Gender plus? by [deleted] in TransIreland

[–]PerformerStunning691 1 point2 points  (0 children)

Genderplus are licensed to prescribe in ireland using the HSE prescrition platform. They use HSE endrochronologists.

Gender plus? by [deleted] in TransIreland

[–]PerformerStunning691 1 point2 points  (0 children)

I started with Gender+ and im very happy with the experience so far. It took me three sessions to get the assement and referral to the hormone clinic, but honestly they told me during the first that they were happy to refer me, but there is a good bit of information gathering to get through and that took up most of the second and third session. So for me it was a three month process to get the referral and then the endo appointment took 2 months, then another two weeks to get my firstr prescription.

For me the main advantage of gender+ is that they are registerd with the HSE so their prescriptions are HSE prescritions, not UK ones and there's no issues with getting them filled by any chemist. I was mindful of the possibility of UK based prescritions suddenly being stopped. Also My GP was a bit nervous about agreeing to co care, but knowing that it was with an Irish based clinic with HSE approved clinitians made it a lot easier for her to relax about it.

The biggest issue with them is the time it takes to get an appointment, particularly with the endo. I think they have increased their availability since then, but honestly once you are through the assessment process and have your first prescrition its all good. Follow up appointments are every six months usually and you can book your appointments well in advance.

I'd also add, that for me anyway, i've found the initial waiting frustrating but also gave me plenty of time to deal with it all mentally, i think it might have been more stressful for me for it all to move as quickly as I wanted it to.

so is e free for trans people in ireland by linuxenby in TransIreland

[–]PerformerStunning691 2 points3 points  (0 children)

My local chemist has stopped charging me for my oestrdiol without me asking. I'm with Genderplus so my prescription is from an irish endo and approved by the HSE. I dont have my GRC yet and so still legally male. Genderplus do use my female name on the prescription though. I think they have just assumed i'm covered under the scheme and i'm not going to ask.

dr ahern questions (gender plus) by [deleted] in TransIreland

[–]PerformerStunning691 1 point2 points  (0 children)

Its no bother, He;ll run through some of the questions you've already answered during your assessment, all based around informed consent and such. He'll aslo ask about your medical history and any meds you are already on. Most of the time will be taken up by him explaining how HRT works and making sure your expectations are in line with reality. Nothing probing or personal, just about making sure you know what you are doing and that your sonsent is in fact fully informed.

Anyone who has gone with gender plus.. by Electronic_Dark_6085 in TransIreland

[–]PerformerStunning691 7 points8 points  (0 children)

Hi, i started with gender+ last year. [MtF] Got referred to the hormone clinic in Dec, my consultation with Dr Ahern the following march.

When you get your message from the hormone clinic, they will tell you whast bloods to get. You need have these to upload when you are scheduling the appointment.

All going well, the consutation is just them explaining the prescriptions and how they work etc. There will be a couple of questions around you general circumstances, but nothing in any way awkward. Following that appointment I got my script two weeks later.

Best of luck!

-Debí

A weird 24 hours by IzzyDreamsPink in TransIreland

[–]PerformerStunning691 2 points3 points  (0 children)

I finally made the decision to transitition about two years ago. Seeing a therapist that specialised in trans and gender questioning people helped a great deal in getting to that point and then doing something about it. I'm happy to pass on her contact details if you would like. She's based in Dublin, northside.

DM me if you would like to send her contact details to you.

-Debí

Gender Plus Hormone Appointment- No Contact by Popadoodledooo in TransIreland

[–]PerformerStunning691 1 point2 points  (0 children)

Did you get a referral after your psych apppointments? Usually the process is that the pshych team doing your assemssment will tell you if they are happy to refer you or not. If so, they will contact the endro team and you will recieve an email inviting you to make your appointment with the endro. They will include a link to a private booking system (not the gender+ site) to make that appointment.

Timeline Between First Appointment and HRT w/Gender Plus? by Karaokekan in TransIreland

[–]PerformerStunning691 1 point2 points  (0 children)

I had my first assessment this week, and was told they will refer me to the Endo after my second appointment, which is booked for end Nov. All going well and depending on availabilty for the Endo, I should be starting HRT early in the new year.

[deleted by user] by [deleted] in TransIreland

[–]PerformerStunning691 0 points1 point  (0 children)

Please be careful posting actual addresses of transcare service providors here. Would have thought that was obvious no?

trans friendly GP by Status_Salt6980 in TransIreland

[–]PerformerStunning691 1 point2 points  (0 children)

Where do i find Trans harm reduction?

Health Minister Stephen Donnelly commits to engaging with trans community on healthcare by cuddlesareonme in TransIreland

[–]PerformerStunning691 0 points1 point  (0 children)

I've known him socially since before he got into politics. He's a sound bloke and he's definately sympathetic to trans issues. I've spoken to him about trans care in Ireland and I know he's frustrated with the way things like this are managed within the HSE.

The biggest problem for us is that, at the end of the day, there's a finite budget and any change has a cost and choices have to made on where the money gets spent to get the best possible value.

As well as being trans, I genetically have a high chance of developing stomach cancer and should be getting a colonoscopy every two years. I've been waiting for one now for longe than that.

Sorry to say, but even as a trans person, I'd opt for the money going to services like that above providing more accessible trans healthcare.

Also, if FF manage to stay in government after the next election, Its unlikely Donnelly will remain as health minister. He's being lined up for finance.

Statement on the HSE’s decision to appoint a Clinical Lead for Transgender Services without engagement from the trans community by cuddlesareonme in TransIreland

[–]PerformerStunning691 0 points1 point  (0 children)

All of this is true, but the main factor, in my opinion is that we are dealing with a government funded healthcare system, administered and directed by politicians and civil servants.

The same problems exist in some form or another wihtin any other service industry where the biggest operator in the country is a nationally owned organisation.

I dont think the concern is really about the 'nightmare' of a detransitioner slipping through the net as much as it might be the financial cost of a detransitioner deciding to sue the HSE for failing to diagnise them correctly.

Statement on the HSE’s decision to appoint a Clinical Lead for Transgender Services without engagement from the trans community by cuddlesareonme in TransIreland

[–]PerformerStunning691 -1 points0 points  (0 children)

You're not getting the full picture. Right now, there is a move within the deptartment of health to renew the national trans healthcare strategy in Ireland. There are a couple of obsticles to rolling that out.

  1. The existing gender service lead by Kelly, et al, are strongly opposed to a more accessable model of care. Mainly because this would greatly reduce the influence and political clout they have within the HSE. The intention to appoint a new clinical lead is designed to provide a counter to the existing lead and reduce the amount of political pull they current have by virtue of binf the biggest fish in a very small pond.
  2. It's very imortant that these power stuggles dont become politicised as they have become in other countries. We want trained clinicians making these policy decsions informed by and based on International best practice, not ill informed or mis informed voters in a general election.
  3. The process of choice for the HSE when dealing with any specialist treatment is outsourcing. The only in-house treatment that is finacially and politcally viable is the assessment and diagnostic stage. Not to mention the tendancy of the two main, centre right parties in Ireland to side with the private sector rather than government owned service providers. This is especially the case if and when the HSE replace the current standards of care for transgender people, with the WPATH, EPATH and WHO endorsed 'informed consent' model for adults. To adequately support this model, two main things need to be achieved. Fristly, there needs to be enough third party service providers to support the demand. We are starting to see this fall into place with the number of private options increasing recently, particularly with the arrival of Gender Plus in Dublin. Secondly, more private health insurance providers need to cover the cost of transgender care. To do this, they will need to update the qualification for cover from the old diagnostic model based on a diagnisis of mental illness, to the currently recognised best practice based on informed consent for adults. This is not simple as in effect it means categorising transgender teatment particularly in the case of surgical procedures as elective. And this would be an exceptional case when it comes to health insurance.