transgender vriendelijk arts Rotterdam

[Daniela]

Thanks for all the replies, só, according to the replies, all i need to start is a nice friendly "huisaarts" that can redirect me to one of those places, wich was in fact the meaning of my question... Do someone knows a doctor that can help me with that issue without looking at me as if i was crazy, without comenting or question me too mutch? I prefer to leave all my answers to the experts and not to a family doctor that can screw up my life even more, expecialy in medical terms.

Thanks to all

[diederique]

Daniela,ik begrijp je vraag, alleen in het overgrote deel van de Nederlandse huisartspraktijken is het zo dat de huisarts na het horen van je verhaal je zal vragen een afspraak te maken met een van de praktijk ondersteuners. Dit zijn medewerkers (sociaal psychiatrisch verpleegkundigen) die samen met jou aan de hand van jouw verhaal nagaan wat de beste insteek is voor jou.
Natuurlijk kan het zijn dat de huisarts je meteen naar de VU doorverwijst, maar in veel gevallen zal hij/zij dit overlaten aan de praktijk ondersteuner.
Het lijkt omslachtig, maar soms is het goed na te gaan met je wat precies je vraag is; of je gevoelens heel concreet zijn of nog weifelend; en hoe ver je eventueel al bent in je transitie, hoe je omgeving daar tegenover staat en dergelijke. Vraagstukken die elkaar niet uitsluiten maar die wel helpen om het hulp aanbod van de huisarts zo goed mogelijk af te stemmen. Het doorverwijzen naar VUmc of PIG kan een deel hiervan zijn.

Overigens, waar je ook naar verwezen wordt, realiseer je dat je overal te maken hebt met (lange) wachttijden en stoffige procedures. Zeker als je de contacten en hormonen door de verzekering betaald wil krijgen.

[Maria_G]

Thanks for all the replies, só, according to the replies, all i need to start is a nice friendly "huisaarts" that can redirect me to one of those places, wich was in fact the meaning of my question... Do someone knows a doctor that can help me with that issue without looking at me as if i was crazy, without comenting or question me too mutch? I prefer to leave all my answers to the experts and not to a family doctor that can screw up my life even more, expecialy in medical terms.

Thanks to all

Everything is a bit weird with medical services in Netherlands so I would like to answer in EU context.

There are STATE controlled medical services and
private medicals services (sometimes it can be used with more expensive private insurance).
Those private services are expensive and not covered with general insurance. I know few private TS specialist in UK for example.

So we are talking about STATE controlled medical services which are free in Sweden and UK, or state insurance based like in Germany, or private insurance based like in NL
But those services are still under state control to be available to all EU citizens (from October.2013).

And here we have general rule in all EU.
A family doctor referral is necessary to get a specialist treatment. There are exclusions, like a patient can refer itself in Scotland. Is it possible to self refer in NL? Not sure.

[NaomiClareNL]

Hello Daniela,

Did you find a transgender friendly huisarts?

If not, if you are already insured your insurance company (probably the afdeling zorgebemiddeling) can give you a list of huisartsen who can take on new patients and you could start by checking the nearest ones. Hopefelly they can also give you an indication if a huisarts is trans friendly.

Any huisarts can prescribe you a bloodtest. In Rotterdam the tests are usually handled by a company named Starlab. You can do the actually bloodletting ( ) either at your huisarts if so equipped or at the various other locations Starlab does this. Most results come back in 2 days.
If a potential huisarts doesn't even want to do this prescribing then you should reevaluate if that huisarts is right for you.

My own 2 huisartsen and their replacement when they are not available here in Rotterdam where nice enough to inject the testosterone blocker I was prescribed by VUmc but they did NOT prescribe estrogen in a case of emergency. They simple refused because they are scared because my HRT has been so utterly bad and they don't want to be held responsible if things go so wrong I end up dead. BTW, that is a state I'm no longer afraid of, just the dieing.

As for psychological help, you can go to Transvisie (at Humanitas) for the pure gender related stuff, not much else. Or you can go to PsyQ in Rotterdam, afdeling seksuologie. Both branches in Rotterdam, Zuidplein & Kralingen have the same staff and they have a lot of experience dealing with transgender people. Can recommend them and Transvisie.

As for self medication. That's up to you. It is no more dangerous than blindly trusting the endocrinologists at VUmc. You ALWAYS have to inform yourself of ALL the things related to HRT. When things go wrong you can't trust the socalled experts, they will let you fend for yourself. It's very difficult to think clearly and come up with a workable plan when you have no testosteron and almost no estrogen due to the latter crashing. I know from experience...

Greetings from Rotterdam
Naomi

[Anon20180501]

..that is a state I'm no longer afraid of..

Doet me goed Naomi...