Exhausted all avenues, looking for any help
Hi everyone. I've come on here for advice because, I've exhausted all the "proper" avenues looking for help and have not received it in the slightest. For reference, I'm 23 MTF, who has been on HRT since 2022 with GenderGP.
Some of you may have seen my post on here the other day, where I asked about the NGS waiting a year to "re-evaluate" patients, as was my experience. Unfortunately, after I asked for a copy of the letter which outlined this, they got in contact with my doctor notifying her that this was actually meant to be a discharge. I have called them multiple times over the last two years asking explicitly if I had been discharged, which they always maintained that I hadn't been. But now, two years later, they seem to have just changed their tune. In the original letter which was sent to my GP (which I also have a copy of) the word "discharge" or similar language is nowhere to be seen; instead recommending that I wait to be re-evaluated after a year.
This was devastating enough, and I promptly scheduled an appointment with my GP to discuss my options going forward. My GP is (for lack of a better word) clueless about trans healthcare and how the system operates, other than doing whatever it is the NGS tells her to. Now, she is threatening to stop doing blood work for me, over a nearly two year old "discharge" letter (which she has had access to this entire time).
At the minute, I'm with Gender GP (in the process of switching to Imago) and she has refused to work with them through shared care. When I ask her for genuine advice outlining what steps I could take to get her to accommodate me more in my transition, she always resorts to "many trans people transition without medication" and cannot elaborate on this when I push back. For reference, I have been on hrt for four years, socially transitioned for two. So now, after being on the waiting list since 2018, after doing everything correctly, I'm faced with the threat of not having my bloods done, which would hinder my access to HRT via online providers.
I'm aware there are clinics that will do the required blood test but I don't want to rely on that for my whole life. I'm 23, I thought at this stage in my life I'd be making decisions about surgical intervention. Instead, I feel like I'm in the same place I started on the waiting list eight years ago. I never wanted to pursue the NGS for hormones, as I've gotten them from other sources, but from what I understand, the NGS basically have a monopoly on gender affirming surgery in Ireland.
I suppose what I'm asking is where do I go from here? How can I find a GP willing to take me on as a patient? How do I get surgery through the proper channels? How do I continue to have access to HRT. Any advice would be much appreciated.