TRANS RESOURCES
In recognition of the diverse needs and experiences within the transgender community, this section of the handbook is dedicated to providing comprehensive information on specialized care tailored specifically for trans individuals. From gender-affirming treatments and procedures to mental health support, this guide aims to empower and equip transgender individuals with the knowledge they need to advocate for themselves and access the compassionate, affirming care they deserve. By highlighting the importance of specialized care, we strive to foster a healthcare landscape that respects and celebrates the identities of transgender individuals, ultimately promoting their overall well-being and enhancing their quality of life.
Getting Informed
When embarking on the journey of self-discovery and self-expression as a transgender individual, having access to reliable and inclusive sources of information is crucial. In this section of the handbook, we aim to empower transgender individuals with a diverse array of sources where they can ask questions, seek guidance, and find the support they need.
Organizations and How to Reach Them
These organizations serve as invaluable resources for transgender individuals, offering support, information, and guidance on various aspects of their gender journey. Reach out to them through their respective websites to access their services and connect with a community that understands and supports your unique experiences.
Usual Trajectories
YOU
ARE
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Psychiatric Counseling and Gender Dysphoria Diagnosis
In the Netherlands, the usual trajectory for trans individuals seeking to affirm their gender identity starts with psychiatric counseling and a gender dysphoria diagnosis. This step involves working with a mental health professional who specializes in gender issues. Through a series of sessions, the counsellor assesses and supports individuals in exploring their gender identity, providing a safe space for self-reflection and understanding.
Unfortunately, mental health care (GGZ) and transgender health care in the Netherlands are struggling with capacity and budgeting issues. So, beware that it’s a long process: waiting lists can vary from 1 to 4 years.
Endocrinology
After receiving a gender dysphoria diagnosis, individuals may be referred to an endocrinologist. Endocrinology plays a crucial role in the medical transition process for many trans individuals. With the guidance of an endocrinologist, hormone replacement therapy (HRT) can be initiated. HRT involves the administration of hormone medications, such as testosterone for transmasculine individuals or estrogen and anti-androgens for transfeminine individuals, to help align their physical characteristics with their affirmed gender identity. Regular check-ups and monitoring of hormone levels are essential to ensure the well-being and safety of individuals undergoing HRT.
Seeking Support and Resources for DIY Hormones
In some cases, the long waiting lists for gender-affirming care can lead individuals to consider self-administering hormone replacement therapy (HRT) on their own. While this is not recommended, we understand the reasons behind such decisions. It is important to note that starting HRT independently does not impact your future treatment by a gender team. Therefore, there's no need to keep it a secret when your turn for official care comes. However, it is crucial to inform your general practitioner (GP) about your DIY hormone usage.
Additionally, seeking guidance and support from experienced individuals who have gone through this process can be immensely helpful. There are support groups available in Amsterdam and The Hague that specifically focus on DIY hormones.
Furthermore, organizations like the Trans Radical Resource Exchange (@trrex_denhaag) in The Hague or online communities such as the "TransDIY Discord" can provide valuable assistance. These sources offer a platform to connect with others and access knowledge about hormone therapy, medication, blood testing, and safe binding. Remember, you don't have to navigate this journey alone—reaching out for support and guidance is crucial for your well-being and safety.
Surgery
For some individuals, gender-affirming surgeries are an important step in their transition. In the Netherlands, access to gender-affirming surgeries is facilitated through specialized gender clinics. These clinics collaborate with multidisciplinary teams, including surgeons, psychologists, and endocrinologists, to provide comprehensive care. The surgical procedures offered may include chest reconstruction (top surgery), genital reconstruction (bottom surgery), and various other procedures tailored to individual needs. The decision to pursue surgery is a personal one, and it is important for individuals to receive adequate information, support, and guidance throughout the process.
Nonbinary/Unorthodox Transitioning Care
Recognizing the diversity of gender identities and experiences, the Netherlands also offers transitioning care for nonbinary individuals or those who seek unorthodox paths. The approach for nonbinary individuals is highly individualized, focusing on understanding their unique needs and goals. The care may involve hormone therapy, social transition support, and counseling tailored to their specific situation. Gender clinics and healthcare professionals work closely with nonbinary individuals to provide affirming and respectful care, supporting their journey towards self-discovery and self-expression.
It is important to note that the trajectories described here are general outlines, and the experiences and preferences of individuals may vary. The healthcare system in the Netherlands is committed to providing comprehensive and individualized care, ensuring that trans individuals have access to the support, resources, and medical interventions they need to live authentically and comfortably in their affirmed gender identities. It is recommended to seek guidance from healthcare professionals specializing in transgender healthcare to navigate these trajectories and make informed decisions regarding transitioning care.
Practicalities
Finding Trans-friendly GP: Queer Leiden University Initiative
QLU is excited to introduce an initiative connecting individuals with trans-friendly mental health practitioners and GPs across the Netherlands. Our online platform is a hub for firsthand recommendations, ensuring everyone finds a mental healthcare professional who respects and understands their unique needs. Share your experiences to create change. Help us bridge the gap by contributing recommendations based on direct experiences with trans-friendly practitioners. Access our comprehensive online list linked on the left-hand side. Engage with us and join our empowering events throughout the year, connecting our community and promoting inclusive healthcare. Together, let's shape a more inclusive future.
Transfer of Medical Files and Validity of Previous Diagnoses in the Netherlands
Transferring medical files and the validity of previous diagnoses made abroad is an important consideration for individuals who have started their transition journey outside of the Netherlands. While the process can vary depending on individual circumstances, the Dutch healthcare system generally recognizes and respects previous diagnoses and treatments.
If someone has already been diagnosed with gender dysphoria and initiated hormone replacement therapy (HRT) in another country, they may be able to continue their transition journey in the Netherlands without starting from scratch. However, it is crucial to have their medical records and documentation transferred to Dutch healthcare providers.
To initiate this process, individuals should consult with a Dutch general practitioner (GP) who specializes in transgender healthcare. They can provide guidance on the necessary steps to transfer medical files and ensure the continuity of care. The GP may request relevant documentation, such as medical records, diagnostic reports, and treatment history, to assess the individual's needs and determine the appropriate course of action.
In some cases, the GP may prescribe HRT based on the prescription from the individual's previous healthcare provider abroad. This prescription may need to be reviewed and validated by the GP, taking into account local guidelines and regulations. It is important to note that the availability and coverage of HRT medications may vary, and individuals may need to consult with their healthcare provider and insurance company to determine the specific details regarding costs and coverage.
In instances where individuals encounter challenges in obtaining their prescribed medication from a Dutch pharmacy, seeking alternative options, such as pharmacies that may be more accommodating, can be beneficial. For example, in the case mentioned, the pharmacy in Plein was willing to provide the prescribed Testosterone, albeit with out-of-pocket payment. However, with a prescription from a Dutch GP, it may be possible for the medication to be covered by insurance.
Navigating the transfer of medical files and the continuation of a transition journey in the Netherlands requires collaboration between the individual, Dutch healthcare providers, and relevant stakeholders. By working closely with healthcare professionals who specialize in transgender care, individuals can ensure a smoother transition process, build upon previous diagnoses and treatments, and receive the appropriate support and medical interventions within the Dutch healthcare system.
Recommended Gender Clinics
Check-in Gender Zorg
Lange Lakenstraat 19, 2011ZB Haarlem
Gender Clinic
088 8910019
Biltseweg 14,
3735 ME Bosch en Duin
Medische kliniek Velsen/ GynDoc
0850600855
Leeghwaterweg 1B,
1951NA Velsen-Noord
GenderHealthClinic
+31 (0) 20 2442 020
+31 (0) 20 2442 020
Kaap Hoorndreef 36,
3563 AT, Utrecht
Amsterdam UMC, Gender Dysphoria
@genderteam_amsterdamumc
Boelelaan 1117,
1081 HV, Amsterdam
Radboudumc Expertisecentrum, Geslacht & Gender
To contact go on the website and fill in the Contact Form
@radboudumc
Zaans Medisch Centrum, Transgender Zorg ZMC
075 650 29 11
Koningin Julianaplein 58,
1502 DV Zaandam
PsyTrans - Genderdysforie
06 3030 2885
Het Rietveld 55a,
7321 CT Apeldoorn
Friesestraatweg 24-2,
9718 NJ Groningen
Miereveldstraat 72,
817 RP Amersfoort
Oog Psychologen - Gender
Bogert 10, 2e etage,
5612 LZ Eindhoven
(040 – 213 64 61)
Bogert 10, 2e etage,
5612 LZ Eindhoven
(040 – 213 64 61)
Trans Communities
@papaya_kuir
@papaya_kuir is a Amsterdam-based lesbotransfeminist collective for & by the queer latinx refugee/migrant community in NL: https://linktr.ee/PapayaKuir
@losanglescollective
@losanglescollective is an Amsterdam-based collective dedicated to showcasing and nurturing trans talent.
@transzorgnu
https://linktr.ee/transzorg find lists of trans-friendly GPs as well as events to meet other trans people near you
@trrex_denhaag
@trrex_denhaag is a Nonprofit organization - Trans Radical Resource Exchange, location Den Haag
Support Groups
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Gender Cafè - The Hague: Every 2nd Saturday of the month from 19:00 Lisa, Boris, Roy and Dewi organize the Gendercafé
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Transgender Netwerk Nederland: Foundation that is nationally committed to the emancipation of transgender people and their environment. For more information visit: https://transgendernetwerk.n
Trans and Non-Binary Peer Support Group: Join our inclusive support group organized by QLU, designed specifically for trans and non-binary students in The Netherlands. Our group aims to foster a supportive community where individuals can connect, share experiences, and receive the understanding they deserve. Led by certified safe space facilitators, we provide a welcoming environment for open discussions. Whether you need advice, further support, or care, our knowledgeable team is here for you. Attend our bi-monthly meetings and let's build a community that uplifts and empowers one another. For more information follow our instagram page (@queerleidenuniversity) or get in contact with us!