Of course. Here is a summary of key questions to ask your endocrinologist at your first consultation, based on the shared experiences of others.

Preparing for your first endocrinologist appointment is a significant and hopeful step. Based on the experiences of others who have been in your shoes, here are the most important themes and questions to bring with you.

Realistic Expectations and Specialized Care It is crucial to find a provider who specializes in transgender healthcare, as this greatly impacts the quality of your care. A knowledgeable endocrinologist will discuss your family's genetic history to help set realistic expectations for the physical changes you can anticipate from hormone therapy. As one person shared, their provider asked about things like "how much facial hair the male members of my family could grow and the tendency of muscle development... in order to be able to set more realistic expectations." – game-boy-toy source It is highly recommended to seek out a specialist, as "most endocrinologists know absolutely nothing about trans care." – throwawayayayac source

The Initial Process and Timeline Understand that the process can vary. You will likely need blood tests before starting, and it is wise to fast beforehand to avoid rescheduling, as "some tests require you to be fasting for ~8 hours before the draw for accurate results." – doubleheadedarrow source While getting a prescription at the first appointment is "entirely possible," it is not guaranteed, and you "may have to wait another appt" for results to be reviewed. – Disastrous-Yam-4267 source

Appropriate Discussions and Referrals Your appointment should focus on your hormonal health. It is normal for a doctor to ask about your history of gender dysphoria and your goals, as this "can lead to talking about changes you’ve had/want/etc." – RoutineIsland5144 source However, a physical genital exam is not a standard part of this consultation. A good endocrinologist will instead provide referrals to other trans-friendly specialists if needed, as they "could recommend me trans friendly gynos, or other relevant doctors, and give me a referral." – game-boy-toy source

Preparation is Key Being prepared will help you feel more confident and may streamline your process. Do your own research on hormone therapy and come with a list of questions. "I recommend doing some research into what T does and especially how it’s administered (ie. shots, gel, etc), and write down any questions or concerns you have." – doubleheadedarrow source Also, bring any required documentation, like a letter from a mental health professional, to avoid delays.

In summary, your first endo visit is a collaborative conversation about starting your journey. Focus on finding a specialist, understanding the medical process, and knowing that your comfort and safety are paramount. Your preparation will empower you to partner with your doctor in making informed, affirming decisions about your healthcare.