Access to gender-affirming care should be straightforward, respectful, and built around you — not buried in months of waitlists, gatekeeping, or providers who don't understand your needs.

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At U Care MD, Dr. Kuan-Yu Chen provides gender-affirming hormone therapy (GAHT) for transgender and nonbinary patients using an informed consent model, meaning you don't need a letter from a therapist to begin care. You and Dr. Chen will have an open conversation about your goals, medical history, and what to expect — and you can move forward at a pace that feels right for you.

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What's Included

• Initial consultation — a thorough, judgment-free conversation about your goals, health history, and what gender-affirming care can look like for you

• Baseline labs — bloodwork to establish a starting point and rule out any contraindications

• Prescription and dosing — starting and adjusting hormone therapy (estrogen, testosterone, or anti-androgens) based on your individual response and goals

• Ongoing monitoring — regular follow-up labs and visits to track your levels and adjust treatment safely over time

• Coordination with other care — referrals for surgical consultations, endocrinology, or mental health support, if and when you want them

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Why Choose U Care MD for Gender-Affirming Care

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Informed Consent, Not Gatekeeping

You know your identity. Our role is to provide safe, medically sound care — not to act as gatekeepers to your own body. Dr. Chen uses an informed consent approach in line with WPATH guidelines, focusing on shared decision-making.

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Same Doctor, Every Time

No rotating providers, no re-explaining your history at every visit. You'll work with Dr. Chen consistently, building a relationship and a treatment plan that evolves with you.

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Direct Access Between Visits

Have a question about a side effect, a dosing adjustment, or just want to check in? Message Dr. Chen directly — no portals, no waiting on hold.

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Integrated, Whole-Person Care

Gender-affirming therapy doesn't happen in isolation. As a Direct Primary Care practice, U Care MD also handles your routine primary care, mental health support, and any other health needs — all with the same doctor who already knows your story.

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No Insurance Required

Membership covers your visits and consultations directly. Lab work can often be billed through insurance if you have it, or we can help you find affordable cash-pay lab options if you don't.

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Who This Is For

Gender-affirming hormone therapy at U Care MD is available to transgender, nonbinary, and gender-nonconforming adults seeking to begin or continue hormone therapy, including those who:

• Are new to hormone therapy and want a knowledgeable, affirming provider to start with

• Are currently on hormone therapy and looking for a new provider for ongoing management

• Have been told they need a therapist's letter elsewhere and are looking for an informed consent provider

• Want a provider who can manage hormone therapy alongside their broader primary care needs

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Care for Adolescents and Minors

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U Care MD also provides gender-affirming hormone therapy for adolescents, in accordance with WPATH Standards of Care for minors. Unlike the informed consent model used for adult patients, care for minors involves:

• Parent or legal guardian involvement in all visits, consultations, and decision-making

• A comprehensive evaluation of the adolescent's gender history, development, and readiness for treatment

• Collaboration with a mental health provider experienced in adolescent gender care, as part of a multidisciplinary approach

• Ongoing monitoring of growth, development, and overall health throughout treatment

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Families interested in gender-affirming care for a minor are encouraged to schedule a free virtual meet & greet to discuss the evaluation process, what to expect, and whether U Care MD is the right fit for your family's needs.

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Getting Started

The first step is a free virtual meet & greet with Dr. Chen — a no-cost, no-obligation conversation to see if U Care MD is the right fit for your care. From there, if you decide to join, your first visit can begin the process: discussing your goals, reviewing your history, and ordering baseline labs.

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Schedule your free meet & greet →

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U Care MD is an LGBTQIA+ affirming Direct Primary Care practice located at 481 8th Ave, Suite 1144, New York, NY 10001, serving patients throughout Manhattan and New York City. Dr. Kuan-Yu Chen is a board-certified family medicine physician providing gender-affirming hormone therapy with an informed consent approach.