During your first visit*, you should expect your provider to discuss with you:
Your desired goals in regard to gender affirmation
Then, based on those goals, discuss the various treatment options which can help you achieve those goals
An expected timeframe to start noticing these changes, including which changes may be permanent (non-reversible)
Risks and benefits of such treatments, and suggestions on how to manage them
Prevention of sexually transmitted diseases, risk of pregnancy (for those who still have a cervix/uterus), and the likely possibility of future infertility
Any substantial underlying health issues which may require better management in conjunction with, or possibly before proceeding with hormonal therapy
Signing an informed consent prior to starting a treatment plan at SHS
Lastly, ordering any required initial screening testing as well as establishing the frequency of follow-up visits and testing
*Please keep in mind that depending on the complexity of your personal history, it is possible that it might take more than one visit to complete your initial intake.