# The Gender Hormone Clinic > Affirmative, patient-centered gender hormone therapy led by an expert nursing team. > CQC registered, with clinics in London, Stafford and Exeter. Every page below is available as markdown at the `.md` URL listed, and at its HTML URL when requested with `Accept: text/markdown`. ## Top level - [The Gender Hormone Clinic | Gender Affirming Hormone Therapy](https://thegenderhormoneclinic.com/index.md): Nurse-led, CQC-registered gender-affirming hormone therapy for transgender, non-binary and intersex adults across the UK. Clear pricing, fast access, expert care. ## About - [About | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/about.md): The Gender Hormone Clinic is a CQC-registered, nurse-led private service offering gender-affirming hormone therapy from clinics in Fitzrovia, Stafford, and Exeter. - [Our Team | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/about/team.md): Meet the expert clinical, leadership, and support team at The Gender Hormone Clinic across our London, Stafford, and Exeter clinics. - [Bethany Davies, Assistant Clinical Lead | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/about/team/bethany-davies.md): Good prescribing is as much about listening as it is about clinical knowledge. Understanding a patient's goals is the foundation of safe, effective care. - [Cole Pickering, Gender Clinician | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/about/team/cole-pickering.md): Gender is a spectrum, not a binary. My practice honours the full diversity of human experience and the many ways in which people inhabit their identities. - [Professor Channa Jayasena, Consultant Endocrinologist | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/about/team/dr-channa-jayasena.md): Dedicated to ensuring equal access and improving the quality and safety of hormonal treatments for everyone in the transgender community. - [Lydia Giddings, Nurse Prescriber | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/about/team/lydia-giddings.md): The informed consent model places patients at the heart of their care. I am here to provide expertise and support, never to gatekeep. - [Maisy Dawkins, Gender Clinician | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/about/team/maisy-dawkins.md): Every person's journey is unique and deeply personal. My role is to walk alongside each patient with respect and expertise. - [Mary Burke, Lead Clinician | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/about/team/mary-burke.md): Driven by a deep passion for improving transgender healthcare, Mary is committed to providing the highest standard of care. - [Nicole Box, Practice Manager | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/about/team/nicole-box.md): Nicole Box, Practice Manager at The Gender Hormone Clinic. ## accessibility - [Accessibility | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/accessibility.md): Our commitment to making The Gender Hormone Clinic accessible: physically, digitally, and in our communication. How to request accommodations. ## Blog - [Blog | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/blog.md): Clinical guidance, patient stories, and clinic news from The Gender Hormone Clinic. Expert insights on gender-affirming hormone therapy. ## book-follow-up-appointment - [Book a Follow-Up Appointment | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/book-follow-up-appointment.md): Existing patients of The Gender Hormone Clinic: book a follow-up appointment with your clinical team. ## book-initial-appointment - [Book Your Initial Appointment | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/book-initial-appointment.md): Book your initial consultation with The Gender Hormone Clinic. Take the next step in your gender-affirming hormone therapy journey with our expert clinical team. ## careers - [Careers | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/careers.md): We always have an open application for nurses who want to deliver affirming, patient-centred gender hormone care. Tell us about yourself and we'll be in touch. ## Community - [Community | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/community.md): GHC's community work: patient stories, GP outreach, trans organisations we partner with, events and meet-ups across the UK. - [Follow us | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/community/follow-us.md): The Gender Hormone Clinic on Instagram, TikTok and Facebook: clinical updates, behind-the-scenes from our team, and signposting to community partners. - [GP outreach | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/community/gp-outreach.md): Training, supporting letters, and direct conversations with GP practices across the UK to help them feel confident with shared-care prescribing. - [Trans organisations & support | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/community/trans-organisations.md): UK trans organisations and curated support resources: peer support, crisis helplines, legal help, GP maps, cervical screening and family support. - [What is Trans? Documentary | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/community/what-is-transgender-documentary-series.md): Three short documentary films about trans life in the UK: shot, produced, organised and edited by trans people at every step. A first season in partnership with Trans Matters Worldwide. ## complaints - [Complaints | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/complaints.md): How to complain about our service, what we do with complaints, and how to escalate to the CQC if you're not satisfied with our response. ## contact-us - [Contact Us | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/contact-us.md): Get in touch with The Gender Hormone Clinic. Find our London, Stafford, and Exeter clinic locations, phone numbers, and how to reach us. ## cookie-policy - [Cookie Policy | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/cookie-policy.md): What cookies The Gender Hormone Clinic website uses, why, and how to manage them. ## how-it-works - [How treatment works | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/how-it-works.md): The GHC pathway from enquiry to prescription and ongoing care, every step, with timings and costs. Most people start hormones in about three months. ## make-an-enquiry - [Make an Enquiry | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/make-an-enquiry.md): Get in touch with The Gender Hormone Clinic. Start your journey towards gender-affirming hormone therapy with our expert clinical team. ## patient-portal - [Patient Portal | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-portal.md): A patient portal built for trans, non-binary and intersex patients, at your pace, on your terms. Included in every payment plan at The Gender Hormone Clinic. ## Patient resources - [Patient Resources | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources.md): Everything you need to know to start, navigate, and continue your care with The Gender Hormone Clinic: diagnosis, blood tests, costs, medications, shared care, and more. - [Blood Tests | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/blood-tests.md): The blood tests you need for hormone therapy at The Gender Hormone Clinic, what each panel checks, how to arrange them through your GP, Randox or MediChecks, and when to take them. - [Deed Poll Guide | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/deed-poll-guide.md): What a deed poll is, when you might want one, and how it works with your records at The Gender Hormone Clinic. A deed poll is not required to receive treatment with us. - [Getting a Diagnosis | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/diagnosis-referral-guide.md): Prior to booking your initial appointment you will need a diagnosis from a HCPC or GMC registered psychologist or psychiatrist. Find recognised providers here. - [Eligibility self-check | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/eligibility.md): Three quick checks to see if you can start hormone therapy with GHC: 18+, a signed gender dysphoria/incongruence diagnosis, and able to attend one in-person appointment. - [Existing Patients | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/existing-patients.md): Everything you need as an existing GHC patient: booking follow-ups, requesting prescriptions, updating your details, and giving feedback. - [Appointment Scheduling | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/existing-patients/appointment-scheduling.md): How follow-up appointment timing works at The Gender Hormone Clinic: every 6 months for the first two years, then annually once stable. - [Existing Patient FAQ | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/existing-patients/faq.md): Common questions for existing GHC patients: prescriptions, bloods, switching formulations, pausing care, GP issues, and more. - [Injection guidance | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/existing-patients/injections.md): How to schedule, attend, or self-administer your hormone injections at The Gender Hormone Clinic. Includes information on Sustanon, Nebido, and Prostap injections. - [Frequently Asked Questions | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/faq.md): Common questions about diagnosis, treatment, costs, blood tests, and working with your GP at The Gender Hormone Clinic. Search across all questions or filter by topic. - [Clinic Locations | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/location.md): Where to find The Gender Hormone Clinic: Fitzrovia (London), Stafford, and Exeter. Plus what to expect at your in-clinic appointment. - [Medication Guides | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/medication-guides.md): Detailed guides to every hormone medication, blocker, and progesterone option we prescribe at The Gender Hormone Clinic: dosing, application, blood test timing, side effects, and costs. - [Estrogen Injections Guide | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/medication-guides/estrogen-injections.md): Why injectable oestrogen isn't available for gender care in the UK, and what we use instead to achieve the same serum levels. - [Estrogen Therapy Guide | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/medication-guides/estrogen-therapy.md): A daily oestradiol gel applied to the inner thighs or lower abdomen, our default starting point for feminising HRT. - [GnRH Analogue Injections Guide | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/medication-guides/gnrh-analogue-injections.md): Prostap, Decapeptyl and Zoladex: long-acting injectable blockers that suppress testosterone at the source, given every 4–12 weeks. - [Nebido Injections Guide | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/medication-guides/nebido-injections.md): A long-acting testosterone undecanoate injection given every 12 weeks for stable serum levels. - [Progesterone Injections Guide | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/medication-guides/progesterone-injections.md): Injectable progesterone isn't routine in UK gender-affirming care. Body-identical oral capsules are the standard. - [Progesterone Therapy Guide | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/medication-guides/progesterone-therapy.md): An optional nightly add-on after the first 12 months of feminising HRT, for mood, sleep, and breast maturation. - [Progynova Shortage: Alternatives Guide | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/medication-guides/progynova-shortage-alternative.md): What to do if your pharmacy can't source Progynova: alternatives, dose equivalence, and how to switch safely. - [Sustanon Injections Guide | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/medication-guides/sustanon-injections.md): A blend of four testosterone esters delivered by intramuscular injection every 3 weeks. - [Sustanon Shortage: Alternatives Guide | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/medication-guides/sustanon-shortage-alternative.md): What to do if Sustanon isn't available at your pharmacy: substitutes, schedules, and how to bridge safely. - [Testosterone Blockers Guide | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/medication-guides/testosterone-blockers.md): The medicines that lower or block testosterone alongside oestrogen: GnRH analogues, cyproterone, spironolactone and bicalutamide. - [Testosterone Guide | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/medication-guides/testosterone-therapy.md): A clear guide to testosterone therapy: what it does, how it's taken, and what to expect. - [For partners & family | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/partners-and-family.md): Information for the partners, parents, siblings, friends and chosen family of someone going through gender-affirming hormone therapy. What to expect, how to help, and where to find your own support. - [Pay-As-You-Go & Insurance | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/pay-as-you-go.md): Pay-as-you-go is for patients paying through private medical insurance or already enrolled on it. Per-service pricing: £400 initial consult, £250 follow-up, £59 prescriptions and letters. - [Payment Plans | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/payment-plans.md): One rolling monthly fee for gender-affirming care: appointments, prescriptions, calls and letters included. Choose your journey to see clear pricing, compare us with other services, and read the pricing FAQs. - [Shared Care Explained | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/shared-care-explained.md): A shared-care agreement lets your GP prescribe your hormones on the NHS, bringing your medication costs from private rates down to ~£9.90 per item. Here's how it works, and what to do if your GP declines. - [Switching providers to GHC | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/switching-providers.md): How to move your hormone care to GHC from another clinic, the NHS, overseas or self-medication: the pathway, what to bring, and our prescription-only option. - [WPATH SOC 8 patient summary | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/patient-resources/wpath-soc-8.md): A plain-English overview of the World Professional Association for Transgender Health Standards of Care, version 8 (WPATH SOC 8), the international clinical guideline our practice follows. ## privacy-policy - [Privacy Policy | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/privacy-policy.md): How The Gender Hormone Clinic collects, uses, stores, and protects your personal and clinical data under UK GDPR. ## terms - [Terms & Conditions | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/terms.md): Terms of service for patients of The Gender Hormone Clinic: payment terms, cancellation, plan rules, and clinical responsibilities. ## Care services - [Care Services | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/transgender-care-services.md): Adjacent care services we signpost to: surgery, hair removal, voice training, fertility preservation, and community support. GHC focuses on hormones; for these, we recommend trusted partners. - [Fertility Preservation | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/transgender-care-services/fertility-preservation.md): Egg or sperm storage before starting hormone therapy. NHS funding via your local ICB, or private clinics for faster turnaround. We can support your application but don't organise the preservation directly. - [Hair Removal | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/transgender-care-services/hair-removal.md): Trans-friendly hair removal providers we recommend, plus how electrolysis interacts with hormone therapy timelines. - [Transgender Surgery Support | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/transgender-care-services/transgender-surgery-support.md): How GHC supports your surgical journey: letters of support, hormone management around procedures, and signposting to UK private surgeons. We don't issue formal surgical referrals; those need to come from a registered psychiatrist or psychologist. - [Voice Training | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/transgender-care-services/voice-training.md): Oestrogen doesn't change your voice, so separate vocal coaching is needed. Recommended trans-friendly UK providers for voice training and surgical options. ## Hormone therapy - [Gender-Affirming HRT | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/transgender-hormone-therapy.md): Nurse-led feminising, masculinising and non-binary hormone therapy for trans adults: started gently, monitored with blood tests, and shaped around your goals. - [Hormone Blockers for Adults | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/transgender-hormone-therapy/hormone-blockers.md): GnRH analogues (Decapeptyl, Prostap, Zoladex) used as part of adult hormone therapy at The Gender Hormone Clinic. We do not prescribe hormone blockers to anyone under 18 under any circumstances. - [Non-Binary Hormone Therapy | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/transgender-hormone-therapy/non-binary.md): Goal-directed, evidence-based hormone therapy for non-binary individuals at The Gender Hormone Clinic. Microdosing, partial masculinisation, partial feminisation. - [Transfeminine Hormone Therapy | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/transgender-hormone-therapy/transfeminine.md): Estrogen and anti-androgen therapy for transfeminine individuals. Learn about expected changes, delivery methods, and monitoring at The Gender Hormone Clinic. - [Transmasculine Hormone Therapy | The Gender Hormone Clinic](https://thegenderhormoneclinic.com/transgender-hormone-therapy/transmasculine.md): Testosterone therapy for transmasculine individuals. Learn about expected changes, delivery methods, and monitoring at The Gender Hormone Clinic. ## Optional - [Every page as one file](https://thegenderhormoneclinic.com/llms-full.txt): the full text of all 67 pages concatenated, for a single-fetch read of the whole site. - [Clinic summary (JSON)](https://thegenderhormoneclinic.com/ai/summary.json): identity, locations, contact, services, usage notes. - [Full FAQ (JSON)](https://thegenderhormoneclinic.com/ai/faq.json): every support-centre question and answer. - [Services and plans (JSON)](https://thegenderhormoneclinic.com/ai/service.json): what's offered, prices, and the access pathway. - [Agent skills](https://thegenderhormoneclinic.com/.well-known/agent-skills/index.json): booking, hormone therapy and site-reading skills. - [AI usage policy](https://thegenderhormoneclinic.com/.well-known/ai.txt): crawl permissions and how to use this content responsibly. - [Article feed](https://thegenderhormoneclinic.com/rss.xml)