What Can a FOLX Clinician Help With?

A FOLX clinician can help with primary care, gender-affirming hormone therapy, sexual and reproductive health, mental health medication management, menopause and perimenopause care, low testosterone care, chronic condition support, labs, referrals, and letters for gender-affirming care.

August 15, 2023
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A FOLX clinician can help with many everyday and ongoing healthcare needs, including gender-affirming hormone therapy, primary care, sexual and reproductive health, mental health medication management, menopause and perimenopause care, low testosterone care, labs, referrals, and letters for gender-affirming care.

FOLX is virtual healthcare designed by and for LGBTQIA+ people. That means you can meet with a clinician from home, talk openly about your body and your goals, and get care that understands queer and trans lives without making you explain yourself from scratch.

What can a FOLX clinician help with?

FOLX clinicians provide affirming virtual care for a wide range of health needs, including:

  • Gender-affirming hormone therapy, including estrogen and testosterone
  • Primary care and preventive care
  • Sick visits for common issues like coughs, UTIs, rashes, pink eye, and sinus symptoms
  • Chronic condition support for things like asthma, diabetes, high blood pressure, thyroid conditions, migraines, and high cholesterol
  • Mental health medication management for concerns like anxiety, depression, and insomnia
  • Sexual and reproductive health care, including STI testing, PrEP, PEP, birth control, emergency contraception, UTIs, yeast infections, erectile dysfunction, low testosterone, PCOS, painful sex, and herpes
  • Menopause and perimenopause care
  • Fertility and family-building support
  • Lab orders and lab follow-up
  • Referrals to LGBTQIA+-affirming in-person providers and specialists
  • Letters for name and gender marker changes, surgery, or other gender-affirming care needs, when clinically appropriate

The exact services available to you may depend on your state, your care needs, your clinician type, and whether something can be safely handled through telehealth.

LGBTQIA+ affirming care, from the start

A lot of people come to FOLX because healthcare has not always felt safe, easy, or respectful. Maybe you’ve been misgendered in a waiting room. Maybe you’ve had to explain your body, your relationship, your sex life, or your hormones to a provider who didn’t understand. Maybe you’ve delayed care because finding an affirming clinician felt exhausting.

FOLX is built to be different.

Our clinicians are trained in LGBTQIA+ healthcare and understand that your identity, body, relationships, goals, and lived experience all matter. Whether you’re trans, nonbinary, queer, lesbian, gay, bisexual, intersex, questioning, two-spirit, gender expansive, or somewhere beautifully specific to you, we’re here to provide care that sees the whole you.

Primary care and preventive care

A FOLX clinician can help with everyday primary care needs, including wellness visits, preventive care, labs, screenings, and ongoing health questions.

Primary care through FOLX may include support for:

  • Annual wellness visits
  • Preventive health screenings
  • Lab orders and lab review
  • Headaches and migraines
  • Skin concerns like acne, eczema, psoriasis, or rashes
  • Hair loss
  • GI issues like reflux, constipation, diarrhea, or IBS symptoms
  • Smoking cessation
  • Referrals for in-person care, imaging, or specialists when needed

If something requires an in-person exam, imaging, procedure, or emergency care, your FOLX clinician can help you understand your next step and connect you with affirming resources when possible.

Sick visits and everyday health concerns

You can also book a visit when something comes up and you need care soon.

FOLX clinicians may be able to help with common issues like:

  • Cough, cold, congestion, or sore throat
  • Sinus symptoms
  • Pink eye
  • Rashes
  • Cold sores
  • UTIs
  • Yeast infections
  • Abdominal discomfort
  • Back pain
  • Nausea, vomiting, or diarrhea
  • Mild respiratory infections
  • Dental pain guidance and referrals

FOLX is not an urgent care or emergency department. If you are having a medical emergency, call 911 or seek emergency care right away.

Chronic condition support

FOLX clinicians can help monitor and manage many chronic conditions through virtual care.

This may include:

  • Type 2 diabetes
  • High blood pressure
  • High cholesterol
  • Asthma
  • Thyroid conditions
  • Anemia
  • Migraines
  • Allergies
  • Ongoing skin or GI concerns

Your clinician can help with medication management, labs, lifestyle support, care planning, and referrals when specialty or in-person care is needed.

Gender-affirming hormone therapy

FOLX clinicians provide gender-affirming hormone therapy for trans, nonbinary, and gender-expansive people.

This may include:

  • Estrogen-based hormone therapy
  • Testosterone-based hormone therapy
  • Anti-androgens or other medications, when clinically appropriate
  • Starting hormones
  • Restarting hormones
  • Continuing hormones you already take
  • Adjusting dose, route, or goals
  • Lab monitoring
  • Pre- and post-surgery support
  • Referrals to affirming surgeons or in-person providers

Your goals matter. Your clinician will work with you to understand what you want from care and build a plan that fits your body, your life, and your needs.

Sexual and reproductive health

FOLX clinicians offer queer-centered, sex-positive, and affirming sexual and reproductive healthcare.

Care may include:

  • STI testing and treatment
  • HIV testing
  • PrEP and PEP
  • Birth control
  • Emergency contraception
  • UTI care
  • Yeast infection care
  • BV care
  • Herpes treatment
  • Erectile dysfunction
  • Premature ejaculation
  • Low testosterone
  • PCOS
  • Menopause and perimenopause
  • Painful sex
  • Changes in libido or orgasm
  • Fertility and family-building conversations

We do not assume what kind of sex you have, what body parts you use, what your relationships look like, or what your goals are. Whether you’re monogamous, polyamorous, partnered, dating, not dating, kinky, curious, or simply trying to get a question answered without judgment, we’re here to help.

Mental health care

FOLX clinicians can help with mental health concerns that can be managed through virtual care, including medication management for anxiety, depression, and insomnia.

Depending on your needs and location, FOLX may also offer therapy or help connect you with affirming mental health resources.

Mental health care may include support for:

  • Anxiety
  • Depression
  • Insomnia
  • Stress and burnout
  • Life transitions
  • Gender dysphoria
  • Coming out
  • Minority stress
  • Family or relationship stress
  • Grief
  • Trauma-informed referrals or resources

Some mental health needs require specialty care or a higher level of support. If that’s the case, your clinician can help you understand what kind of care may be a better fit.

If you are in crisis or thinking about harming yourself or someone else, seek immediate support. Call 988, go to the nearest emergency room, or call 911.

Menopause, perimenopause, and hormone care

FOLX clinicians can support people through menopause and perimenopause with affirming care that does not assume your gender, sexuality, relationship status, or body goals.

Care may include support for:

  • Hot flashes and night sweats
  • Sleep changes
  • Mood changes
  • Brain fog
  • Vaginal or genital symptoms
  • Libido changes
  • Pain with sex
  • Hormone therapy conversations
  • Lab questions
  • Preventive care and referrals

FOLX also supports low testosterone care, including evaluation, lab work, treatment planning, and ongoing follow-up when clinically appropriate.

Fertility and family-building support

Queer and trans family-building can come with extra logistics, costs, questions, and gatekeeping. FOLX clinicians can help you understand your options and prepare for next steps.

Fertility and family-building support may include:

  • Preconception conversations
  • Fertility consultations
  • Pregnancy planning
  • Family-building resources
  • Referrals to affirming fertility providers
  • Guidance for trans and queer people thinking about hormones, fertility, or future family planning

Labs, referrals, and care navigation

Your FOLX clinician can order labs when they’re clinically appropriate for your care. Depending on your needs, labs may be used to monitor hormones, check medication safety, evaluate symptoms, or support preventive care.

FOLX can also help with:

  • Referrals to affirming specialists
  • Referrals for in-person exams or procedures
  • Lab orders and follow-up
  • Medication questions
  • Prescription refills
  • Name and gender marker change letters
  • Surgery letters or gender-affirming care letters, when clinically appropriate
  • Resources for LGBTQIA+ care, legal support, community support, or specialty care

Some letters or referrals may require a visit first. Your care team can help you understand what’s needed.

What can’t a FOLX clinician help with?

FOLX clinicians can support many healthcare needs through telehealth, but some situations need in-person or emergency care.

FOLX is not a fit for:

  • Medical emergencies
  • Severe chest pain
  • Severe abdominal pain
  • Moderate to severe shortness of breath
  • Significant head injury
  • Loss of consciousness
  • Severe weakness or confusion
  • Symptoms that require immediate imaging, procedures, or hands-on examination
  • Suicidal or homicidal thoughts or urges
  • Any situation where you need urgent, in-person evaluation

If you are experiencing a medical emergency, call 911 or go to the nearest emergency room.

How does FOLX work?

To see a FOLX clinician, you’ll start by joining FOLX. Membership gives you access to the FOLX care experience, including LGBTQIA+ specialized clinicians, secure messaging, care navigation, the member portal, and community resources.

FOLX membership is $43.99/month or $349/year when paid annually. Visits, labs, and medications are billed separately.

Here’s how it works:

  1. Join FOLX and create your account.
  2. Book a virtual visit for the type of care you need.
  3. Meet with an LGBTQIA+ specialized clinician.
  4. Get a personalized care plan.
  5. Complete labs, start medication, get referrals, or follow up as needed.
  6. Stay connected through messaging and ongoing care support.

You may be able to use insurance for visits, medications, labs, or select membership costs, depending on your plan and location. You can also pay out of pocket.

The bottom line

A FOLX clinician can help with primary care, gender-affirming hormone therapy, sexual and reproductive health, mental health medication management, menopause and perimenopause care, low testosterone care, chronic condition support, labs, referrals, and affirming care navigation.

Healthcare should not require you to leave parts of yourself at the door. At FOLX, you can get care that understands LGBTQIA+ people, bodies, relationships, and lives.

Frequently asked questions

Can a FOLX clinician be my primary care provider?

Yes. A FOLX clinician can support many primary care needs through virtual care, including wellness visits, preventive care, labs, chronic condition management, sick visits, and referrals when in-person care is needed.

Can FOLX help with gender-affirming hormone therapy?

Yes. FOLX clinicians provide gender-affirming hormone therapy, including estrogen-based and testosterone-based care, lab monitoring, refills, dose adjustments, and support for people starting, restarting, or continuing hormones.

Can FOLX help with sexual health?

Yes. FOLX clinicians can help with STI testing and treatment, PrEP, PEP, birth control, emergency contraception, UTIs, yeast infections, herpes, erectile dysfunction, low testosterone, painful sex, and other sexual health concerns.

Can FOLX help with mental health?

Yes. FOLX can support mental health needs such as anxiety, depression, insomnia, stress, and life transitions through medication management and, where available, therapy. Some needs may require specialty or in-person care.

Can FOLX order labs?

Yes. FOLX clinicians can order labs when clinically appropriate for your care, including labs for hormone therapy, medication monitoring, preventive care, or symptom evaluation.

Can FOLX write letters for gender-affirming care?

Yes, FOLX clinicians can provide certain letters for name and gender marker changes, surgery, or gender-affirming care when clinically appropriate. Some letters may require a video visit or additional evaluation.

Does FOLX provide emergency care?

No. FOLX does not provide emergency care. If you are experiencing a medical emergency, call 911 or seek emergency care right away.

How much does FOLX cost?

FOLX membership is $43.99/month or $349/year. Visits, labs, and medications are billed separately, and some members may be able to use insurance depending on their plan and location.

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