#gp problems

(between 3 and 4; on April 29th, they prescribed me Sustanon 250 like the GIC told them to) they then denied ever prescribing it to me. 4) GIC do the injections, even though in the multiple letters from the GIC to my GP it says the GP does the injections and testing afterwards. 5) Most stupid one. I don’t “dress masculine” (I dress in massive goth boots, jeans and normally a band/game tee) and that Sustanon is “an illegal substance”. So with all their refusals and discrimination I’m still not on T, even though I’ve had the vial since April. After all that my question is: I have my third CX appointment on September 1st; where I heard most people get their first top surgery signature. But I’m not even on T and they apparently only do signatures at 6 months on T (which I should’ve been), so what’s going to happen at my appointment? I won’t be on T by then and I’m just worried the appointment will be depressing and nothing come of it. Could I still get my first signature.

Sorry to hear you’ve had this experience! For what it’s worth, though I’m sure you already suspect this, none of the objections they’ve given you are reasonable. Unless there’s any reason why you can’t, I think it would probably be easier for you to cut your losses at this stage and find a new GP surgery, as it sounds like you’re fighting a bit of a losing battle with them, and this track record suggests there’s no guarantee that they won’t continue to be difficult, even if they do eventually budge on the prescription front.

To address your question: yes, it’s possible you will get your first signature (though be aware that sometimes they won’t verbally confirm this in the appointment, as they might wait to confer with one of the other clinicians you’ve seen). I know of someone who faced similar delays starting testosterone due to GP issues, and was actually referred by Charing Cross and ended up having surgery at four months on testosterone. The ‘six month rule’ is not absolutely rigid and they do still use their clinical judgement, because there are things besides amount of time on testosterone that indicate readiness for a surgery referral. Your best bet is to discuss all that you’ve been experiencing when you’re next at the GIC, as they may be able to help you reason with your GP (if you haven’t got a more supportive GP by then) as well as talk to you about what your next steps are.