“I had to take testosterone off my list of meds – so I was gutted,” Hayward remembers. “I was a couple of years into my journey with the testosterone and I didn’t want to just stop.”
Launched in January 2022 by endocrinologists Dr. Irena Druce and Dr. Heidi Dutton, the clinic cares for medically complex cases involving trans and non-binary patients. It’s one of the only such hospital-based programs in the country.Article content She offered Hayward the option of using testosterone microdoses – less than one-tenth of what he was receiving before his cancer diagnosis – as a means to continue hormone therapy.Article content
Hayward had to decide if he would accept a small cancer risk in order to continue his hormone therapy and maintain his identity. In addition to providing highly specialized care, the Gender Diversity Specialty Clinic also offers training in the field of transgender medicine to other endocrinologists. The clinic’s patient population includes people with heart disease, cancer, and those whose hormone therapy could interact with anti-seizure drugs, immune suppressants or HIV medication.
“My goal is to try to get for the patient the end result they’re after – it is going to be extremely individual – but to do so in as safe a way as possible. I want them to be happy and healthy.”
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