Gendercare English Clinic - TransPack - Counseling and Orientation for MtF & FtM Transition

Services Fast Access

About Ethics

Scientific Background

Who we Are

Dr.Torres, Ph.D.

Special Aspects

Butterfly Strategy

TransPack
3 full months of Counseling and Orientation (including HRT counseling) for MtF & FtM Transition

We will follow your MtF or FtM Transition from now on, for full 3 months. We accept for TransPack only patients evaluated by us, so we know you a little since the start. So the TransPack is not something new, but the continuity of our help and care for your gender dysphoria condition.

As soon as you take and pay that service the first step will be to prepare a consultation to send us as soon as possible telling us:

At what stage you are in transition.
Height, weight and general remarks about your body.
Any disease, or special condition.
Tell us about your heart and family heart history, circulation and liver history.
Did you had hormones already? Which, when, how much dose and time?
Surgeries?
Any natural signs in your body, as gynecomastia for MtF's and beard for FtM's?

Tell us all in your first transition consultation. We may already know a lot, but we need to know or to confirm what we know.

We will send you our comments, instructions and orientations in English as we did during your evaluation.

As soon as you can, prepare for us:

3 pictures of your whole body (front, profile and rear) in swiming clothes;
3 more pictures of your face (front, profile and rear) for hair & face evaluations.

No artificialities please! We will need to know your reality!

If you will need a HRT referral letter for your local doctor (surely if you are outside Brazil you will need it), ask us, and send us your directions so we may send a signed copy of it through mail. It is important to have a local clinician, mainly patients older than age 40.

That local clinician or endocrinologist will be very important for the follow up of your general health and for local prescriptions (we may not send you prescriptions through the web). During transition, we and your local doctor surely will need to monitor your liver and circulation, among other body functions, through blood tests.

It will be great if we could cooperate to help you: Gendercare and your local clinician! We may be in touch through emails, exchanging opinions and data to help you mre completely.

From MtF's or FtM's in transition with Gendercare supervision through TransPack, WE NEED EACH 15 DAYS AT LEAST A REPORT OF YOUR PROGRESS - how you feel - how your transition is progressing - what possible problems you are living - because the transition promotes changes in the body AND ALSO SOME PSYCHIC ONES. These reports are extremely important, because that will be the way we may detect any problem and the way we may reconsider the best ways for HRT and transition.

Later, if you need our help, or your clinician need our help, we will say you what to do:

For MtF's:

1. We will follow up all your HRT, and we will give you a complete orientation about what to take, or what you may not to take. We will discuss with you or your local doctor what you need to take, and the best way for you to stop your male hormones influences, and to take female ones in the proper way.
2. We will follow up your beard and body hair and show you how to erase them. Laser or electrolysis? Epilator machine for body hair elimination?
3. Have you hair problems? Are you loosing your hair? perceptible baldness? How we may recover it? And stop it?
4. How you will increase your breasts formation and volume? Hormones for breast development, and bust enhancers? Silicon prosthesis? What will be the best way for you?
5. How you will manage your social life? Would you show your transition in school, to your family, friends or in the office? What will be the best strategy for you? RLE- real life exposition or our Butterfly strategy?
6. What could you do about your voice? And your face? FFS - face feminization surgery is necessary or not?
7. Are you properly feminine? And your garments? Are they good for your age and social status?
8. Will you need to loose weight?
9. What will be the best SRS- sex reassignment surgery for you? Where and when? Have you enough skin for the surgery?
10. Are you prepared to live as a woman? Have you a way to survive as a woman? Would you need to prepare
a new professional career?

What is includded in that service:

1.All email consultations during 3 months (feel free to write us, at any moment, due to any reason, through emails), and we will answer you any question or doubt you may have about all your transition possible problems and difficulties.
2. We may show you (if possible in agreement with your LOCAL DOCTOR), what will be the best hormones for you for a good and secure transition. To suggest hormones, we will ask you locally provide a blood test, and scan the result and send us.
3. We will follow up your progress through pictures you will send us through the web.
4. We will give you all necessary instructions about hair, body hair, beard, FFS, SRS, RLE or Butterfly Strategy, etc..
5. We will discuss with you and suggest you the best social strategy to show or hide your transition condition.
6. A HRT referral letter is includded in that service, signed by us. At any moment you may ask that referral letter.

What IS NOT includded in that service:

1. Any clinical analysis, as blood tests; any hormones and other kind of needed products.
2. Any services as laser or electrolysis depilation, etc..
3. Any surgeries or silicon implants.
4. SRS or FFS, or any surgery referral letters ARE NOT INCLUDDED in that service. When they are necessary we will prepare special referral letters, when asked by the patient, considering Gendercare conditions and prices.

For FtM's:

1. We will follow up all your HRT, and we will give you a complete orientation about what to take, or what you may not take. We will discuss with you and/or your local doctor what you need to take, and the best way for you to stop your female hormones influences, and to take male ones in the proper way, for your condition and age.
2. We will follow up your beard and body hair and show you how to increase them.
3. How you will erase your breasts? Hormones alone will be sufficient to erase your breasts and to develop a male chest? What will be the best process for your mastectomy?
4. How and when will be the best way and moment to develop muscles, through exercises?
5. How you will manage your social life? Would you show your transition in school, to your family, friends or in the office? What will be the best strategy for you?
6. What could you do about your voice? And your face?
7. Are you properly masculine? And your garments? Are they good for your age and social status?
8. Will you need to loose weight?
9. At what moment will you need a hysterectomy and total ovariectomy?
10. And vaginectomy?
11. What will be the best surgeries for you, a metaioidioplasty, a Centurion or a phalloplasty? Where and when? What you could expect from each possibility?