Transitioning is probably the single-most important decision a person can make, and it is important to have someone you can turn to for support and advice. Alder Health’s Trans Health program is committed to providing high-quality comprehensive Hormone Replacement Therapy (HRT) in a comfortable, safe and respectful environment. Alder Health Services specializes in providing informed care for trans men, trans women, gender non-conforming, gender queer, non-binary and affirmed men and women. Alder Health Services believes in having an engaging patient process with an emphasis on partnership, education, and self-determination. We offer a wide range of services, including hormone replacement therapy (HRT) in Harrisburg, PA, and many others. We are proud to offer fully integrated health services including comprehensive primary care with Hormone Therapy Replacement Therapy and Behavioral Health Services. If you are considering this type of life change, here is some information to help ensure you are as well informed as possible.

transgender-symbol-s-320x275Risks and benefits of Hormone Replacement Therapy (HRT) in Harrisburg, PA

Alder Health Services adheres to the Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People published by The World Professional Association for Transgender Health.

Transgender hormone replacement therapy — male to female or female to male — in Harrisburg, just like almost every other medical treatment, carries with it some benefits and risks. The risks will depend on a variety of factors, including the type of hormone given, your age and overall health as well as your family history of certain conditions. Your doctor will carefully discuss with you all of the benefits and risks before starting you on any type of hormone replacement regimen.

Female to male transgender hormone replacement therapy in Harrisburg increases the level of testosterone while gradually lowering the level estrogen. There are several ways to administer testosterone, including skin patches, gels and injections. Testosterone injections tend to work faster and are the least expensive.

If you are considering transgender hormone replacement therapy male to female in Harrisburg, your doctor will work to increase your estrogen level and reduce your testosterone level. You may be given a hormone known as anti-androgen to lower testosterone to a level that is normal for a woman.

How the Process Works

If you are considering hormone replacement therapy, we encourage you a relationship with an informed behavioral health provider. Prior to your first appointment, we request a letter of support from an informed behavioral health provider. It is important to have a supportive professional in your corner as you begin a new chapter in your life. Here at Alder Health Services, we have masters level therapists that are qualified to help you along your journey.

Your first appointment will allow the provider to get to know you and review the risks and benefits of starting HRT. Prior to your first appointment, it is important that you request your previous health records to assist the provider and you in mapping out an appropriate treatment plan. After an initial plan is in place, lab work to check kidney functioning, and other basic labs are done prior to starting HRT. Once the provider has reviewed the lab work, you will begin your HRT regimen.

Alder Health Services encourages individuals using injectable medications to come into the office for their first injection where a nurse or medical assistant will train you on how correctly and safely administer your medication.

HRT Referral Letter Requirements

Alder Health Services adheres to standards set forth by the World Professional Association for Transgender Health (WPATH). Alder Health Services acknowledges that a relationship with a well-informed mental health professional is an important part of a successful transition. Mental Health providers should be well educated on the standards of care for Transgender Health.

A referral letter for Hormone Therapy is required prior to starting Hormone Therapy with Alder Health Services.

Requirements for a letter is listed below. Letters that do not meet the following format will be returned for completion. To avoid delay of treatment, please take the time to review the following requirements.

  1. The client’s general identifying characteristics;
  2. Results of the client’s psychosocial assessment, including diagnose;
  3. The duration of the referring provider’s relationship with the client, including the type of evaluation and therapy or counseling to date;
  4. The author should list their experience in treating transgender clients.
  5. An explanation that the criteria for hormone therapy have been met, and a brief description of the clinical rationale for supporting the client’s request for hormone therapy
  6. A statement about the fact that informed consent has been obtained from the client
  7. A statement that the referring provider is available for coordination of care.
  8. Address plans for post hormone therapy services and/or counseling

For more information on The World Professional Association for Transgender Health please visit their website:

Hormone Replacement Therapy (HRT) Office Visit Rates

  • New Patient Visit – $150
  • Follow-up Visit = $100
  • Courtesy Discount (payment in full at time of service)
  • New Patient Visit – $100
  • Follow-up Visit – $75

Alder Health Hormone Replacement Therapy Services

Alder Health is committed to the LGBT community, providing a unique, holistic view of health through several integrated health services. We offer a relaxed, supportive, non-judgmental environment where our patients can address both their physical and behavioral health under one roof. If you would like to learn more about hormone replacement therapy in Harrisburg, such as the cost of HRT or information on any of the other services, we offer, please contact Alder Health Services online or call 717.233.7190.