Our Services

Through their own journey towards understanding their gender and starting gender-affirming care, Mark was fortunate to work with affirming and caring professionals, and hopes to provide the same affirming care for folks who trust their care to Sanctuary Family Medicine. The SFM team will meet patients where they are in their journey and will help them through determining their next steps, including medication management and hormone treatment. Sanctuary Family Medicine will be a safe and affirming space for everyone, and will also be able to make a connection to other affirming providers, including counselors and surgeons, when patients need this additional care.

Our vision at Sanctuary Family Medicine is that all folks who seek care with us will find a welcoming and affirming space that values them and their health, in all areas. We will be a medical practice where patients can ask any questions, share any information, and ask for any help to meet their health goals. We will provide pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis, Doxy-PrEP, and testing and treatment for sexually-transmitted infections, when needed. We are excited to work with folks in traditional relationships, non-traditional relationships, polyamorous relationships, and kink practices.

We know that federal policy decisions have greatly limited access for patients and families seeking gender affirming care for patients under 19 years old. This is a disastrous and awful decision that has already hurt many Virginians and will hurt more in the future. Because Sanctuary Family Medicine operates outside of the insurance system, we are not affected by these federal and local health system decisions: we can still provide gender affirming care for young people. Please contact us so that we can be sure that we can meet you and your family's needs!

Dr. Ryan is able to provide many standard behavioral health interventions and medication management for psychiatric conditions as part of their family medicine training. For folks who need care beyond what Sanctuary Family Medicine can offer themselves, they will make connections to trusted colleagues. In the future we hope to include specialized behavioral health services directly in our own office.

Virginia allows physicians' offices to dispense medications to their patients. Sanctuary Family Medicine is excited to offer this additional benefit to our patients. We plan to offer medicines for acute illness, like antibiotics, with the goal to expand our options as we move forward. We plan to provide gender affirming hormones, especially for patients who may have difficulties finding these medicines in a more traditional medical practice. These medicines will be made available at cost, based on what we pay for the medications themselves as well as the labels, medicine bottles, etc.

Sanctuary Family Medicine at this time will offer certain types of contraception, including Depo shots and oral contraceptive medications (birth control pills). In the future, we plan to offer Nexplanon implantable birth control. For patients who need higher levels of care, such as intrauterine devices (IUDs) and abortion care, until we are able to offer these services we will help connect patients to community resources and providers who can meet these needs.