Gender-Affirming Hormone Therapy (GAHT)
At Pace Pharmacy, we’re committed to providing comprehensive, personalized gender-affirming hormone therapy services to support your transition journey. Our experienced team of pharmacists works closely with healthcare providers across Canada to deliver custom compounded hormone preparations that meet your unique needs.
What is Gender-Affirming Hormone Therapy?
Gender-affirming hormone therapy (GAHT) is a medical treatment that helps align your physical characteristics with your gender identity. This therapeutic approach involves using hormones to promote changes in your body that better reflect who you are. Whether you’re seeking feminizing or masculinizing effects, GAHT can be a crucial part of your transition journey.
How Does Gender-Affirming Hormone Therapy Work?
GAHT works by introducing specific hormones into your body to create physical changes that align with your gender identity. The process is gradual and varies for each person, with changes occurring over months and years. Our pharmacists work closely with your healthcare provider to monitor your progress and adjust your hormone therapy as needed.

For feminizing therapy, this may include:
- Estrogen therapy to promote breast development and softer skin
- Anti-androgens to reduce testosterone effects
- Progesterone for additional feminizing effects
For masculinizing therapy, this may include:
- Testosterone therapy to deepen voice, increase muscle mass and facial and body hair growth
- Various delivery methods to suit your preferences and needs
Gender-Affirming Hormone Therapy for Transitioning
Every transition journey is unique, and we understand that your needs may change over time. Our compounding expertise allows us to:
- Adjust hormone concentrations to match your specific requirements
- Offer multiple delivery methods including injections, gels, patches, and tablets
- Create custom formulations free from allergens or unwanted ingredients
- Provide consistent, reliable access to your prescribed medications
Gender-Affirming Hormone Therapy Options at Pace Pharmacy
Feminizing Medications:
- Estradiol valerate injections
- Estrogen patches
- Oral estrogen tablets
- Oral Progesterone capsules
- Progesterone suppositories
- Anti-androgen medications
- Spironolactone tablets
- Cyproterone tablets
Masculinizing Medications:
- Testosterone injections in various concentrations
- Custom-compounded testosterone gels and cream
- Alternative delivery methods based on your preferences
Supporting Transgender & Nonbinary Identities
At Pace Pharmacy, we recognize and celebrate the diversity of gender identities. Our approach to care is:
- Inclusive and affirming of all gender expressions
- Focused on your individual goals and needs
- Supported by ongoing consultation and adjustment
- Backed by our team’s extensive experience in GAHT
Gender-Affirming Hormone Therapy for Transgender Youth
We understand the unique needs of transgender youth and their families. Our team works closely with healthcare providers to ensure:
- Age-appropriate care and dosing
- Regular monitoring and adjustment of therapy
- Support for families and caregivers
- Clear communication about treatment options and expectations
Access Personalized GAHT with Pace Compounding Solutions
Our compounding services offer several advantages:
- Customized hormone formulations to match your specific needs
- Multiple delivery methods to suit your preferences
- Allergen-free options when needed
- Consistent availability of medications
- Canada-wide shipping
- Direct communication with your healthcare team

Frequently Asked Questions
What are the benefits and considerations of GAHT?
Understanding the benefits and considerations of GAHT can help you make informed decisions about your care.
Benefits may include:
- Physical changes that align with your gender identity
- Improved mental well-being and reduced gender dysphoria
- Better quality of life and self-expression
- Reversible effects for some changes if therapy is discontinued
Considerations to discuss with your healthcare provider:
- Some changes may be permanent
- Regular medical monitoring is required
- Fertility impacts should be discussed before starting therapy
- Time and patience needed as changes occur gradually
- Cost and insurance coverage considerations
What should I know about discontinuing or adjusting hormone therapy?
If you need to adjust or discontinue hormone therapy, it’s important to work closely with your healthcare provider. Changes to hormone levels should be monitored and managed carefully to ensure your well-being. Some effects of GAHT may be permanent, while others may be reversible. Our pharmacy team can support you through any adjustments to your hormone therapy plan.
Is there a difference between GAHT and HRT?
While both terms refer to hormone therapy, GAHT specifically focuses on gender affirmation. The term GAHT is preferred as it better reflects the purpose of the therapy and is more inclusive of diverse gender identities.
How long does it take for hormones to start working for transgender individuals?
Changes begin within the first few months of therapy, with some effects becoming noticeable within a month. Complete development typically occurs over 2-5 years, varying by individual and specific hormones used.
How do I start gender-affirming hormone therapy in Canada?
Start by consulting with a healthcare provider who can assess your needs and provide a prescription. Once you have a prescription, our team can work with you to create a customized hormone therapy plan.
Does OHIP cover hormone replacement therapy in Ontario?
OHIP covers many prescription medications, including some hormone therapies, through the Ontario Drug Benefit program. Our team can help you understand coverage options and find cost-effective solutions.
What hormones are used in GAHT?
The specific hormones used depend on your transition goals. Common medications include estrogen, testosterone, anti-androgens, and progesterone, all of which we can compound in various forms.
Are there risks or side effects of hormone therapy?
Like any medical treatment, GAHT carries some risks and potential side effects. Your healthcare provider will discuss these with you, and our pharmacists can provide detailed information about managing side effects.
Why choose a compounding pharmacy for gender-affirming hormone therapy?
Compounding pharmacies can create customized hormone preparations that aren’t available commercially, allowing for personalized dosing, preferred delivery methods, and allergen-free formulations.
What are the benefits of custom compounded hormones?
Custom compounding allows for:
- Precise dosage adjustments
- Alternative delivery methods
- Allergen-free formulations
- Combinations of hormones in single preparations
- Consistent medication access
Contact us today to learn more about our gender-affirming hormone therapy services or to discuss your specific needs with our experienced pharmacy team.
