Feminising
Estradiol, combined with a testosterone blocker: triptorelin, cyproterone acetate or spironolactone.
CareInformation checked on 24 October 2026 · next check January 2027
Hormones
Who prescribes them, which medicines exist, what is covered and what to watch out for?
Not yet reviewed by a healthcare professional. This page was made by volunteers (not doctors), with help from AI and based on the sources below. In doubt? Ask your own gender team or doctor. Something wrong?
Start
Who prescribes?
According to the standard, an endocrinologist or specialised gynaecologist starts treatment. Your GP can take over later. With the new guidance (2025) a GP can also start. At the GGD trans clinics in Amsterdam and Utrecht no gender team referral is needed.
Medicines
Which medicines?
Masculinising
Testosterone as gel or injection. The voice usually drops from about 4 months.
Monitoring
Blood tests: every 3 months in year one, then every six months, later at least every 2 years.
Money
Coverage
Hormones are covered by basic insurance, often only the preferred or cheapest product. At the pharmacy the national reimbursement system applies: sometimes you pay a personal contribution.
Using hormones without a doctor? Because of the waiting lists many people do. Known risks are thrombosis with oestrogen and thick blood (high haematocrit) with testosterone. Get your blood checked, and be honest with your GP: the guidance asks GPs to ask about this.