Transgender Care

COVID-19 Updates:
Summer 2020 Updates Telehealth

High-Quality, Affirming and Accessible Care for Trans and Non-Binary Patients

The University Health Center Transgender Care Clinic is a safe space where UNL students, faculty and staff of all genders can receive care and support for their transition.

Our services

  • Initiation and monitoring of transgender hormone replacement therapy (feminizing hormone therapy or masculinizing hormone therapy)
  • Gynecological exams and post-operative care after genital reconstruction
  • Documents required for legal gender marker changes
  • Referrals to institutions that offer gender affirming surgeries
  • Referrals for legal services, fertility services, financial assistance and local health care providers (e.g., urologists for transwomen who want to pursue removal of testes, plastic surgeons for top and bottom surgery, primary care and other specialists needed)

Appointments

Transgender Care Clinic services are available the second Wednesday of each month from 2 to 4:30 p.m. by appointment only. A doctor’s referral is not required. Request an appointment online or call 402-472-5000 to schedule.

Costs

Transgender Care Clinic visits are considered specialty appointments and are not covered by student fees. There are charges for each visit. To determine how much your visit will cost, we recommend contacting your health insurance provider for coverage information. Patients are responsible for any charges not covered by insurance.

Click here to learn more about cost and insurance.

The university student insurance plan offers gender affirmation coverage. For specific questions about coverage, view your plan details. Before beginning the gender affirmation process using the university student insurance plan, call the University Health Center Billing and Insurance office at 402-472-7435.

Before Your First Appointment

When you call to make your appointment, you may be asked to fill out new patient paperwork before your visit.

If you are seeing a mental health provider (therapist or psychiatrist), consider asking this person to forward a letter about your gender history and their assessment of your readiness to start hormone treatment if that is your goal. This can give useful background and save time at your visit. Patients under 19 will need to establish a relationship with a mental health provider before starting gender-related treatments and provide a letter of support. Referral letters and other information may be sent to:

    University of Nebraska-Lincoln
    Nebraska Medicine –University Health Center
    Attn: Dr. Jean Amoura
    550 N 19th St
    Lincoln, NE 68588
    Fax: 402.472.4593

What to Expect at Your First Visit

We follow the World Professional Association for Transgender Health (WPATH) Standards of Care steps for initiating hormone therapy.

Your first visit usually takes an hour. Dr. Amoura will obtain a detailed medical history and will review your gender and transition history. She will explain the risks and benefits of hormones for your transition and discuss the medications that may be appropriate for your treatment. You will also have blood tests drawn. You are welcome to bring in family or others to support you, but please be aware that we will need to ask information about sensitive parts of your medical history, including sexual experiences and practices. If you are under 19, you will be interviewed about this information in private. If you are 19 or older and have friends or family with you, please advise us if you want to be interviewed about these topics in private.

At your second visit, Dr. Amoura will review your lab results and perform a physical exam. This exam will not include a breast/chest exam or pelvic/genital exam unless you request these examinations be performed. She will review the treatment options available to you and will provide you with a detailed consent form to review if hormone therapy is considered appropriate. Once your questions are fully answered and you desire to start treatment, your prescription for hormones will be given during your second visit. For those who will need to receive hormone treatment by injection, they will receive instructions to return to the clinic with their medication and supplies (syringes and needles) for a nurse to teach you how to self-inject the hormones.

Meet the Provider

Doctor Jean Amoura

Jean Amoura, MD, MSc

Dr. Amoura received her medical degree from the University of Nebraska Medical Center and is board certified in Obstetrics and Gynecology. As a specialist in transgender care and hormone therapy, Jean serves both adolescents and adults. She is a member of the World Professional Association for Transgender Health (WPATH). Her full-time practice is at Nebraska Medicine –Specialty Care Clinic in Omaha.

Accreditations and Awards

Nebraska Medicine is proud to be awarded the 2016 Healthcare Equality Index LGBTQ Leader in Healthcare Equality designation and 2017 Top Performer status by being nationally recognized by the Human Rights Campaign, America’s largest civil rights organization working to achieve equality for lesbian, gay, bisexual and transgender (LGBT) Americans.

Additional Resources

Frequently Asked Questions

What is the difference between sex and gender?

Sex is a term used to describe biological characteristics associated with males, females or intersex people. Gender refers to socially constructed roles, behaviors, activities and attributes that a given society considers appropriate for a particular gender.

What is gender identity?

Gender identity is a person’s innermost concept of self as male, female, a blend of both or neither – how individuals perceive themselves and what they call themselves. A person’s gender identity can be the same or different from their sex assigned at birth.

What is gender expression?

Gender expression is the external presentation of one's gender identity, usually expressed through behavior, clothing, haircut or voice, and which may or may not conform to socially defined behaviors and characteristics typically associated with being either masculine or feminine.

What does it mean to be transgender?

Transgender is an umbrella term for people whose gender identity and/or expression is different from cultural expectations based on the sex they were assigned at birth. Being transgender does not imply any specific sexual orientation. Therefore, transgender people may identify as straight, gay, lesbian, bisexual, pansexual, asexual, and so forth.

What does gender transition mean?

Gender transition is the process by which some people strive to more closely align their outward appearance with their internal experience of gender. Some people socially transition, which means they begin dressing, using names and pronouns and/or being socially recognized as another gender. Some people undergo physical transitions in which they modify their bodies through hormone therapy and/or surgery.

I am already receiving hormone therapy from another provider. Can I continue this care at the University Health Center?

Yes. We ask that you have your current provider send the health center a summary of your initial and most recent visits and most recent lab results. You can also bring this documentation with you to your first appointment. If you had a letter of support to begin hormone therapy, it’s not necessary to provide this letter to the health center in order to transition care.

How do I change my name, pronouns, sexual orientation and/or gender identity on University Health Center documentation?

Let the front desk staff, nurse or provider know during your next visit. We will update your health record with this information and use it in all future communications and visits. If you notice that your information is incorrect in our system, let a staff member know.