Naturopathic Gender Affirming Care in Portland, Oregon

Naturopathic gender-affirming care is whole-person, identity-affirming care grounded in the core principles of naturopathic medicine. It recognizes that health is shaped by lived experience, embodiment, and self-understanding. Care is centered on the person in front of us, not assumptions about gender, anatomy, or goals. At AndyND LLC, naturopathic gender-affirming care integrates primary care services, hormone support when desired, and holistic mind-body therapies to support the whole person. It honors your inherent wisdom about who you are and tailors care to your individual needs and preferred gender expression. In addition to medical monitoring, care may include nutrition counseling, herbal medicine, lifestyle support, and other integrative approaches that strengthen long-term health and resilience.

Hormone therapy at AndyND LLC includes prescription management, individualized dosing, lab monitoring, and ongoing symptom tracking. Care is not based solely on conventional lab reference ranges. Treatment is tailored to your lived experience, health goals, and preferred gender expression while prioritizing safety and evidence-informed monitoring. In naturopathic gender-affirming care, herbal medicine, nutrition, and lifestyle support are considered foundational to hormone health. Sleep, stress regulation, and metabolic balance directly influence how hormones are processed and experienced in the body. These integrative strategies are used alongside prescriptions to support long-term health and resilience. At this time, testosterone therapy cannot be prescribed, as it is a controlled substance requiring specialty licensing. Lab monitoring and supportive care can be provided in collaboration with your prescribing clinician. Estrogen and other non-controlled medications may be prescribed when clinically appropriate.

Natural and integrative medicine can be helpful during transition by supporting sleep, stress regulation, digestion, metabolic health, and overall resilience. Herbal medicine, nutrition counseling, lifestyle support, and mind-body therapies may complement hormone therapy and help manage common concerns such as mood changes, fatigue, or cardiovascular risk factors. Naturopathic care does not replace medical hormone therapy but can enhance overall well-being during transition.

Yes. Referrals for gender-affirming surgery can be provided when appropriate. Care may include pre-operative optimization, coordination of documentation when required, and post-operative supportive care in collaboration with your surgical team.

Yes. Preventive and primary care services are part of naturopathic gender-affirming care at AndyND LLC. This may include annual wellness exams, metabolic and cardiovascular monitoring, STI screening, Pap testing when indicated, and age-appropriate health screenings. Care follows a Health At Every Size model and is individualized based on your anatomy, hormone use, and health history.

Collaborative care is encouraged. Hormone therapy, preventive screenings, mental health services, and specialty care may involve coordination with primary care providers, endocrinologists, therapists, surgeons, and other specialists. Communication is prioritized to support safety, continuity, and comprehensive care.

Care at AndyND LLC is LGBTQ+ affirming and grounded in trauma-informed principles. Visits prioritize consent, clear communication, and shared decision-making. Names and pronouns are respected, exams are conducted with transparency and patient control, and care plans are individualized without assumptions about identity or goals. The clinical environment is designed to feel safe, respectful, and collaborative.

Yes. Telehealth visits are available for hormone therapy follow-up, lab review, and many non-urgent concerns when clinically appropriate. Virtual appointments can be helpful for ongoing monitoring, treatment adjustments, and coordination of care. In-person visits may still be recommended when physical exams or certain evaluations are necessary.