Care of transgender patients with additional issues, such as the need for contraception, bipolar disorder, clotting issues, cardiovascular disease, and liver problems, makes safely prescribing hormones more difficult for the primary care provider. With more people feeling comfortable seeking help with their gender transition, we are finding that provider resources are lacking for this more complex set of patients. Understand how to address these issues and how to manage care for these complex transgender patients.

Deborah Tuffield, DNP, APRN, FNP-C; Lead NP and Family NP, UCCS Health Circle Primary Care; Colorado Springs CO and Assistant Professor, Helen and Arthur E. Johnson Beth-El College of Nursing and Health Sciences, University of Colorado Colorado Springs; Colorado Springs CO

Patricia Bursnall, MA, MSN, FNP-C; Family Nurse Practitioner, UCCS, Health Circle, Primary Care Clinic; Colorado Springs CO and Family Nurse Practitioner, Peak Vista Community Health Center; Colorado Springs CO and Family Nurse Practitioner, Pueblo Community Health Center; Pueblo CO