Bridging Prescriptions for HRT: A Comprehensive Guide for Trans+ Adults

Bridging prescriptions are temporary prescriptions for hormone replacement therapy (HRT) issued to ensure continuity of care while awaiting access to a specialist gender clinic. These prescriptions are vital for trans+ individuals experiencing delays in accessing gender-affirming care, such as long waiting lists or interruptions when changing healthcare providers.

Many trans+ adults rely on HRT to support their gender transition and maintain their mental and physical well-being. Interruptions in HRT can cause significant distress, including:

• Hormonal withdrawal symptoms.
• Negative impacts on mental health, such as increased anxiety or dysphoria.
• Delays in achieving transition-related goals.

Bridging prescriptions act as a lifeline, helping trans+ individuals maintain consistent care during gaps in their treatment plan.

In the UK, bridging prescriptions can be issued by:

• General Practitioners (GPs): If they follow guidance from the NHS Interim Gender Dysphoria Protocol and General Medical Council (GMC).
• Gender Identity Clinics (GICs): Usually the primary source of ongoing HRT prescriptions.
• Private Providers: For those seeking care outside of NHS waiting lists.

1. Gather Your Medical Records:

• Compile your HRT history, including details of prior prescriptions and providers.
• If waiting for a GIC appointment, save any clinic correspondence regarding delays.

2. Talk to Your GP:

• Explain why you need a bridging prescription.
• Share the mental and physical effects of interrupted HRT.

3. Provide Supporting Documents:

• Share resources like the NHS Interim Gender Dysphoria Protocol or relevant guidance from the GMC to help educate your GP about bridging prescriptions.

4. Explore Private Options:

• If your GP is unable to provide a prescription, consider reaching out to private providers for a temporary solution if this is possible for you.

Advocacy is essential for improving access to bridging prescriptions and gender-affirming care. By raising awareness and working with healthcare professionals, trans+ individuals can help shape a more inclusive healthcare system.

Take Action: Your Rights to Gender-Affirming Care

• You have the right to safe and continuous HRT access.
• Bridging prescriptions are a valid interim solution while awaiting long-term care.
• Don’t hesitate to reach out for help—organisations like Not A Phase are here to support you.

To view The Love Tank’s full Guide to Bridging Prescriptions, click here.