Gender-Affirming Hormone Therapy for Adults in Central Texas

Safe. Respectful. Evidence-based care—centered around you.

At Texas Diabetes & Endocrinology, we provide medically guided hormone therapy for transgender and non-binary adults in a welcoming, inclusive, and affirming environment.

Whether you’re just beginning your transition or continuing a journey you’ve already started, our team is here to support you—without judgment and with clinical excellence.

What Is Transgender Hormone Therapy?

Transgender hormone therapy—also known as gender-affirming hormone therapy (GAHT)—is a medical treatment that uses hormones to help align your physical characteristics with your gender identity. It may include:

Testosterone therapy for masculinization
Estrogen therapy (with or without anti-androgens) for feminization
Long-term hormone maintenance and monitoring

Have you been searching for transgender hormone therapy clinics near you? We provide accessible, high-quality hormone replacement therapy and are ready to help you begin or continue your care journey today.

Who It Helps

We serve transgender, non-binary, gender-diverse, and gender-expansive adults seeking affirming and compassionate care.

If you’re considering hormone therapy or have questions about starting your journey, we’re here to guide you through the process, your options, and what’s right for your goals.

Our Approach to Gender-Affirming Care

We follow the WPATH Standards of Care and prioritize consent, safety, and respect. Our role is to provide expert endocrinology-based support with no unnecessary barriers, gatekeeping, or judgment.

What makes our care different:

Individualized dosing tailored to your needs and goals
Focus on both physical and emotional well-being
Shared decision-making throughout your treatment
Collaboration with primary care, mental health, or surgical providers as needed
Clear guidance on what to expect from changes, labs, and timelines

What to Expect as a Patient

When you come to TDE for gender-affirming hormone therapy, you can expect:

A respectful conversation about your goals, history, and concerns
Baseline lab work to assess hormone levels and overall health
A custom plan for estrogen, testosterone and hormone therapy
Education about physical changes, timelines, and long-term health risks
Regular follow-up visits with lab monitoring to ensure safety and effectiveness
Supportive coordination with other providers (e.g., primary care, therapists, or surgeons)

Treatment Options & Services

Medications & Therapies

Testosterone (injectable or transdermal)
Estrogen (oral, injectable, or patch)
Anti-androgens (e.g., spironolactone)
Dose adjustments and long-term maintenance plans

Imaging, Labs & Procedures

Baseline and ongoing hormone panels (estradiol, testosterone, SHBG, LH, etc.)
Monitoring for liver, cardiovascular, and metabolic markers
Bone density testing for long-term health

Nutrition & Lifestyle Support

Support for changes in body composition, energy, and weight
Referrals to reproductive endocrinology to discuss fertility options
Guidance for transitioning safely at your pace

Devices & Technology

Secure patient portal for lab results and medication tracking
Coordination with gender-affirming surgical teams (if applicable)

Clinical Trials

No Clinical Trials available at this time

Questions & Answers

Gender-Affirming Hormone Therapy FAQs

− What is gender-affirming hormone therapy and what does it do?

Gender-affirming hormone therapy is a medically supervised treatment that uses hormones such as estrogen or testosterone to help align a person’s physical characteristics with their gender identity.

Treatment plans are individualized based on each patient’s goals, medical history, and health needs. Hormone therapy can support physical changes over time while improving overall well-being and quality of life for many patients.

+ Who is a candidate for gender-affirming hormone therapy?

+ How long does it take for hormone therapy to start working?

+ What physical changes can I expect from gender-affirming hormone therapy?

+ Is hormone therapy safe long term if I start it in my 20s, 30s, or later?

+ What labs or monitoring do I need while on hormone therapy?

+ How often will I need follow-up visits while on hormone therapy?

+ Can hormone therapy affect fertility or future family planning?

+ Do I need a specialist for hormone therapy in Texas or can my primary care doctor manage it?

+ What are the benefits of gender-affirming hormone therapy?

Get in Touch

Let’s Get Started

Whether you’re exploring hormone therapy for the first time and curious about transgender hormone therapy cost, or returning to care, we’re honored to support your journey. If you’ve been wondering where to find safe, expert, and affirming care, we’re here to help guide you every step of the way.