Appointments are generally 60 min and prices are inclusive of reports and email correspondence. Appointments are confirmed on full payment.
- Diagnostic assessment of gender dysphoria
- Diagnostic assessment of gender dysphoria and HRT
- Readiness and eligibility assessments for genital surgery
- Complex cases (90 min) for HRT or surgery
- Follow-up review of HRT treatment or post-surgery review (30 min)
It will not be possible to discuss both surgery referrals and hormone commencement at the same appointment.
We aim to offer appointments within 4- 8 weeks with Dr Sahota.
Please contact the office if report not recieved within 6 weeks to avoid a delay.
Please enquire with other clinicians/ endocrinologists directly at the time of booking with Dr Sahota.
Fill in the booking form and we will email you back quickly if we can offer an appointment. As we have limited availability due to NHS commitments we concentrate on those persons we are most likely to benefit and if you have not heard back in 7 days we advise you to approach another provider.
You must be at least eighteen (18) years of age and possess the legal right, capacity and ability, on your own behalf to accept and agree to our Terms and Conditions.
Please share any recent reports from other gender specialists, mental and physical health reports or relevant information.
Supporting documents for social transition could include: letter from employer, payslips, university, voluntary work reference, etc. Name change is considered in context of overall social transition.
Legal ID name change; many online resources make this quick, easy, cheap or even free. Even if you do not plan to change your name you may wish to consider a middle name and change of pronouns. You should be over 18.
In the case of forensic history an updated DBS, disclosure of pending legal matters, list of convictions and probation report will be requested and a 90 min appointment booked.
See also the advice on blood tests below.
Appointments are confirmed on receipt of payment and an invoice provided.
Some appointments that are more complex may require 90 min.
For existing patients who have been seen within the last year, a review appointment for response to HRT or post-surgery follow up is 30 min.
Some individuals typically require two appointments with independent mental health practitioners, such as chest surgery without hormone treatment, and hence you are advised to budget for two appointments.
Costs of private prescriptions are incurred separately if hormones are not prescribed by your GP. Please confirm with your endocrinologist regarding this.
We offer a global assessment of your background and history of gender identity in the context of intersectional identities. Your own experiences, thoughts, feelings and expectations are central. We would also review alternatives to medical transition. If required we would work together to stabilise your mental health and if necessary work alongside local mental health practitioners.
If seeking HRT or surgery we discuss your dysphoria, expectations, potential risk and complications, alternatives and social transition.
Following a diagnostic assessment and endorsement for hormones, you will need to book with an endocrinologist to review your blood tests, physical health and advise your GP on prescribing schedules. Book your appointment directly with any consultant endocrinologist experienced in this area.
Alternatively, you may approach your own choice of an NHS Consultant Endocrinologist who has experience of the field and is able to undertake supervision of physical health aspects, hormone titration and prescribing advice for your GP. Please send blood results from your GP to the endocrinologist in advance of your appointment.
Please note that smoking is contraindicated with oestrogens and testosterone. You are advised to stop smoking at least 3 months before starting hormone treatment.
The endocrinologist will review baseline blood tests prior to advising your GP about prescriptions. Please arrange blood test from your GP as below.
For HRT, a fasting 9 am blood sample (before eating) is ideal, but it is usually fine if this is not possible.
- AFAB/F2M/NB Transmasculine:
Serum lipids, liver function test, prolactin, glucose, HbA1c, oestradiol, testosterone, LH, U/E, FSH, SHBG, full blood count and Vitamin D. If possible these should be taken between day 2-8 of the menstrual cycle. Please discuss all physical heath aspects at your endocrinology appointment.
- AMAB/M2F/NB Transfeminine:
Serum lipids, liver function, prolactin, glucose or HbA1c, oestradiol, testosterone, LH, U/E, FSH, SHBG, PSA (if aged 40 or over), vitamin D (to assess bone health) – and, in those who have been taking the diuretic spironolactone, creatinine and electrolytes.
- Blood tests for GRS referral
For AMAB M2F surgical referrals we need to confirm at least 12 months continuous gender congruent hormone therapy and bloods tests demonstrating testosterone suppression to female range of less than 3 nmol/L
- For private blood tests: we recommend Medichecks
Modern families have many options. You may wish to consider fertility preservation and parenting options prior to hormone treatment: https://www.hfea.gov.uk/i-am/fertility-preservation
NHS fertility preservation is by referrral of your GP. Seek advice from your GP for NHS referral.
Private providers can be recommended if needed.
- Sexual Health; CliniQ (https://cliniq.org.uk) in London and Clinic T (http://brightonsexualhealth.com/service/clinic-t/) in Brighton.
- Sexual and domestic violence http://www.galop.org.uk
- Counselling and Advocacy https://lgbt.foundation, https://spectra-london.org.uk
- British Asian LGBTI https://britishasianlgbti.org
- IMAAN https://imaanlondon.wordpress.com
- Sarbat. LGBT Sikhs http://www.sarbat.net/category/sikh-philosophy/
- BAME - Sexual Health and LGBT http://www.naz.org.uk/team
- Housing https://www.akt.org.uk
- Families and Relationships https://genderkit.org.uk/resources/family/
- Victim Support - support for people affected by crime or traumatic events, including hate crime: https://www.
- Samaritans - Emotional Support for Everyday: www.samaritans.org
- Mind - Advice and support for anyone with a mental health problem: www.mind.org.uk
NHS Adult Assessments
AUTISM AND UNIVERSITY
BBC PODCAST ROBYN STEWARD
APP for organisational skills
Ultrasound thorough your GP recommended after two years on Testosterone treatment to monitor endometrial lining.
Eligible every 3 years from the age of 25 to 49 and every 5 years from the ages of 50 to 64. If not invited please contact your GP.
Pre-diagnosis – awareness in trans women
Diagnosis of prostate cancer in trans women
Zoom consultations are generally offered if preferred although in a few cases we will recommend an in-clinic assessment. Please ensure you feel comfortable using this platform, are in a confidential space, and camera and audio are working. You will be sent a link and do not need to download the app. For reasons of confidentiality - both ours and yours- we do not record the consultation and acceptance of the appointment confirms you will also not record. On the day please keep your mobile on and close by in case of poor connection.
Consultation recordings should never be published on social media or any other media sharing platforms. If this term is breached, then we reserve the right to suspend the Services, terminate your account and possibly take legal action against you.
Acceptance of the appointment confirms you will also not record the session without seeking prior agreement on a case by case basis.
Face-to-face appointments in Central London are available on request, as long as they are compliant with COVID-19 restrictions. Please complete the health form prior to appointment. Please enquire with clinicians directly regarding their own clinic locations.
Dr Sahota works in an NHS Gender Clinic and is a fully registered medical practitioner. Most GPs are happy to support prescription and shared care guidance prescribing of HRT for their patients and we would be happy to liaise with them on your behalf. GPs are independent practitioners and pivotally valuable to the care pathway and we respectfully request they work alongside us. Many clinical commissioning groups (CCG- https://www.nhs.uk/servicedirectories/pages/ccglisting.aspx) have a list of general practitioners with a special interest in this area.
Guidance for GP ;
- Welsh Health Circular to GPs in Wales: http://gov.wales/docs/dhss/publications/160927whc040en.pdf.
- NHS England's guidelines: http://shsc.nhs.uk/wp-content/uploads/2016/04/SSC1620_GD-Prescribing.pdf.
The NHS promotes high standards of care and we are committed to supporting longer-term care in the NHS GIC pathway to facilitate the transfer of care as per the clinic's policy. We cannot make referrals in private care to NHS clinics, therapists or to surgical providers. Each NHS GIC has it’s own approach regarding the pathway and we would generally prefer not to mix the two pathways.
Patient choice of provider is important. We co-operate on your behalf with your choice of Gender Specialists (counsellors, endocrinologists, voice coaches, surgeons) who are working in the NHS or are qualified and experienced in this field.
List of clinical commissioning groups; https://www.nhs.uk/servicedirectories/pages/ccglisting.aspx
Please email: PA@genderdoctors.com
Dr Sahota outsources her administration (bookings, emails, reports) and reports are emailed securely and password protected. Expect to wait 3 weeks for reports. If you require administration support, please contact PA@genderdoctors.com
Please update us if you change your contact details.
Please expect report sharing with other healthcare professionals involved in your care. Other clinicians will have their own arrangements and you should contact them directly.
We welcome direct feedback to us and are always looking for ways to improve our care. If your experience did not meet your expectations, please do email us directly as we can often resolve concerns quickly to your satisfaction.
Gender Recognition Certificate
We are able to assist with this and the panel usually accepts our reports as Dr Sahota is included in HM Government's list of approved Gender Specialists.
The diagnostic report is usually sufficient, although if a separate report is required £50.00 is charged based on your records. If you have not been previously assessed here then a 60 min assessment is required. If in doubt you can contact the panel directly ; GRPenquiries@hmcts.gsi.gov.uk.
We have policies for consent, complaints, confidentiality and safeguarding.