Some Transgender people have a great need to undergo physical changes to have the body more closely aligned to the experienced gender. For many members of this group hormone therapy, with- or without surgery, is medically necessary.


Until recently hormone therapy was available almost exclusively from a handful of endocrinologists who were rendering specialised transgender services in the public and private sector.


Of those patients who have to travel long distances and/or are unable to afford specialist care the vast majority will never have access to safe hormone therapy. Some of them sadly go without treatment and some resort to dangerous therapy with hormones obtained from non-medical sources.


To go some way towards addressing this problem the South African Trans Health Initiative in partnership with the Groote Schuur Hospital Transgender Unit developed a system of technical support and tools to assist the general practitioner who may be approached by a transgender patient for hormonal therapy.


It is now possible for a transgender person to get hormone therapy from a general practitioner in a primary care setting and an increasing number of patients are receiving therapy much closer to home and at reduced cost.


The general practitioner can now download the following documents from this website:


General Practitioners who are considering initiating therapy for the first time or who otherwise need further professional advice are encouraged to consult with the Transgender team members attached to the departments of Psychiatry and/or Endocrinology at Groote Schuur Hospital, Cape Town.


Please contact Dr Elma de Vries on

Transgender Rights Activists Champion Telemedicine

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Activist Anil Padavatan says the Covid-19 lockdown has delayed treatment and surgery for many trans people, ‘so you can imagine the psychological impact of that’.