Transgender and gender-diverse individuals deserve compassionate, knowledgeable, and affirming medical care. Endocrinologists play a central role in gender-affirming hormone therapy (GAHT), which helps align an individual's physical characteristics with their gender identity. We provide a safe, respectful, and evidence-based approach to transgender healthcare, supporting patients through all stages of their journey.
Our Transgender Medicine Services
Gender-Affirming Hormone Therapy (GAHT)
Hormone therapy is the cornerstone of medical gender affirmation for many transgender individuals. We prescribe and manage hormonal regimens in line with the latest international guidelines.
For Transgender Women (MTF – Male to Female)
- Oestrogen therapy (oral, transdermal, or injectable)
- Anti-androgen therapy to reduce testosterone effects
- Monitoring of hormone levels, liver function, and cardiovascular health
- Management of expected physical changes (breast development, skin softening, fat redistribution)
For Transgender Men (FTM – Female to Male)
- Testosterone therapy (injectable, gel, or patch)
- Monitoring of haematocrit, lipid profile, and hormone levels
- Management of expected physical changes (voice deepening, facial hair, body composition changes)
- Menstrual suppression management
Pre-Therapy Evaluation
- Comprehensive medical history and physical assessment
- Baseline hormonal, metabolic, and cardiovascular screening
- Bone density assessment (DEXA scan) when indicated
- Informed consent and treatment counselling
- Coordination with mental health professionals when appropriate
Ongoing Monitoring & Long-Term Care
- Regular hormone level monitoring and dose adjustments
- Cardiovascular risk assessment
- Bone health monitoring
- Metabolic health surveillance
- Fertility preservation counselling and referral
- Coordination with surgical teams for gender-affirming surgeries
Adolescent Gender Care
For gender-diverse adolescents, we work within appropriate clinical and ethical frameworks, including puberty suppression therapy (GnRH analogues) for those meeting criteria, followed by gender-affirming hormones at the appropriate stage of development, in collaboration with paediatric endocrinology, mental health, and family support teams.
Our Approach
We provide affirming, non-judgmental, individualised care. Every patient's journey is unique, and our goal is to support physical wellbeing, hormonal health, and overall quality of life — with respect, dignity, and clinical expertise at every step.
Why Choose Dr. Prathamesh Deorukhkar?
- Knowledgeable and affirming endocrinological care for transgender patients
- Evidence-based hormone therapy following international guidelines (Endocrine Society, WPATH)
- Comprehensive pre-therapy evaluation and ongoing monitoring
- Safe, respectful, and confidential consultations
- Coordinated care with mental health and surgical specialists
