{"id":32,"date":"2023-01-30T15:03:55","date_gmt":"2023-01-30T02:03:55","guid":{"rendered":"https:\/\/blogs.otago.ac.nz\/rainbow\/?page_id=32"},"modified":"2026-05-11T10:16:09","modified_gmt":"2026-05-10T22:16:09","slug":"primary-care-gaht-guidelines","status":"publish","type":"page","link":"https:\/\/blogs.otago.ac.nz\/rainbow\/","title":{"rendered":"Primary Care Gender Affirming Hormone Therapy (GAHT) Initiation Guidelines"},"content":{"rendered":"<h2>Primary Care Gender Affirming Hormone Therapy Initiation Guidelines<\/h2>\n<p>Released in March 2023 to support primary care clinicians to initiate gender affirming hormone therapy (GAHT) for adults in a primary care setting.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-89 size-medium\" src=\"https:\/\/blogs.otago.ac.nz\/rainbow\/files\/2023\/03\/gaht-guideline-cover-1-216x300.jpg\" alt=\"\" width=\"216\" height=\"300\" srcset=\"https:\/\/blogs.otago.ac.nz\/rainbow\/files\/2023\/03\/gaht-guideline-cover-1-216x300.jpg 216w, https:\/\/blogs.otago.ac.nz\/rainbow\/files\/2023\/03\/gaht-guideline-cover-1-738x1024.jpg 738w, https:\/\/blogs.otago.ac.nz\/rainbow\/files\/2023\/03\/gaht-guideline-cover-1-768x1066.jpg 768w, https:\/\/blogs.otago.ac.nz\/rainbow\/files\/2023\/03\/gaht-guideline-cover-1-1106x1536.jpg 1106w, https:\/\/blogs.otago.ac.nz\/rainbow\/files\/2023\/03\/gaht-guideline-cover-1.jpg 1125w\" sizes=\"auto, (max-width: 216px) 100vw, 216px\" \/><\/p>\n<h3><strong>Download the guidelines here (latest version 29\/3\/23)<\/strong><\/h3>\n<p><a href=\"https:\/\/blogs.otago.ac.nz\/rainbow\/files\/2023\/03\/Primary-Care-GAHT-Guidelines_Web_29-Mar.pdf\">Primary Care GAHT Guidelines_Web_29 Mar<\/a><\/p>\n<p><span style=\"color: #333333;font-style: normal\">Endorsed by RNZCGP: The Royal New Zealand College of General Practitioners<\/span><\/p>\n<p><span style=\"color: #333333;font-style: normal;font-weight: 300\"><a href=\"https:\/\/blogs.otago.ac.nz\/rainbow\/files\/2023\/03\/RNZCGP_Endorsed_GUIDANCE_logo_Exp-30-Apr-2026.png\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-62 alignnone\" src=\"https:\/\/blogs.otago.ac.nz\/rainbow\/files\/2023\/03\/RNZCGP_Endorsed_GUIDANCE_logo_Exp-30-Apr-2026.png\" alt=\"\" width=\"93\" height=\"93\" srcset=\"https:\/\/blogs.otago.ac.nz\/rainbow\/files\/2023\/03\/RNZCGP_Endorsed_GUIDANCE_logo_Exp-30-Apr-2026.png 225w, https:\/\/blogs.otago.ac.nz\/rainbow\/files\/2023\/03\/RNZCGP_Endorsed_GUIDANCE_logo_Exp-30-Apr-2026-150x150.png 150w\" sizes=\"auto, (max-width: 93px) 100vw, 93px\" \/><\/a><\/span><\/p>\n<h4><strong>Individual documents from the guideline\u00a0<\/strong><\/h4>\n<p>Patient information sheets:<\/p>\n<p><a href=\"https:\/\/blogs.otago.ac.nz\/rainbow\/files\/2023\/03\/Primary-Care-GAHT-Guidelines_Patient-information-sheet_Oestrogen.pdf\">Primary Care GAHT Guidelines_Patient information sheet_Oestrogen<\/a><\/p>\n<p><a href=\"https:\/\/blogs.otago.ac.nz\/rainbow\/files\/2023\/03\/Primary-Care-GAHT-Guidelines_Patient-information-sheet_Testosterone.pdf\">Primary Care <\/a><a style=\"font-weight: 300\" href=\"https:\/\/blogs.otago.ac.nz\/rainbow\/files\/2023\/03\/Primary-Care-GAHT-Guidelines_Patient-information-sheet_Testosterone.pdf\">GAHT Guidelines_Patient information sheet_Testosterone<\/a><\/p>\n<p>Injection guidance for health professionals:<\/p>\n<p><a style=\"font-weight: 300\" href=\"https:\/\/blogs.otago.ac.nz\/rainbow\/files\/2023\/03\/Primary-Care-GAHT-Guidelines_Testosterone-Administration.pdf\">Primary Care GAHT <\/a><a style=\"font-weight: 300\" href=\"https:\/\/blogs.otago.ac.nz\/rainbow\/files\/2023\/03\/Primary-Care-GAHT-Guidelines_Testosterone-Administration.pdf\">Guidelines_Testosterone Administration<\/a><\/p>\n<h2><strong>Updated guidelines for gender affirming healthcare in Aotearoa 2025<\/strong><\/h2>\n<p>National guidelines for gender affirming care in Aotearoa can be found here:<\/p>\n<p><a href=\"https:\/\/patha.nz\/resources-and-training\/clinical-guidelines\">https:\/\/patha.nz\/resources-and-training\/clinical-guidelines<\/a><\/p>\n<h2><strong>Trans health peer support for GPs and NPs in Aotearoa:<\/strong><\/h2>\n<ul>\n<li>Gender affirming care advice &amp; support for prescribers &#8211; please email<strong> gaht@qtopia.org.nz<\/strong>. This <span data-olk-copy-source=\"MessageBody\"> email is managed by GP specialists in gender affirming healthcare.<\/span><\/li>\n<li>Trans health GP and NP peer group (meets on zoom) &#8211; email gaht@qtopia.org.nz to join<\/li>\n<li>GAHT prescriber training details here: <a href=\"https:\/\/primarycare.qtopia.org.nz\/\">https:\/\/primarycare.qtopia.org.nz\/<\/a><\/li>\n<li>Join the <a href=\"https:\/\/patha.nz\/\">Professional Association for Transgender Health Aotearoa (PATHA)<\/a><\/li>\n<\/ul>\n<h4><\/h4>\n<h4><strong>The following information sheets have been made to support healthcare professionals but are not part of the above guidelines:<\/strong><\/h4>\n<p>A summary of the evidence and risks of using progesterone as part of E-GAHT &#8211; written for patients but shared here for clinicians to use if useful:<\/p>\n<p><a href=\"\/Users\/carro30p\/OneDrive%20-%20University%20of%20Otago\/Rona\/VUW\/Progesterone%20patient%20info%20sheet%20(e-gaht)%20with%20refs.pdf\">Progesterone patient info sheet for people taking E-GAHT <\/a><\/p>\n<p>The primary care guidelines do not include oestrogen or testosterone gel as these were funded after the guidelines were developed. Information about prescribing these can be found here:<\/p>\n<p><a href=\"https:\/\/patha.nz\/resources-and-training\/clinical-guidelines\">https:\/\/patha.nz\/resources-and-training\/clinical-guidelines<\/a><\/p>\n<p><a href=\"https:\/\/healthify.nz\/medicines-a-z\/o\/oestrogen-gender-affirming-hormone-therapy\">https:\/\/healthify.nz\/medicines-a-z\/o\/oestrogen-gender-affirming-hormone-therapy<\/a><\/p>\n<p><a href=\"https:\/\/healthify.nz\/medicines-a-z\/t\/testosterone-gender-affirming-hormone-therapy\">https:\/\/healthify.nz\/medicines-a-z\/t\/testosterone-gender-affirming-hormone-therapy<\/a><\/p>\n<h3><\/h3>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Primary Care Gender Affirming Hormone Therapy Initiation Guidelines Released in March 2023 to support primary care clinicians to initiate gender affirming hormone therapy (GAHT) for adults in a primary care setting. Download the guidelines here (latest version 29\/3\/23) Primary Care [&hellip;]<\/p>\n","protected":false},"author":44179,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-32","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/blogs.otago.ac.nz\/rainbow\/wp-json\/wp\/v2\/pages\/32","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.otago.ac.nz\/rainbow\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/blogs.otago.ac.nz\/rainbow\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.otago.ac.nz\/rainbow\/wp-json\/wp\/v2\/users\/44179"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.otago.ac.nz\/rainbow\/wp-json\/wp\/v2\/comments?post=32"}],"version-history":[{"count":0,"href":"https:\/\/blogs.otago.ac.nz\/rainbow\/wp-json\/wp\/v2\/pages\/32\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.otago.ac.nz\/rainbow\/wp-json\/wp\/v2\/media?parent=32"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}