@ljrk @jadespace @Pixi good advice in Berlin used to be to go to viropraxis for HRT, and now they just don't accept new patients because they already have too many existing patients.
Then good advice used to be to go to medicover Berlin mitte e.g. to Dr. Christine Ruhl, and now she too has so many existing patients that she no longer accepts any new ones either (just like other doctors in this clinic too; I've just checked and there are just no available appointments at medicover Berlin mitte for first visit for trans healthcare, not even a year in the future, none at all). People also say that she specifically is nb-hostile.
Back in late 2021 they still used to take new patients in, with waiting periods under half a year at viropraxis (for those lucky people who checked when they had some free spots), and over half a year at medicover Berlin mitte.
Outside of major cities, I know someone who just very recently got a first HRT prescription. I remember that person trying to get HRT as early as four years ago (and probably before that too), they spent all these four years trying to get it. They do have good network and plenty of advice.
Speaking of therapists, advice in my network right now is to spam all trans-friendly private therapists within 100km of you with requests, hope that at least one of them will put you on a waiting list, and after that, hope that your health insurance will agree to cover the expenses (but it most likely won't, so you have to be ready to pay out of pocket, at ~150β¬ per visit).
AFAIK things used to be much better before the pandemic, but now they're just terrible.
It's really great if you got access to HRT so fast! But most people don't and cannot, and this is something one should probably at least account for when making a decision to immigrate.
The only people I know who we able to get access to HRT fast are Ukrainian refugees with indication and prescription from Ukraine, who could convert these into a German bridging prescription from general practitioner attending their refugee dorm, as an exception to the rule, for (Ukrainian?) refugees only.
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