Comprehensive Information for Health Care Providers and Patients

We source Aotearoa New Zealand information wherever possible, and update with new info and resources regularly.

Primary Health Top 10

Health Pathways – Gender Minorities Aotearoa (2018).
Guidelines for Gender Affirming Healthcare in Aotearoa NZ – (PDF) Jeannie Oliphant, Jaimie Veale, Joe Macdonald, Richard Carroll, Rachel Johnson, Mo Harte, Cathy Stephenson, Jemima Bullock, David Cole, Patrick Manning (2018).
What Transgender Health Promoters Want You To Know – presentation, Gender Minorities Aotearoa (2019).
Pharmac Seminars on Diversity: Trans 101, and Gender Diversity (Video presentations) – Dr Jeanie Oliphant, Gender Minorities Aotearoa (2017).
Transgender NZ: Hormone Replacement Therapy 101 – Gender Minorities Aotearoa (2017).
A Third Opinion: transgender, takatāpui, and intersex health care tips for providers – Gender Minorities Aotearoa (2016).
Healthcare for Transgender New Zealanders – Ministry of Health.
Understanding Gender Diversity – Health Navigator NZ.
Regional Health Pathways NZ – Health Navigator NZ.
Working with Gender Diverse Clients – Dr Jeannie Oliphant (PDF).
Goodfellow Symposium 2017 – Supporting gender diversity in primary care – (video presentation) Joe Macdonald, Dr Jeanie Oliphant, Dr Fionna Bell (2017).

Professional development

Professional Association for Transgender Health Aotearoa (PATHA).

Free Posters for Waiting Rooms

Transgender Diversity Posters (set of 8) – Gender Minorities Aotearoa (2018).
Nau mai haere mai rainbow feathers poster – Gender Minorities Aotearoa, RainbowYOUTH, InsideOUT, Youth Wellbeing Study, Gloria Fraser (2019).
Top Tips for Supporting Rainbow People in Mental Health Settings – Gender Minorities Aotearoa, RainbowYOUTH, InsideOUT, Youth Wellbeing Study, Gloria Fraser (2019).
Is there a way we can better support you? – Gloria Fraser, Gender Minorities Aotearoa, RainbowYOUTH, InsideOUT, Youth Wellbeing Study (2019).
Tell us about your pronouns – Gender Minorities Aotearoa, RainbowYOUTH, InsideOUT, Youth Wellbeing Study, Gloria Fraser (2019).
Binding Safely Poster – Gender Minorities Aotearoa (2017).

Puberty Blockers, Hormone Replacement Therapy, and Informed Consent

Getting Started.
Health Pathways – Gender Minorities Aotearoa (2018).
Transgender NZ: Hormone Replacement Therapy 101 – Gender Minorities Aotearoa (2017).
Guidelines for Gender Affirming Healthcare in Aotearoa NZ – Jeannie Oliphant, Jaimie Veale, Joe Macdonald, Richard Carroll, Rachel Johnson, Mo Harte, Cathy Stephenson, Jemima Bullock, David Cole, Patrick Manning (2018).

Informed Consent.
Informed Consent in the Medical Care of Transgender and Gender-Nonconforming Patients – Timothy Cavanaugh, MD, Ruben Hopwood, MDiv, PhD, and Cei Lambert, MFA (2016).
Informed Consent in Trans Health Care – Indiana Transgender Network.
Stepping Forward – Informed Consent Clinics (USA) (PDF).
Informed Consent for Access to Trans Health – ICATH.
Informed Consent in Decision-Making in Pediatric Practice (PDF).

Consent Forms.
NZ Consent form for Masculinising Hormones (PDF).
NZ Consent form for Feminising Hormones (PDF).
NZ Consent form for Blocking Male Hormones (PDF).
NZ Consent form for Blocking Female Hormones (PDF).
Consent Form For Starting Masculinising Hormone Therapy – Northern Region Transgender Health Services.
Consent Form For Starting Feminising Hormone Therapy Northern Region Transgender Health Services (PDF).
MTF Informed Consent Form for HRT (PDF).

Doses and Methods of Administration.
Which Hormones are Subsidised? – Pharmac Schedule.
Safe Estrogen Levels – Gender Minorities Aotearoa (2021).
Maintenance Hormone Doses – Feminising – Professional Association for Transgender Health (PATHA) (2020).
Maintenece Hormone Doses – Masculinising – Professional Association for Transgender Health (PATHA) (2020).
Subcutaneous Testosterone Injections – Gender Minorities Aotearoa (2020).
Intramuscular Testosterone Injections – Gender Minorities Aotearoa (2020).
Sustanon Injections Guide – Hauora Taahine.
Progesterone Is Important for Transgender Women’s Therapy—Applying Evidence for the Benefits of Progesterone in Cis women (PDF).

Reproductive Options and Fertility Preservation.
Reproductive Options for Trans People (PDF).
Fertility information for those starting Oestrogen (PDF).
Fertility Preservation in Auckland Region – Hauora Taahine.

Initiating Hormone Therapy.
Guidelines for Gender Affirming Healthcare for Gender Diverse and Transgender Children, Young People and Adults in Aotearoa, New Zealand – Jeannie Oliphant, Jaimie Veale, Joe Macdonald, Richard Carroll, Rachel Johnson, Mo Harte, Cathy Stephenson, Jemima Bullock, David Cole, Patrick Manning (2018).
Initiating Hormone Therapy: guidelines for Healthcare Providers Madeline B. Deutsch, University of California, San Diego (UCSF).
Experts issue recommendations to provide gender-affirmation treatment for transgender individuals – Endocrine Society (2017).

Other Hormone Therapy Related Information.
What Transgender Health Promoters Want You To Know – presentation, Gender Minorities Aotearoa (2019).
A Third Opinion: transgender, takatāpui, and intersex health care tips for providers – Gender Minorities Aotearoa (2016).
Pharmac Seminars on Diversity: Trans 101, and Gender Diversity (Video).
1. Trans 101 by Gender Minorities Aotearoa (Video, 13 min).
2a. Gender diversity by Dr Jeannie Oliphant Part 1 (Video, 26 min).
2b. Gender diversity by Dr Jeannie Oliphant part 2 (Video, 30 min).
Weight and Health (PDF).
Cross-Sex Hormone Treatment and Psychobiological Changes in Transsexual Persons: Two-Year Follow-Up Data The Journal of Clinical Endocrinology & Metabolism.
PATHA joins WPATH, EPATH, USPATH, AsiaPATH, CPATH, and AusPATH, to respond to the harmful Bell v. Tavistock Judgment in the UK – World Professional Association for Transgender Health (WPATH), the European Association for Transgender Health (EPATH), the United States Professional Association for Transgender health (USPATH), the Asian Association for Transgender Health (AsiaPATH), the Canadian Association for Transgender Health (CPATH), the Australian Professional Association for Trans Health (AusPATH), and the
Professional Association for Transgender Health Aotearoa (PATHA) (2020).
Initial Clinical Guidelines for Co-Occurring Autism Spectrum Disorder and Gender Dysphoria or Incongruence in Adolescents – John F. Strang, Haley Meagher, Lauren Kenworthy, Annelou L. C. de Vries, Edgardo Menvielle, Scott Leibowitz, Aron Janssen, Peggy Cohen-Kettenis, Daniel E. Shumer, Laura Edwards-Leeper, Richard R. Pleak, Norman Spack, Dan H. Karasic, Herbert Schreier, Anouk Balleur, Amy Tishelman, Diane Ehrensaft, Leslie Rodnan, Emily S. Kuschner, Francie Mandel, Antonia Caretto, Hal C. Lewis & Laura G. Anthony (2016).
Autistic Transgender People: critical understandings for diagnosis and treatment of Gender Incongruence in Autistic individuals of all ages – Gender Minorities Aotearoa (2021).

Regional Health Pathways

Northern Region Transgender Health Services .
Gender Diverse and Transgender Health Pathways PDF – Auckland Regional Health Pathways
Sex and Gender Diverse People Referral Process to Endocrinology Services – Wellington, Hutt Valley, and Wairarapa (PDF).
Pathways to Transgender Healthcare Services (Auckland District Health Board) – Hauora Tāhine.
Gender Diverse and Transgender Health Pathways (PDF) Auckland Regional HealthPathways.

Frameworks and Recommendations

Health Pathways Recommendations – Gender Minorities Aotearoa (2018).
Briefing to the Incoming Minister of Health 2020 – Professional Association for Transgender Health (PATHA) (2021).
Counting Ourselves (2019) [ The National Transgender Health Report Aotearoa New Zealand] – Veale J, Byrne J, Tan K, Guy S, Yee A, Nopera T, & Bentham R (2019).
Guidelines for Gender Affirming Healthcare in Aotearoa NZ – Jeannie Oliphant, Jaimie Veale, Joe Macdonald, Richard Carroll, Rachel Johnson, Mo Harte, Cathy Stephenson, Jemima Bullock, David Cole, Patrick Manning (2018).
Guidelines for the Primary and Gender-Affirming Care of Transgender and Gender Nonbinary People – Madeline B. Deutsch, MD, MPH, UCSF Transgender Care (2016).
Initial Clinical Guidelines for Co-Occurring Autism Spectrum Disorder and Gender Dysphoria or Incongruence in Adolescents – John F. Strang, Haley Meagher, Lauren Kenworthy, Annelou L. C. de Vries, Edgardo Menvielle, Scott Leibowitz, Aron Janssen, Peggy Cohen-Kettenis, Daniel E. Shumer, Laura Edwards-Leeper, Richard R. Pleak, Norman Spack, Dan H. Karasic, Herbert Schreier, Anouk Balleur, Amy Tishelman, Diane Ehrensaft, Leslie Rodnan, Emily S. Kuschner, Francie Mandel, Antonia Caretto, Hal C. Lewis & Laura G. Anthony (2016).
Standards of Care – World Professional Association for Transgender Health (link)
Callen Lorde.
Blueprint for the provision of comprehensive care for trans people and trans communities in Asia and The Pacific (PDF) – Health Policy Project, Asia Pacific Transgender Network, United Nations Development Programme (2015).
Standards of Care – World Professional Association for Transgender Healthcare (WPATH).
Guidelines to Human Rights Based Trans-specific Healthcare (2019) – TGEU Transgender Europe.
Creating a safe and welcoming clinic environment – Madeline B. Deutsch, MD, MPH, UCSF Transgender Care (2016).
U.S. Transgender Survey Report (27,000 participants) (2015) (PDF).

Mental Health

Supporting Aotearoa’s Rainbow People; a practice guide for mental health professionals – Gloria Fraser, Gender Minorities Aotearoa, InsideOUT, RainbowYOUTH, Youth Wellbeing Study (2019).
‘It’s how the world around you treats you for being trans’: mental health and wellbeing of transgender people in Aotearoa New Zealand – Kyle K. H. Tan, Johanna M. Schmidt, Sonja J. Ellis, Jaimie F. Veale & Jack L. Byrne (2021).
Enacted stigma experiences and protective factors are strongly associated with mental health outcomes of transgender people in Aotearoa/New Zealand – Kyle K. H. Tan, Gareth J. Treharne, Sonja J. Ellis, Johanna M. Schmidt & Jaimie F. Veale (2020).
Gender Minority Stress: A Critical Review – Kyle K. H. Tan, Gareth J. Treharne, Sonja J. Ellis, Johanna M. Schmidt & Jaimie F. Veale (2020) .
OutLoud_Aotearoa Report: Community Experiences of Mental Health and Addictions Services: – RainbowYOUTH, We Are Beneficiaries (2018).
All of Us: Minority Identities and Inclusion in Aotearoa New Zealand – Stace Robertson (2018).
Let’s Talk: a resource guide for parents – OUTline.
Trans Pathways Report: The Mental Health Experiences and Care Pathways of Trans Young People – Strauss, P., Cook, A., Winter, S., Watson, V., Wright Toussaint, D., Lin, A. (2017)
Trans Pathways Report Summary (PDF) Strauss, P., Cook, A., Winter, S., Watson, V., Wright Toussaint, D., Lin, A. (2017).
Miscellaneous – A collection of resources about rainbow mental health.
Navigating double marginalisation: migrant Chinese sexual and gender minority young people’s views on mental health challenges and supports (Link to PDF).
Working Theraputically with LGBTI Clients: a practice wisdom resource (PDF) – National LGBTI Health Alliance (2014).
Mental health considerations with transgender and gender nonconforming clients University of California, San Diego (UCSF).
Recommendations for Promoting the Health and Well-Being of Lesbian, Gay, Bisexual, and Transgender Adolescents (PDF) Society for Adolescent Health and Medicine (2013).
Guidelines for Psychological Practice With Transgender and Gender Nonconforming People (PDF) American Psychological Association (APA).

Genital Reconstruction surgeries and other gender affirming surgeries

Referral for Genital Reconstruction Surgeries in NZ – Gender Minorities Aotearoa.
Surgical techniques – Gender Minorities Aotearoa.
Updates from the Gender affirming (genital) surgery service Ministry of Health (2020).
Surgeon’s presentation from the National Transgender Health Symposium – Dr Rita Yang (2019).
7 Tips for Parents of Intersex Children.
Health care for transgender New Zealanders – Ministry of Health.
Surgery MtF (PDF).
Surgery FtM (PDF).
Recommendations Regarding Access to Gender Confirming Surgeries in Ontario
Hysterectomy University of California, San Diego (UCSF).
Phalloplasty and metaoidioplasty – overview and post-operative considerations University of California, San Diego (UCSF).
Vaginoplasty procedures, complications and aftercare University of California, San Diego (UCSF).

HIV and transgender people

Implementing comprehensive HIV/STI programmes with sex workers: practical approaches from collaborative interventions World Health Organisation (WHO).
UNAIDS Action Framework: Universal Access for MSM and Transgender People 2009, United Nation Development Programme (UNDP).
Implementing comprehensive HIV and STI programmes with Transgender people UNAIDS.

Sexual health, pregnancy

Brazen: Trans Women’s Safer Sex Guide (PDF).
Midwives Tip Sheet for Working With Trans Clients (PDF).

Other

Autistic Trans People – Gender Minorities Aotearoa (2021).
Detransition or Retranstion Support – Gender Minorities Aotearoa (2021).
Binders: Effective Breathing and Exercises – Gender Minorities Aotearoa, PhysioSpot (2018).
Trans 101: Glossary of Trans words and how to use them Gender Minorities Aotearoa.
Specialist services for management of individuals identifying as transgender in New Zealand John Delahunt et al (2016) (PDF).
Acknowledging Gender and Sex: 101 course for healthcare providers University of California, San Diego (UCSF).
Petition 2011/107 of Thomas Hamilton and 435 others: Report of the Health Committee (PDF) NZ House of Representatives.
Transgender voice and communication – Vocal Health and Considerations University of California, San Diego (UCSF).