocrine Society</td><td>2017</td><td>Published article</td></tr><tr><td><a href="https://doi.org/10.1080/26895269.2022.2100644">Standards of Care for the Health of Transgender and Gender Diverse People, Version 8</a> (<a href="https://www.wpath.org/publications/soc">Alt</a>; <a href="https://www.tandfonline.com/doi/pdf/10.1080/26895269.2022.2100644">PDF</a>) [See also all previous versions <a href="index.html#wpath-standards-of-care-previous-versions">below</a>]</td><td>Coleman et al. / World Professional Association for Transgender Health (WPATH)</td><td>2022</td><td>Published article</td></tr><tr><td><a href="https://doi.org/10.1080/15532730903383757">Hormone Therapy in Adults: Suggested Revisions to the Sixth Version of the Standards of Care</a></td><td>Feldman & Safer</td><td>2009</td><td>Published article</td></tr><tr><td><a href="https://www.ippf.org/resource/imap-statement-hormone-therapy-transgender-people">International Medical Advisory Panel (IMAP) Statement on Hormone Therapy for Transgender People</a> [<a href="https://www.ippf.org/sites/default/files/ippf_imap_transgender.pdf">PDF</a>]</td><td>International Planned Parenthood Federation (IPPF)</td><td>2015</td><td>Online document</td></tr><tr><td><a href="https://www.uptodate.com/contents/transgender-women-evaluation-and-management">Transgender Women: Evaluation and Management</a> [<a href="../../../files.transfemscience.org/pdfs/Tangpricha & Safer (2019) - Transgender Women_ Evaluation and Management - UpToDate.pdf">PDF</a>]</td><td>Tangpricha & Safer / UpToDate</td><td>2020</td><td>Online web page</td></tr></tbody></table></div><h3 id="wpath-standards-of-care-previous-versions"> <a href="index.html#wpath-standards-of-care-previous-versions" aria-labelledby="wpath-standards-of-care-previous-versions" class="anchor-heading"><svg viewBox="0 0 16 16" aria-hidden="true"><use xlink:href="#svg-link"></use></svg></a> WPATH <em>Standards of Care</em> Previous Versions</h3><ul><li><strong>1st/1979:</strong> Walker, P. A., Berger, J. C., Green, R., Laub, D. R., Reynolds, C. L., & Wollman, L. (1979 February 13). <em>Standards of Care: The Hormonal and Surgical Sex Reassignment of Gender Dysphoric Persons</em> [<em>1st Edition/1979 Original Draft</em>]. Palo Alto, California: The Harry Benjamin International Gender Dysphoria Association, Inc. [<a href="https://scholar.google.com/scholar?cluster=3937857535576528085">Google Scholar</a>]</li><li><strong>2nd/1980:</strong> Walker, P. A., Berger, J. C., Green, R., Laub, D. R., Reynolds, C. L., & Wollman, L. (1980 January 20). <em>Standards of Care: The Hormonal and Surgical Sex Reassignment of Gender Dysphoric Persons</em> [<em>2nd Edition/1980 Revised Draft</em>]. Stanford, California: The Harry Benjamin International Gender Dysphoria Association, Inc. [<a href="https://scholar.google.com/scholar?cluster=4070995568726990498">Google Scholar 1</a>] [<a href="https://scholar.google.com/scholar?cluster=4070995568726990498">Google Scholar 2</a>]</li><li><strong>3rd/1981:</strong> Walker, P. A., Berger, J. C., Green, R., Laub, D. R., Reynolds, C. L., & Wollman, L. (1981 March 9). <em>Standards of Care: The Hormonal and Surgical Sex Reassignment of Gender Dysphoric Persons</em> [<em>3rd Edition/1981 Revised Draft</em>]. San Francisco, California: <em>The Harry Benjamin International Gender Dysphoria Association, Inc.</em> [<a href="https://archive.org/details/sexgendertheolog0000unse/page/284/">URL 1</a>] [<a href="https://archive.org/details/frommasculinetof0000stev/page/124/">URL 2</a>] [DOI:<a href="https://doi.org/10.1007/BF01541354">10.1007/BF01541354</a>—1985 reprint in <em>Archives of Sexual Behavior</em>, <em>14</em>(1), 79–90)]</li><li><strong>4th/1990:</strong> Walker, P. A., Berger, J. C., Green, R., Laub, D. R., Reynolds, C. L., & Wollman, L. (1990 January 25). <em>Standards of Care: The Hormonal and Surgical Sex Reassignment of Gender Dysphoric Persons</em> [<em>4th Edition/1990 Revised Draft</em>]. Palo Alto/Sonoma, California: The Harry Benjamin International Gender Dysphoria Association, Inc. [<a href="https://scholar.google.com/scholar?cluster=17048419947031216406">Google Scholar 1</a>] [<a href="https://scholar.google.com/scholar?cluster=15855587737212682288">Google Scholar 2</a>] [<a href="http://www.genderpsychology.org/transsexual/hbsoc_1990.html">URL 1</a>] [<a href="https://web.archive.org/web/20011123075249/http://pfc.org.uk/medical/soc1990.htm">URL 2</a>] [<a href="https://archive.org/details/counselingingend0000niel/page/187/">URL 3</a>] [<a href="https://archive.org/details/genderblending0000unse_i4y3/page/505/">URL 4</a>] [<a href="https://archive.org/details/genderblending0000unse/page/504/">URL 5</a>] [<a href="https://archive.org/details/transsexualslife0000hubs/page/139/">URL 6</a>]</li><li><strong>5th/1998:</strong> Levine, S. B., Brown, G., Coleman, E., Cohen-Kettenis, P., Joris Hage, J., Van Maasdam, J., Petersen, M., Pfaefflin, F., & Schaefer, L. C. (June 1998). [<em>The Harry Benjamin International Gender Dysphoria Association’s</em>] <em>The Standards of Care for Gender Identity Disorders</em> [<em>5th Edition</em>]. <em>International Journal of Transgenderism</em>, <em>2</em>(2). [Consultants: Denny, D., DiCeglie, D., Eicher, W., Green, J., Green, R., Gooren, L., Laub, D., Lawrence, A., Meyer, W., & Wheeler, C.] [<a href="https://web.archive.org/web/19981205104251/http://www.symposion.com/ijt/ijtc0405.htm">URL 1</a>] [<a href="http://www.genderpsychology.org/transsexual/hbsoc_1998.html">URL 2</a>] [<a href="https://web.archive.org/web/20011102092848/http://www.pfc.org.uk/medical/soc1998.htm">URL 3</a>] [<a href="https://web.archive.org/web/20070221165442/http://www.pfc.org.uk:80/files/medical/soc1998.pdf">PDF</a>]</li><li><strong>6th/2001:</strong> Meyer, W., Bockting, W. O., Cohen-Kettenis, P., Coleman, E., DiCeglie, D., Devor, H., Gooren, L., Joris Hage, J., Kirk, S., Kuiper, B., Laub, D., Lawrence, A., Menard, Y., Patton, J., Schaefer, L., Webb, A., & Wheeler, C. C. (February 2001). [<em>The Harry Benjamin International Gender Dysphoria Association’s</em>] <em>The Standards of Care for Gender Identity Disorders – Sixth Version</em>. <em>International Journal of Transgenderism</em>, <em>5</em>(1). [<a href="https://scholar.google.com/scholar?cluster=12867487738445343345">Google Scholar 1</a>] [<a href="https://scholar.google.com/scholar?cluster=6358061019204855170">Google Scholar 2</a>] [<a href="https://scholar.google.com/scholar?cluster=17782708118245621163">Google Scholar 3</a>] [<a href="https://web.archive.org/web/20010709084442/http://www.symposion.com/ijt/soc_2001/">URL 1</a>] [<a href="http://www.genderpsychology.org/transsexual/hbsoc_2001.html">URL 2</a>] [DOI:<a href="https://doi.org/10.1300/J056v13n01_01">10.1300/J056v13n01_01</a>—2001/2002 reprint in <em>Journal of Psychology & Human Sexuality</em>, <em>13</em>(1), 1–30] [<a href="https://web.archive.org/web/20240511220027/https://www.cpath.ca/wp-content/uploads/2009/12/WPATHsocv6.pdf">PDF 1</a>] [<a href="https://web.archive.org/web/20240317223231/https://onlineacademiccommunity.uvic.ca/ahdevor/wp-content/uploads/sites/2247/2020/04/The-Harry-Benjamin-International-Gender-Dysphoria-Association-s-Standards-of-Care-for-Gender-Identity-Disorders-Sixth-Version.pdf">PDF 2</a>]</li><li><strong>7th/2012:</strong> Coleman, E., Bockting, W., Botzer, M., Cohen-Kettenis, P., DeCuypere, G., Feldman, J., Fraser, L., Green, J., Knudson, G., Meyer, W. J., Monstrey, S., Adler, R. K., Brown, G. R., Devor, A. H., Ehrbar, R., Ettner, R., Eyler, E., Garofalo, R., Karasic, D. H., … & Zucker, K. (2012). [World Professional Association for Transgender Health (WPATH)] Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People, Version 7. <em>International Journal of Transgenderism</em>, <em>13</em>(4), 165–232. [DOI:<a href="https://doi.org/10.1080/15532739.2011.700873">10.1080/15532739.2011.700873</a>] [<a href="https://www.wpath.org/publications/soc">URL</a>] [<a href="https://www.wpath.org/media/cms/Documents/SOC%20v7/SOC%20V7_English2012.pdf">PDF</a>]</li></ul><h2 id="united-states"> <a href="index.html#united-states" aria-labelledby="united-states" class="anchor-heading"><svg viewBox="0 0 16 16" aria-hidden="true"><use xlink:href="#svg-link"></use></svg></a> United States</h2><div class="table-wrapper"><table><thead><tr><th>Title</th><th>Author / Organization [Place]</th><th>Year</th><th>Form</th></tr></thead><tbody><tr><td><a href="https://transcare.ucsf.edu/guidelines">Guidelines for the Primary and Gender-Affirming Care of Transgender and Gender Nonbinary People</a> [<a href="https://transcare.ucsf.edu/sites/transcare.ucsf.edu/files/Transgender-PGACG-6-17-16.pdf">PDF</a>] [See also: <a href="https://web.archive.org/web/20111124013938/http://transhealth.ucsf.edu/trans?page=protocol-00-00">1st/2011 edition</a> [<a href="../../../files.transfemscience.org/pdfs/UCSF (2011) - Primary Care Protocol for Transgender Patient Care, 1st Edition.pdf">PDF</a>]]</td><td>Deutsch / Center of Excellence for Transgender Health, University of California, San Francisco (UCSF) [San Francisco, California]</td><td>2016</td><td>Online document</td></tr><tr><td><a href="https://www.lgbtqiahealtheducation.org/publication/medical-care-of-trans-and-gender-diverse-adults-2021/">Medical Care of Trans and Gender Diverse Adults</a> [<a href="https://www.lgbtqiahealtheducation.org/wp-content/uploads/2021/07/Medical-Care-of-Trans-and-Gender-Diverse-Adults-Spring-2021.pdf">PDF</a>]</td><td>Thompson, et al. / Fenway Health [Boston, Massachusetts]</td><td>2021</td><td>Online document</td></tr><tr><td><a href="https://callen-lorde.org/transhealth/">Protocols for the Provision of Hormone Therapy</a> [<a href="https://web.archive.org/web/20221228055728if_/https://callen-lorde.org/graphics/2018/04/Callen-Lorde-TGNC-Hormone-Therapy-Protocols.pdf">PDF</a>]</td><td>Callen-Lorde Community Health Center [New York City, New York]</td><td>2018</td><td>Online document</td></tr><tr><td><a href="https://www.sfdph.org/dph/comupg/oservices/medSvs/hlthCtrs/TransGendprotocols122006.pdf">Protocols for Hormonal Reassignment of Gender</a></td><td>Davidson et al. / Tom Waddell Health Center / San Francisco Department of Public Health [San Francisco, California]</td><td>2013</td><td>Online document</td></tr><tr><td><a href="https://transline.zendesk.com/hc/en-us/articles/229373288-TransLine-Hormone-Therapy-Prescriber-Guidelines">TransLine Gender Affirming Hormone Therapy Prescriber Guidelines</a> [<a href="https://www.transhealthconsulting.com/s/TransLine-HRT-Guidelines-FINAL-9tsd.pdf">PDF</a>]</td><td>Gorton et al. / TransLine / Lyon-Martin Health Services [San Francisco, California]</td><td>2019</td><td>Online document</td></tr></tbody></table></div><h2 id="canada"> <a href="index.html#canada" aria-labelledby="canada" class="anchor-heading"><svg viewBox="0 0 16 16" aria-hidden="true"><use xlink:href="#svg-link"></use></svg></a> Canada</h2><div class="table-wrapper"><table><thead><tr><th>Title</th><th>Author / Organization</th><th>Year</th><th>Form</th></tr></thead><tbody><tr><td><a href="http://www.phsa.ca/transcarebc/Documents/HealthProf/Primary-Care-Toolkit.pdf">Gender-Affirming Care for Trans, Two-Spirit, and Gender Diverse Patients in BC: A Primary Care Toolkit</a></td><td>Trans Care BC [Vancouver, British Columbia, Canada]</td><td>2021</td><td>Online document</td></tr><tr><td><a href="http://www.phsa.ca/transcarebc/Documents/HealthProf/BC-Trans-Adult-Endocrine-Guidelines-2015.pdf">Endocrine Therapy for Transgender Adults in British Columbia: Suggested Guidelines: Physical Aspects of Transgender Endocrine Therapy</a></td><td>Dahl et al. / Vancouver Coastal Health [Vancouver, British Columbia, Canada]</td><td>2015</td><td>Online document</td></tr><tr><td><a href="https://www.rainbowhealthontario.ca/product/4th-edition-sherbournes-guidelines-for-gender-affirming-primary-care-with-trans-and-non-binary-patients/">Guidelines for Gender-Affirming Primary Care with Trans and Non-Binary Patients</a> [<a href="https://www.rainbowhealthontario.ca/wp-content/uploads/woocommerce_uploads/2019/12/Guidelines-FINAL-Dec-2019-iw2oti.pdf">PDF</a>]</td><td>Bourns / Sherbourne Health / Rainbow Health Ontario [Toronto, Ontario, Canada]</td><td>2019</td><td>Online document</td></tr></tbody></table></div><h2 id="europe"> <a href="index.html#europe" aria-labelledby="europe" class="anchor-heading"><svg viewBox="0 0 16 16" aria-hidden="true"><use xlink:href="#svg-link"></use></svg></a> Europe</h2><div class="table-wrapper"><table><thead><tr><th>Title</th><th>Author / Organization</th><th>Year</th><th>Form</th></tr></thead><tbody><tr><td><a href="https://doi.org/10.1016/j.jsxm.2020.01.012">European Society for Sexual Medicine Position Statement “Assessment and Hormonal Management in Adolescent and Adult Trans People, With Attention for Sexual Function and Satisfaction”</a></td><td>T’Sjoen et al. / European Society for Sexual Medicine</td><td>2020</td><td>Published article</td></tr></tbody></table></div><h2 id="united-kingdom"> <a href="index.html#united-kingdom" aria-labelledby="united-kingdom" class="anchor-heading"><svg viewBox="0 0 16 16" aria-hidden="true"><use xlink:href="#svg-link"></use></svg></a> United Kingdom</h2><div class="table-wrapper"><table><thead><tr><th>Title</th><th>Author / Organization</th><th>Year</th><th>Form</th></tr></thead><tbody><tr><td><a href="https://doi.org/10.1080/14681994.2014.883353">Good Practice Guidelines for the Assessment and Treatment of Adults with Gender Dysphoria</a> [<a href="https://www.rcpsych.ac.uk/docs/default-source/improving-care/better-mh-policy/college-reports/cr181-good-practice-guidelines-for-the-assessment-and-treatment-of-adults-with-gender-dysphoria.pdf">PDF</a>]</td><td>Wylie et al. / Royal College of Psychiatrists</td><td>2014</td><td>Published article</td></tr><tr><td>Various [<a href="https://web.archive.org/web/20201116155321/https://www.gpref.bedfordshire.nhs.uk/media/160288/Treatment%20of%20Gender_Dysphoria_in_Transwomen_(Male_to_Female_Transsexuals).pdf">PDF</a>] [<a href="https://web.archive.org/web/20230410072004/https://medicines.blmkccg.nhs.uk/wp-content/uploads/2020/05/Treatment-of-Gender-Dysphoria-in-Transwomen-Male-to-Female-Transsexuals-Pt-Information-Leaflet-published-by-West-London-Mental-health-NHS-Trust-Information.pdf">PDF</a>] [<a href="https://web.archive.org/web/20210920002540/http://medicinesmanagement.doncasterccg.nhs.uk/wp-content/uploads/2018/06/Doncaster-and-Bassetlaw-Transgender-women-prescribing-guidance.pdf">PDF</a>] [<a href="https://web.archive.org/web/20230606024510/https://www.sunderlandccg.nhs.uk/wp-content/uploads/2016/08/SCCG-Gender-Dysphoria-Feminising-Hormones-Dec-2015-DecX2016.pdf">PDF</a>] [<a href="https://web.archive.org/web/20210419204521/https://remedy.bnssgccg.nhs.uk/media/3218/the-laurels-transgender-prescribing-guideline.pdf">PDF</a>] [<a href="https://awttc.nhs.wales/files/guidelines-and-pils/endocrine-management-of-gender-dysphoria-in-adults-pdf/">PDF</a>]</td><td>Various / National Health Service (NHS) Trusts</td><td>Various</td><td>Online documents</td></tr></tbody></table></div><h2 id="italy"> <a href="index.html#italy" aria-labelledby="italy" class="anchor-heading"><svg viewBox="0 0 16 16" aria-hidden="true"><use xlink:href="#svg-link"></use></svg></a> Italy</h2><div class="table-wrapper"><table><thead><tr><th>Title</th><th>Author / Organization</th><th>Year</th><th>Form</th></tr></thead><tbody><tr><td><a href="https://doi.org/10.1007/s40618-021-01694-2">SIGIS–SIAMS–SIE Position Statement of Gender Affirming Hormonal Treatment in Transgender and Non‑Binary People</a></td><td>Fisher et al. / Italian Society of Gender, Identity and Health (SIGIS) / Italian Society of Andrology and Sexual Medicine (SIAMS) / Italian Society of Endocrinology (SIE)</td><td>2021</td><td>Published article</td></tr><tr><td><a href="https://doi.org/10.1007/BF03345758">SIAMS-ONIG Consensus on Hormonal Treatment in Gender Identity Disorders</a></td><td>Godano et al. / Società Italiana di Andrologia e Medicina della Sessualità (SIAMS) [Italian Society of Andrology and Sexual Medicine] / Osservatorio Nazionale sull’Identità di Genere (ONIG) [National Observatory of Gender Identity]</td><td>2009</td><td>Published article</td></tr></tbody></table></div><h2 id="australia"> <a href="index.html#australia" aria-labelledby="australia" class="anchor-heading"><svg viewBox="0 0 16 16" aria-hidden="true"><use xlink:href="#svg-link"></use></svg></a> Australia</h2><div class="table-wrapper"><table><thead><tr><th>Title</th><th>Author / Organization</th><th>Year</th><th>Form</th></tr></thead><tbody><tr><td><a href="https://doi.org/10.5694/mja2.50259">Position Statement on the Hormonal Management of Adult Transgender and Gender Diverse Individuals</a></td><td>Cheung et al.</td><td>2019</td><td>Published article</td></tr><tr><td><a href="https://www.rch.org.au/adolescent-medicine/gender-service/">Australian Standards of Care and Treatment Guidelines: For Trans and Gender Diverse Children and Adolescents</a> [<a href="https://www.rch.org.au/uploadedFiles/Main/Content/adolescent-medicine/australian-standards-of-care-and-treatment-guidelines-for-trans-and-gender-diverse-children-and-adolescents.pdf">PDF</a>]</td><td>Telfer et al. / Royal Children’s Hospital</td><td>2020</td><td>Online document</td></tr><tr><td><a href="https://equinox.org.au/resources/">Hormone Therapy Prescribing Guide for General Practitioners working with Trans, Gender Diverse and Non-Binary Patients</a> [<a href="https://equinoxdotorgdotau.files.wordpress.com/2021/07/ht-prescribing-guideline-v3-aug-2020.pdf">PDF</a>]</td><td>Cundill et al. / Equinox Gender Diverse Health Centre / Thorne Harbour Health</td><td>2020</td><td>Online document</td></tr><tr><td><a href="https://auspath.org.au/2022/03/31/auspath-australian-informed-consent-standards-of-care-for-gender-affirming-hormone-therapy/">Australian Informed Consent Standards of Care for Gender Affirming Hormone Therapy</a> [<a href="https://auspath.org.au/wp-content/uploads/2022/03/AusPATH_Informed-Consent-SoC_A4_2022_FINAL.pdf">PDF</a>]</td><td>AusPATH</td><td>2022</td><td>Online document</td></tr></tbody></table></div><h2 id="new-zealand"> <a href="index.html#new-zealand" aria-labelledby="new-zealand" class="anchor-heading"><svg viewBox="0 0 16 16" aria-hidden="true"><use xlink:href="#svg-link"></use></svg></a> New Zealand</h2><div class="table-wrapper"><table><thead><tr><th>Title</th><th>Author / Organization</th><th>Year</th><th>Form</th></tr></thead><tbody><tr><td><a href="https://researchcommons.waikato.ac.nz/handle/10289/12160">Guidelines for Gender Affirming Healthcare for Gender Diverse and Transgender Children, Young People and Adults in Aotearoa, New Zealand</a> [<a href="https://researchcommons.waikato.ac.nz/bitstream/handle/10289/12160/Guidelines%20for%20Gender%20Affirming%20Health%20low%20res.pdf">PDF</a>]</td><td>Oliphant et al. / Transgender Health Research Lab, University of Waikato</td><td>2018</td><td>Published article</td></tr><tr><td><a href="https://patha.nz/Guidelines">Primary Care Gender Affirming Hormone Therapy Initiation Guidelines: Aotearoa New Zealand Guidelines for Commencing GAHT for Adults in Primary Care</a> [<a href="https://patha.nz/resources/Documents/Primary-Care-GAHT-Guidelines_Web_29-Mar.pdf">PDF</a>]</td><td>Carroll et al. / PATHA / University of Otago</td><td>2023</td><td>Online document</td></tr></tbody></table></div><h2 id="south-africa"> <a href="index.html#south-africa" aria-labelledby="south-africa" class="anchor-heading"><svg viewBox="0 0 16 16" aria-hidden="true"><use xlink:href="#svg-link"></use></svg></a> South Africa</h2><div class="table-wrapper"><table><thead><tr><th>Title</th><th>Author / Organization</th><th>Year</th><th>Form</th></tr></thead><tbody><tr><td><a href="https://doi.org/10.4102/sajhivmed.v22i1.1299">Southern African HIV Clinicians’ Society Gender-Affirming Healthcare Guideline for South Africa</a> [<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8517808/pdf/HIVMED-22-1299.pdf">PDF</a>]</td><td>Tomson et al. / Southern African HIV Clinicians Society (SAHCS)</td><td>2021</td><td>Published article</td></tr></tbody></table></div><h2 id="elsewhere"> <a href="index.html#elsewhere" aria-labelledby="elsewhere" class="anchor-heading"><svg viewBox="0 0 16 16" aria-hidden="true"><use xlink:href="#svg-link"></use></svg></a> Elsewhere</h2><div class="table-wrapper"><table><thead><tr><th>Title</th><th>Author / Organization [Place]</th><th>Year</th><th>Form</th></tr></thead><tbody><tr><td><a href="https://www.undp.org/asia-pacific/publications/blueprint-provision-comprehensive-care-trans-people-and-trans-communities-asia-and-pacific">Blueprint for the Provision of Comprehensive Care for Trans People and Trans Communities in Asia and the Pacific</a> [<a href="https://web.archive.org/web/20240403010222/https://www.undp.org/sites/g/files/zskgke326/files/migration/asia_pacific_rbap/rbap-hhd-2015-asia-pacific-trans-health-blueprint.pdf">PDF</a>]</td><td>Health Policy Project / Asia Pacific Transgender Network / United Nations Development Programme [Asia and the Pacific]</td><td>2015</td><td>Online document</td></tr><tr><td><a href="https://iris.paho.org/handle/10665.2/31360">Blueprint for the Provision of Comprehensive Care for Trans Persons and their Communities in the Caribbean and Other Anglophone Countries</a> [<a href="https://web.archive.org/web/20210419205021/https://www.paho.org/hq/dmdocuments/2014/2014-cha-blueprint-comprehensive-anglo-countries.pdf">PDF</a>]</td><td>John Snow, Inc. / Pan American Health Organization / World Health Organization [Latin America and the Caribbean]</td><td>2014</td><td>Online document</td></tr><tr><td><a href="https://web.archive.org/web/20220916065347/http://www.sapphokolkata.in/wp-content/uploads/2019/09/GAT-Revised-Updated_19.09.19.pdf">A Good Practice Guide to Gender-Affirmative Care</a></td><td>Sappho for Equality [India]</td><td>2019</td><td>Online document</td></tr><tr><td><a href="https://doi.org/10.4103/ijem.IJEM_593_19">IDEA Group Consensus Statement on Medical Management of Adult Gender Incongruent Individuals Seeking Gender Reaffirmation as Female</a></td><td>Majumder et al. / Integrated Diabetes and Endocrine Academy (IDEA) [India]</td><td>2020</td><td>Published article</td></tr><tr><td><a href="https://ihri.org/transgender-health/">The Thai Handbook of Transgender Healthcare Services</a> [<a href="https://ihri.org/wp-content/uploads/2021/09/The-Thai-Handbook-of-Transgender-Heatlhcare-Services.pdf">PDF</a>]</td><td>Vacharathit et al. / Center of Excellence in Transgender Health / Chulalongkorn University [Thailand]</td><td>2021</td><td>Online document</td></tr></tbody></table></div><h2 id="update-new-endocrine-society-and-ucsf-guidelines"> <a href="index.html#update-new-endocrine-society-and-ucsf-guidelines" aria-labelledby="update-new-endocrine-society-and-ucsf-guidelines" class="anchor-heading"><svg viewBox="0 0 16 16" aria-hidden="true"><use xlink:href="#svg-link"></use></svg></a> Update: New Endocrine Society and UCSF Guidelines</h2><p>New Endocrine Society and UCSF guidelines are under development as of February 2024 (<a href="https://www.cnn.com/2024/02/26/health/endocrine-society-gender-affirming-care-guidelines/index.html">Christensen, 2024</a>; <a href="https://www.endocrine.org/clinical-practice-guidelines/guidelines-in-development">Endocrine Society, 2024</a>; <a href="https://transcare.ucsf.edu/guidelines">UCSF, 2024</a>). It is anticipated that the Endocrine Society guidelines will be published in Spring 2026. The new UCSF guidelines were initially slated for publication in 2024, but have been pushed back until the new Endocrine Society guidelines are published. The new Endocrine Society and UCSF guidelines will be the third edition of each of the guidelines.</p><h2 id="references"> <a href="index.html#references" aria-labelledby="references" class="anchor-heading"><svg viewBox="0 0 16 16" aria-hidden="true"><use xlink:href="#svg-link"></use></svg></a> References</h2><ul><li>AusPATH. (2022). <em>Australian Informed Consent Standards of Care for Gender Affirming Hormone Therapy.</em> Australia: Australian Professional Association for Trans Health. 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