FAQs

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

For further information on all of the above, please visit the HFEA website.

NHS England Guidance for CCGs on 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.