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Transgender individuals require routine health care maintenance like all patients, but they are also at increased risk for certain medical and mental health conditions.

We recommend that in addition to routine medical care, transgender patients also undergo screening for the conditions listed below:.

Below are the services we currently provide for our transgender patients. I performed my first surgery in and since , our team has been performing these surgeries consistently on a monthly basis.

The goal of the surgery is to create female external genitalia that is both functional and cosmetically appealing. I also perform hysterectomy for transgender men seeking gender affirmation surgery.

These surgeries are performed in a minimally invasive fashion using advanced laparoscopic techniques.

All gender affirming surgeries are performed at the Cleveland Clinic Main Campus. Sexuality and sexual orientation are often challenging topics for youth and their parents.

They are subjects that can be difficult to openly talk about and sometimes are actively avoided. Yet we know that children and teens who are or are questioning whether they may be gay, lesbian, bisexual or transgender are at much greater risk of:.

For these and many other reasons, physical and psychological health care are essential for these individuals and their families.

Like their adult counterparts, however, LGBT youth may be hesitant to seek care due to fear of stigmatization or lack of understanding by healthcare providers.

Similarly, issues related to gender and gender identity are frequently sensitive subjects and parents as well as youth may be fearful of the response if such topics are raised to healthcare providers.

Gender identity develops differently in every child and gender differences can present at almost any age, sometimes in early childhood, sometimes much later.

All care is individualized, designed to meet the needs of each unique situation while at the same time complying with the standards and best practices for this population.

Specialized healthcare services can be an essential part of improving the overall health and well-being for transgender youth.

These include affirmative and understanding support and education for youth and families as well as assistance in the process of transitioning to the preferred gender.

Our team primary care staff offer a safe space to review your personal healthcare needs, offer the correct health screenings and resources in a supportive, judgment free environment.

Individualized cross sex hormone therapy is initiated and monitored by a team of medical professionals with expertise in their field!

In addition to hormone surveillance we offer referrals to our team of fertility preservation experts to support future reproductive goals.

Male chest reconstructive surgery is a covered service with most insurance plans when criteria has been met, you are required to have one letter of referral from a qualified mental health provider with expertise in WPATH guidelines.

Your BMI must be less than 40 and as close to 32 as possible and you must be a non-smoker confirmed with laboratory testing.

You must have a family member, friend or caregiver drive you home from surgery as medical transportation cannot be used upon hospital discharge.

Surgical removal of the cervix, uterus, ovaries and tubes is performed in an outpatient setting and is typically a covered service under most insurance plans when criteria has been met: We will need two WPATH format letters; the first letter must be from a doctoral degreed mental health provider in most states this would be someone with MD, DO, PhD, PsyD ; the second letter should be obtained from a masters degreed licensed mental health professional counselor, social worker, etc.

The letters must be dated within the past 12 months; you are required to be a non-smoker confirmed with laboratory testing and have a family member, friend or caregiver drive you home from surgery as medical transportation cannot be used upon hospital discharge.

These services are very specialized and often not a covered service under insurance plans, contact office with questions. Orchiectomy describes surgical removal of the testes, in an affirmed woman this is done to eliminate the need for androgen testosterone suppression and optimizes estrogen.

This is performed in an outpatient setting and is a covered service with most insurance plans when criteria has been met. The letters must be dated within the past 12 months.

You are required to be a non-smoker confirmed with laboratory testing and have a family member, friend or caregiver drive you home from surgery as medical transportation cannot be used upon hospital discharge.

Undergoing this procedure will not interfere with the possibility of having future vaginoplasty. Before your consultation You are required to be free of nicotine and any non-prescribed substances confirmed by blood testing.

The areas of treatment are the scrotum, perineum, shaft of penis and 1" radius around base. Either cream should be applied approximately 40 minutes prior to each treatment, covering the area with plastic wrap will optimize absorption and efficacy.

The letters must be dated within the past 12 months insurance requirement , so be sure to maintain your relationship with your current mental healthcare team!

After your consult We will submit a predetermination to your insurance; the insurance has 30 days to respond with your decision. Once approved Insurance companies cover a 3 day inpatient hospital stay but due to the invasive nature of the surgery will require you on campus for a longer duration.

To reduce your out of pocket expense of inpatient postoperative stay we have collaborated with the hotel attached to the hospital for a discounted hotel rate which allows you to stay on campus and available for Dr.

Ferrando's team to make room calls to make sure your recovery is going well. Our office will arrange your hotel stay when a surgical date is selected.

This is for your safety and not negotiable. Your complete postoperative recovery will be about weeks but this varies with each individual.

Out of State Residents: You may want to include your pre-operative day as well as the 3 days you will be in the hospital in your hotel reservation if you are traveling from afar; this will allow a safe and comfortable place for you to perform your peri-operative preparations as well as provide your guest with a place to stay nearby while you are in the hospital.

Please plan for postoperative appointments at 3, 4 and 9 weeks postop; you will need to have a driver for the 3 week postop visit.

I am never married other black woman without kids from Cleveland, Ohio, United States. My name is Vero. Zodiac sign: Libra. My name is Jusreeney.

I've met a super nice guy here. He is my true soulmate and the love of my life. I met him irl a week after we started chatting. I feel really happy right now.

Big thanks to Meetville. I think it may lead to something really great. I like the idea of matching people according to their interests and not asking too many questions.

Photo albums are also very convenient. Hope I can actually find someone good for me. Not found anyone yet but I'm quite confident I will.

If you'r single you won't be disappointed!!! Excellent app! Create your profile in seconds with our easy sign-up. Search our large member base with ease, with a range of preferences and settings.

Send a message or interest to start communicating with members. July 30, Americans hardly ever make a date offline. The chances that you walk into a bar and meet your future boyfriend there are approximately 1 in July 23, The first date is always a nervous time.

Make sure you try their milkshakes! Unless you get The Kindergartner. West Side Market W 25th St. They have every food-thing you can imagine.

All of these places could be your place:. Oof, Cleveland sports. A story of heartbreak, barely mended hearts, followed by more heartbreak.

Nearby Oberlin College is a queer oasis and is definitely worth a visit if you have an hour to spare to drive through some cornfields.

The take-home is that you should volunteer to make Pride awesomer if you have some time on your hands. Here is the thing: Cleveland is so so affordable.

You will take your lady friend out to a fancy schmancy dinner at your favorite organic, locavore restaurant and almost feel bad for paying so little.

Cleveland is a progressive town stuck in a swing-state. Work with what you got, right? Edgewater Park West 76th St. Mentor Headlands State Park — This is a minute car ride from the city, but the expansive beaches make it totally worth it.

Local food? Come hang out! Monthly-ish gathering organized by Elyse, Jess, and a bunch of other amazing ladies you should probably be friends with.

Email ggllfcc [at] gmail [dot] com. This is just a taste of what Cleveland has to offer. Part of an ongoing series of Queer Girl City Guides. Having a larger list is awesome!

Junior here! We should definitely do an Oberlin Autostraddle meetup. Whoo Oberlin represent! I vote yes! This was my plan all along— get more Obies to fall in love with Cleveland and then move here when they graduate and join our cooking club.

And if you end up coming, you should totally drop me a line, maybe we can get a drink! And regardless, if you want more info, or want to hear all my thoughts and feelings about the text, the process, and the importance of this show and this kind of work… hit me up!

My grandparents live in Cleveland and whenever my cousins and I visit we make sure to go at least once. So excited to see a Cleveland guide here!

I grew up in the city, but moved away for college and am always lost in terms of going out when I visit these days so thank you!

The best. Progressive field for baseball is nice and affordable.

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Gay men and men who have sex with men MSM have many similar health challenges when compared with their heterosexual counterparts, but they also face additional obstacles to health which are often not well understood by health care providers.

Fear of rejection or embarrassment often contributes to a delay in accessing needed preventive or disease management services by these men. Limited information about culturally competent providers does not allow for patients in a community to be matched with practitioners possessing necessary training and experience to best address their unique health care needs.

Furthermore, gay men and MSM may feel as though their confidentiality will not be protected among health care staff or with insurance providers, or that they may face a hostile response from front desk, nursing or ancillary staff when addressing deeply personal matters.

These fears and resulting actions, when examined at a population level, lead to health care disparities. To help address these disparities, Cleveland Clinic offers the following services to gay men and MSM:.

Lesbian women and women who have sex with women WSW require routine health care maintenance like all patients, but they are also at increased risk for certain medical and mental health conditions.

Unfortunately, access to good health care can sometimes be a challenge for this community. Improved access starts with a better understanding by both providers and patients about the type of care that is needed.

We recommend that in addition to routine medical care, WSW and lesbian patients also undergo screening for the conditions listed below.

Below are the services we currently provide for our lesbian and women who have sex with women WSW patients. We offer comprehensive care through a multi-disciplinary team of providers that are housed amongst our many institutes at Cleveland Clinic.

For more information about the program or to make an appointment, please contact Christina Reed at Transgender individuals require routine health care maintenance like all patients, but they are also at increased risk for certain medical and mental health conditions.

We recommend that in addition to routine medical care, transgender patients also undergo screening for the conditions listed below:. Below are the services we currently provide for our transgender patients.

I performed my first surgery in and since , our team has been performing these surgeries consistently on a monthly basis.

The goal of the surgery is to create female external genitalia that is both functional and cosmetically appealing. I also perform hysterectomy for transgender men seeking gender affirmation surgery.

These surgeries are performed in a minimally invasive fashion using advanced laparoscopic techniques. All gender affirming surgeries are performed at the Cleveland Clinic Main Campus.

Sexuality and sexual orientation are often challenging topics for youth and their parents. They are subjects that can be difficult to openly talk about and sometimes are actively avoided.

Yet we know that children and teens who are or are questioning whether they may be gay, lesbian, bisexual or transgender are at much greater risk of:.

For these and many other reasons, physical and psychological health care are essential for these individuals and their families. Like their adult counterparts, however, LGBT youth may be hesitant to seek care due to fear of stigmatization or lack of understanding by healthcare providers.

Similarly, issues related to gender and gender identity are frequently sensitive subjects and parents as well as youth may be fearful of the response if such topics are raised to healthcare providers.

Gender identity develops differently in every child and gender differences can present at almost any age, sometimes in early childhood, sometimes much later.

All care is individualized, designed to meet the needs of each unique situation while at the same time complying with the standards and best practices for this population.

Specialized healthcare services can be an essential part of improving the overall health and well-being for transgender youth.

These include affirmative and understanding support and education for youth and families as well as assistance in the process of transitioning to the preferred gender.

Our team primary care staff offer a safe space to review your personal healthcare needs, offer the correct health screenings and resources in a supportive, judgment free environment.

Individualized cross sex hormone therapy is initiated and monitored by a team of medical professionals with expertise in their field!

In addition to hormone surveillance we offer referrals to our team of fertility preservation experts to support future reproductive goals. Male chest reconstructive surgery is a covered service with most insurance plans when criteria has been met, you are required to have one letter of referral from a qualified mental health provider with expertise in WPATH guidelines.

Your BMI must be less than 40 and as close to 32 as possible and you must be a non-smoker confirmed with laboratory testing.

You must have a family member, friend or caregiver drive you home from surgery as medical transportation cannot be used upon hospital discharge.

Surgical removal of the cervix, uterus, ovaries and tubes is performed in an outpatient setting and is typically a covered service under most insurance plans when criteria has been met: We will need two WPATH format letters; the first letter must be from a doctoral degreed mental health provider in most states this would be someone with MD, DO, PhD, PsyD ; the second letter should be obtained from a masters degreed licensed mental health professional counselor, social worker, etc.

The letters must be dated within the past 12 months; you are required to be a non-smoker confirmed with laboratory testing and have a family member, friend or caregiver drive you home from surgery as medical transportation cannot be used upon hospital discharge.

These services are very specialized and often not a covered service under insurance plans, contact office with questions. Orchiectomy describes surgical removal of the testes, in an affirmed woman this is done to eliminate the need for androgen testosterone suppression and optimizes estrogen.

This is performed in an outpatient setting and is a covered service with most insurance plans when criteria has been met.

The letters must be dated within the past 12 months. You are required to be a non-smoker confirmed with laboratory testing and have a family member, friend or caregiver drive you home from surgery as medical transportation cannot be used upon hospital discharge.

Undergoing this procedure will not interfere with the possibility of having future vaginoplasty. Before your consultation You are required to be free of nicotine and any non-prescribed substances confirmed by blood testing.

The areas of treatment are the scrotum, perineum, shaft of penis and 1" radius around base. Either cream should be applied approximately 40 minutes prior to each treatment, covering the area with plastic wrap will optimize absorption and efficacy.

The letters must be dated within the past 12 months insurance requirement , so be sure to maintain your relationship with your current mental healthcare team!

After your consult We will submit a predetermination to your insurance; the insurance has 30 days to respond with your decision. Once approved Insurance companies cover a 3 day inpatient hospital stay but due to the invasive nature of the surgery will require you on campus for a longer duration.

To reduce your out of pocket expense of inpatient postoperative stay we have collaborated with the hotel attached to the hospital for a discounted hotel rate which allows you to stay on campus and available for Dr.

Ferrando's team to make room calls to make sure your recovery is going well. Our office will arrange your hotel stay when a surgical date is selected.

This is for your safety and not negotiable. Your complete postoperative recovery will be about weeks but this varies with each individual.

Out of State Residents: You may want to include your pre-operative day as well as the 3 days you will be in the hospital in your hotel reservation if you are traveling from afar; this will allow a safe and comfortable place for you to perform your peri-operative preparations as well as provide your guest with a place to stay nearby while you are in the hospital.

Please plan for postoperative appointments at 3, 4 and 9 weeks postop; you will need to have a driver for the 3 week postop visit.

You will be required to meet with our team psychiatrist pre and postoperatively as well as our pelvic floor physical therapist. I'm happy to share a list of qualified hair removal providers as well as qualified mental health providers upon request.

Once all criteria has been met we will be happy to schedule a consultation. At Cleveland Clinic, we take great pride in caring for the entire person, including their spiritual health.

After you have thoroughly reviewed this information I'm happy to answer any additional questions, please contact my office at While all Cleveland Clinic providers are committed to creating a safe environment that maintains the respect and dignity of all patients, some providers have specific interests in working with the LGBT community.

Nutrition appointments are covered by many insurance companies, please verify coverage with your health insurance provider. Questions This has led to a number of inequalities in the delivery and quality of healthcare to members of this group, which include: Patients are more likely to delay needed regular medical care.

LGBT individuals are more likely to be dependent on alcohol, tobacco, or drugs. I am never married other black woman without kids from Cleveland, Ohio, United States.

My name is Vero. Zodiac sign: Libra. My name is Jusreeney. I've met a super nice guy here. He is my true soulmate and the love of my life.

I met him irl a week after we started chatting. I feel really happy right now. Big thanks to Meetville.

I think it may lead to something really great. I like the idea of matching people according to their interests and not asking too many questions.

Photo albums are also very convenient. Hope I can actually find someone good for me. Not found anyone yet but I'm quite confident I will.

If you'r single you won't be disappointed!!! Excellent app! Create your profile in seconds with our easy sign-up.

Search our large member base with ease, with a range of preferences and settings. Send a message or interest to start communicating with members.

July 30, Americans hardly ever make a date offline. The chances that you walk into a bar and meet your future boyfriend there are approximately 1 in July 23, The first date is always a nervous time.

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