Michael
She/her
Therapist, LMFT
Michael has been supporting LGBTQ+ people since 2009. Her warm, collaborative approach draws on mindfulness, attachment, and family dynamics to help members work toward meaningful change.
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Transfeminine
Whether you’re starting estrogen, fine-tuning a long-term regimen, or exploring what feminizing hormone therapy could look like for you, Folx offers expert individualized care for your transition.
Get gender-affirming estrogen (HRT) for your body, your goals, your life.
- Explore estradiol (estrogen) routes like pills, patches, creams, and injections, and dosages based on your goals and health history.
- Discuss testosterone suppression, anti-androgens, and whether add-on medications fit your plan.
- Get labs and follow-up to support safe, effective care.
- Bring questions about breast development, sexual function, hair, mood, fertility, or anything else to your clinician visit.
Here's how it works
Join FolxJoin Folx
Sign up for a Folx membership in minutes. Available to adults nationwide - no matter where you are or how you identify.
Meet your clinician
Book a visit with an LGBTQIA+-dedicated clinician who actually understands hormones and primary care across all bodies. Pay your co-pay, or our transparent out-of-pocket rates.
Get your care plan (and your meds)
Your clinician builds a personalized care plan based on your symptoms, history, and goals. If medication is part of it, get it at a pharmacy of your choice.
Stay connected
Join our Community platform and message your care team whenever you need — not just at scheduled appointments. Access support groups, resources, and events, too.
We’re more than just clinicians – we’re part of the community.
We celebrate diversity, with over 1 in 3 of our clinicians and clinical support staff identifying as transgender, nonbinary, genderqueer, gender diverse, or two-spirit, and nearly 4 in 5 as bisexual, gay, lesbian, pansexual, or queer.
Amanda
She/her
Clinician, MD
Amanda brings extensive experience in primary care and telehealth to her work at Folx. Inspired by watching loved ones struggle to find affirming healthcare, she's passionate about creating a supportive environment where every member feels heard and empowered in their care.
Heather
She/her
Clinician, NP
Heather has been providing sexual and reproductive care and gender affirming care for more than a decade. She takes a compassionate, nonjudgmental approach, helping members feel empowered to make decisions about their health.
Jacob
They/them
Clinical Staff, RN
Jacob is a transmasculine-identified registered nurse who specialized in HIV, PrEP, and sexual health for queer and trans people. They are passionate about normalizing and destigmatizing sobriety, especially within the healthcare field.
Synthia
She/her
Therapist, LCSW
Synthia is a queer and transgender psychologist specializing in PTSD, depression, anxiety, neurodivergence, polyamory, and kink identities. Her intersectional approach draws on ACT and Liberation Psychology to help members embrace their authentic selves and heal.
Erica
She/her
Clinician, CNM
Erica brings over a decade of experience in reproductive healthcare, supporting LGBTQ+ families as a birth doula, midwife, and nurse. She provides compassionate, trauma-informed care that centers each member's experiences, needs, and goals.
Ahmaad
He/him
Clinician, NP
Ahmaad has extensive experience in LGBTQ+ healthcare and a passion for sex-positive, kink-aware sexual health. Grounded in radical listening and a Health at Every Size approach, he creates space for patients to feel heard, respected, and empowered in their care.
Kate Steinle
She/her
Clinician, NP
Kate has over a decade of experience providing primary care, gender-affirming care, and sexual and reproductive healthcare. Kate is passionate about menopause care and supporting people through the changes and challenges of midlife.
Find Care Near You
Find out if this service is offered in your state and what you can expect to pay by entering your details below.
Gender Affirming Care
Estradiol Pills
The most common and affordable form of estrogen that we prescribe. These provide a stable, daily dose of estrogen in an easy to consume form. Estradiol pills do not need to be taken with food. We recommend dissolving them under your tongue as this goes directly into the blood stream like transdermals and injections.
Gender Affirming Care
Injectable Estradiol (Valerate and Cypionate)
Weekly, or every other week, self administered injection. Valerate is the most common injectable estrogen used in the US. An alternative form of injectable estrogen is estradiol cypionate. The estrogen in the injections is the exact same 17B-estradiol that is in pills and topicals.
Gender Affirming Care
Transdermal Estradiol (Patch or Cream)
Patches have less fluctuation in hormone levels than injectables since the patch evenly releases medicine through the skin little by little 24/7 and throughout the week. Compounded creams provide similar steady daily dosing but also have variable absorption.
Gender Affirming Care
Progesterone (Prometrium)
Nightly capsule that many patients report to have positive effects on: fat distribution, breast development, mood and libido. There is less research on whether progesterone is effective as compared to what we know about estrogens, but it is considered a safe medication to use.
Gender Affirming Care
Spironolactone
A very common diuretic or water pill often used for heart and blood pressure conditions that also has anti- androgen effects. It mostly blocks androgen receptors on skin and hair cells. It may also help lower testosterone, but only in a minor way.
Gender Affirming Care
Finasteride/Dutasteride
DHT blockers (5 alpha reductase blockers) help block the effects of androgens in your body. They reduce the conversion of what testosterone is still available in the body to the more potent androgen, dihydrotestosterone (DHT). DHT blockers can reduce face and body hair as well as prevent continued or future head hair loss.
