"People forget that trans people are people, and people get sick," said Powers, 31. "Not every visit involves hormones. Trans people come in with sinus infections. They have high blood pressure. Trans women die of breast cancer because they take high levels of estrogen their whole lives and no one ever gives them a mammogram or a DEXA scan, a bone density test. Trans men get cervical cancer. Doctors assume trans men are lesbians and are only sexually active with females, so they don't do any usual testing they would do for a heterosexual female. That is not the case. They need pap smears. As long as they have the organ, they still need to have the test."According to the article, Powers operates on a sliding fee scale for patients with no insurance and the office also employs a nurse who helps get them set up with Medicaid, if possible.
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