for healthcare providers
hormone therapy is primary care
You already prescribe hormones for menopause, menstrual complaints, and testosterone deficiency. Gender-affirming hormone therapy doesn't work fundamentally differently. No specialization needed — just good support. You can find that here.
85%
of patients are 'very satisfied' with the process when informed consent is applied. With a mandatory mental health assessment, that drops to 40%.
Spanos C, Grace JA, Leemaqz SY, et al. (2021), J Sex Med 18:201–208
you're already doing this
prescribing hormones is not a specialty
Every primary care practice prescribes hormones. The medications, the check-ups, and the conversations about side effects are largely the same. What differs is the goal — and that doesn't make it specialist care.
for years
menopause symptoms
Estrogen for menopause symptoms, with monitoring of side effects and risk profile.
for years
menstrual complaints
Hormonal agents to suppress or regulate the cycle.
for years
testosterone deficiency
Testosterone supplementation in men, with periodic blood work.
and therefore also
gender-affirming hormone therapy
The same medications, the same check-ups, the same conversation about side effects. A different goal.
publication
guide for gender-affirming hormone therapy in primary care
Written together with primary care partners. Practical, evidence-based, and directly applicable in the consultation room. Free to download.

continuing education
webinars from trans in eigen hand
next webinar
prescribing hormone therapy in primary care
We are launching a new series of continuing education sessions soon. Created by doctors and experts by experience. Dates and accreditation to follow.
- Gender-affirming hormone therapy in primary care
- Other ways to help trans people
- Tips for an inclusive practice
- and much more!
from the consultation room
trans experiences from the field
Three short stories from the field. How it sometimes is, and how it can be.
Alex - about mental healthcare
Alex's story about his experience with mental healthcare (GGZ)
Loeka - about the GP
Loeka's story about their experience with the GP and self-medication.
Moos - about mental healthcare
Moos's story about his experience with the GP
we do it together
info point for healthcare providers
A question about hormone therapy, inclusivity, or a referral? Email the info point! You'll receive an answer from our team of experts.
be found
add your practice to our Map of Trans-Friendly GPs
Trans people use our map to find a GP who takes them seriously. Do you provide hormone care, or are you open to it? Let us know!
useful links
learn more, read up!
Note: The Dutch quality standards for transgender care are currently being revised. Trans In Eigen Hand is actively lobbying through the Transgender Care Coalition for a standard based on informed consent. We will update this page as soon as new versions appear.
Dutch
- Ethical considerations for transgender care based on self-determination
— Trans In Eigen Hand, 2025 - Waiting for transgender care and its effects on health and equality: a mixed-methods population study in the Netherlands
— eClinicalMedicine, 2024 - Shared Decision-Making in Transgender Healthcare: Ethical and Conceptual Challenges and the Co-Creation of an Ethics Support Tool — Vrije Universiteit Amsterdam, 2023
International
- Australian Informed Consent Standards of Care for Gender Affirming Hormone Therapy
— AusPATH, 2024 - Human Rights and Gender Identity and Expression — Commissioner for Human Rights (Council of Europe), 2024
- The Informed Consent Model of Care for Accessing Gender-Affirming Hormone Therapy Is Associated with High Patient Satisfaction — The Journal of Sexual Medicine, 2020
- Required Mental Health Evaluation Before Initiating Gender-Affirming Hormones: Trans and Nonbinary Perspectives
— Transgender Health, 2024 - Trans health care from a depathologization and human rights perspective — Public Health Review, 2020
- Comprehensive Transgender Healthcare: The Gender Affirming Clinical and Public Health Model of Fenway Health — Journal of Urban Health, 2015