Versorgungsangebot von i²TransHealth

Was ist i²TransHealth?

i²TransHealth stellt ein innovatives Versorgungsmodell dar. Da es leider in Deutschland Gegenden gibt, in denen die Trans-Gesundheitsversorgung unzureichend bzw. diese schwer zu erreichen ist, möchten wir diese Behandlungslücke durch unsere interdisziplinäre, internetbasierte (i²) Trans-Gesundheitsversorgung schließen. Wir möchten trans Menschen in Norddeutschland eine fachübergreifende Behandlung ermöglichen. Weite Anreisen an unser Interdisziplinäres Transgender Versorgungscentrum Hamburg (ITHCCH) können so stark reduziert werden.

Das Angebot besteht zunächst in Form eines wissenschaftlichen Projekts. Wenn Sie mehr als 50 km entfernt von Hamburg wohnen, können Sie an der Studie teilnehmen. Lediglich für ein Erstgespräch mit unseren Studientherapeut_innen ist eine Anreise zum UKE in Hamburg erforderlich. So kann Ihre Behandlung dennoch bei uns am UKE beginnen.

Wenn Sie sich für die Teilnahme an der Studie entscheiden, haben Sie die Möglichkeit mindestens 4 Monate an regelmäßigen Videosprechstunden mit unseren Studientherapeut_innen teilzunehmen. Wichtig ist: Das Ende der Studie bedeutet nicht das Ende der Behandlung! Alle Teilnehmenden werden, sofern gewünscht, auch nach den 4 Monaten weiterhin behandelt – entweder per Videosprechstunde oder per Aufnahme in die Regelversorgung am UKE.

Wer kann teilnehmen?

Ihre Teilnahme kommt in Frage, wenn Sie

  • mindestens 18 Jahre alt sind.
  • im norddeutschen Raum und mindestens 50 km außerhalb von Hamburg wohnen.
  • sich als transgender, transsexuell, transident, transgeschlechtlich (kurz: trans, trans*) oder als non-binär, enby, abinär, agender, genderqueer (u. v. m.) identifizieren (oder dies herausfinden wollen).
  • nicht bereits andernorts transitionsunterstützende Behandlungen begonnen haben.

Wie nehmen Sie teil?

Sie können auf verschiedenen Wegen Kontakt zu uns aufnehmen: Entweder nehmen Sie über eine_n ärztliche_n Kooperationspartner_in mit uns Kontakt auf oder Sie wenden sich direkt an das ITHCCH Tel.: (040) 741052225.

Des Weiteren erreichen Sie uns über dieses Kontaktformular. Zu den Adressen unseres Ärzt_innen-Netzwerks gelangen Sie weiter unten. Nach einem kurzen Austausch vorab über einen der Kanäle erhalten Sie zeitnah einen Termin für ein Erstgespräch in der Spezialambulanz für Sexuelle Gesundheit und Transgender-Versorgung am UKE. Im Anschluss ist klar, ob es zu einer Studienteilnahme kommen wird. Da wir eine randomisiert-kontrollierte Studie durchführen, wird es eine Interventionsgruppe und eine Wartegruppe geben.

Ein zuvor festgelegtes Zufallsverfahren, vergleichbar mit dem Werfen einer Münze (dies wird Randomisierung genannt) entscheidet im Falle Ihrer Teilnahme, welcher Gruppe Sie zugeteilt werden – ob Sie Teil der Interventionsgruppe werden oder zunächst der Wartegruppe angehören. Für die Interventionsgruppe startet die Behandlung in Form der Videosprechstunde sofort. Aber keine Sorge, auch die Teilnehmenden der Wartegruppe haben nach 4 Monaten die Möglichkeit zur Aufnahme von Gesprächen – entweder auch per Videosprechstunde oder durch Aufnahme in die Regelversorgung am ITHCCH. Vorteil: Die Wartezeit von 4 Monaten ist dennoch kürzer im Vergleich mit der aus der gewöhnlichen Regelversorgung.

Ablauf der Studie i²TransHealth

Trans-Gesundheitsversorgung am UKE

In Deutschland ist die dezentrale Versorgung für trans Menschen die Regel. Das heißt sie suchen verschiedene Stellen auf, die räumlich sehr weit auseinander liegen können. Daneben existiert deutschlandweit nur eine einzige Einrichtung, in der alles unter einem Dach angeboten wird. Am Universitätsklinikum Hamburg-Eppendorf (UKE) gründete sich 2013 das Interdisziplinäre Transgender Versorgungscentrum Hamburg (ITHCCH). Es ist vergleichbar zu anderen Zentren im europäischen Raum. Das ITHCCH bietet wichtige Angebote zentral und aufeinander abgestimmt an. Hier sind trans spezifische Behandlungen möglich (z.B. Hormonbehandlung, genitalangleichende Chirurgie). Außerdem bieten wir trans Menschen Maßnahmen der allgemeinen Gesundheitsversorgung an. Das erfolgt integrativ, indem verschiedene Versorgungsebenen zusammenlaufen (ambulant – stationär, somatisch – psychotherapeutisch, medikamentös – chirurgisch usw.). Die Abbildung gibt Ihnen einen Überblick über das Versorgungsangebot am ITHCCH.

Erstkontakt

Sexualmedizin

Aufnahme, Anamnese, Aufklärung

Kinder u. Jugendpsychiatrie

Aufnahme, Anamnese, Aufklärung

Beratung

Endokrinologie

Anamnese, Informationen und Aufklärung

Lasersprechstunde

Anamnese, Informationen und Aufklärung

Allgemeinmedizin

Anamnese, Informationen und Aufklärung

Phoniatrie

Anamnese, Informationen und Aufklärung

Plastische Chirurgie

Anamnese, Informationen und Aufklärung

Gynäkologie Brustzentrum

Anamnese, Informationen und Aufklärung

Urologie

Anamnese, Informationen und Aufklärung

Diagnostik

Sexualmedizin

Befunderhebung , Einschätzung

Kinder- und Jugendpsychiatrie

Befunderhebung , Einschätzung

Endokrinologie

Labor, Befunderhebung und Einschätzung

Humangenetik

Labor, Befunderhebung und Einschätzung

Osteologie

Labor, Befunderhebung und Einschätzung

Phoniatrie

logopädische und ärztliche Stimmdiagnostik

Behandlung

Sexualmedizin

Psychotherapeutische Transitionsbegleitung, Indikationsstellung für
geschlechtsangleichende Maßnahmen, bei Bedarf Psychotherapie, bei Bedarf
Psychopharmakotherapie

Kinder- und Jugendpsychiatrie

Psychotherapeutische Transitionsbegleitung, Indikationsstellung für
geschlechtsangleichende Maßnahmen, bei Bedarf Psychotherapie, bei Bedarf
Psychopharmakotherapie

Endokrinologie

Hormonbehandlung

Osteologie

Vorbeugung und Behandlung von Knochenproblemen

Lasersprechstunde

Entfernung von Gesichts- und Körperbehaarung

Allgemeinmedizin

hausärztliche Versorgung

Phoniatrie

Beratung und Therapieplanung

Physiotherapie

Beckenbodentraining

Plastische Chirurgie

Operationen im Brustbereich, Penoid-Aufbau, Gesichtschirugie

Gynäkologie Brustzentrum

Operationen im Brustbereich, Entfernung der Gebärmutter, der Eierstocke und
des Eileiters

Urologie

Genitalangleichung Mann zur Frau, Metaidoioplastik (Clit-Pen), Anschluss der
Hahnröhre nach Penoidaufbau und Prothetik

Nachsorge

Sexualmedizin

psychotherapeutische Nachsorge

Kinder- und Jugendpsychiatrie

psychotherapeutische Nachsorge

Phoniatrie

phoniatrische Nachsorge

Physiotherapie

physiotherapeutische Nachsorge

Plastische Chirurgie

plastisch-chirurgische Nachsorge

Gynäkologie Brustzentrum

gynäkologische Nachsorge

Urologie

urologische Nachsorge

Sicherlich zeichnet sich das ITHCCH aus, indem es für eine qualitativ hochwertige Versorgung für den Großraum Hamburg und Norddeutschland sorgt. Dennoch merken wir, dass die Versorgung in der Breite eine große Herausforderung bleibt. Nur unzureichend können Betroffene außerhalb des Einzugsgebietes unseres Zentrums Nutzen aus unseren Angeboten ziehen. Wohnortnahe Hilfen in der Trans-Gesundheitsversorgung sind zudem Mangelware. i²TransHealth will Zugangsbarrieren abbauen und Ihnen eine moderne, zeitgemäße Behandlung ermöglichen.

Das Ärzt_innen-Netzwerk

Ein wichtiger Bestandteil von i²TransHealth ist das kooperierende Ärzt_innen-Netzwerk. Das ITHCCH ist in Hamburg verortet, verbindet sich jedoch in Rahmen der Studie mit niedergelassenen Ärzt_innen in Ihrer Nähe. Bevor Sie uns näher kennenlernen, können Sie zunächst einen Termin bei diesen vereinbaren. Dabei erfahren Sie mehr über die Studie und das Konzept von i²TransHealth. Die Videosprechstunde findet alle 14 Tage statt. Möglicherweise haben Sie auch Anliegen, die nicht die Transition betreffen. Solche Fragen können Sie direkt bei Ihren Ärzt_innen in der Region klären. Überhaupt möchten wir gewährleisten, dass Sie jederzeit einen niedrigschwelligen Zugang zu Fachpersonen haben.

Sie suchen eine_n Ärzt_in?

Wir vom interdisziplinären Transgender Versorgungscentrum Hamburg betreuen Sie über die E-Health-Plattform i²TransHealth. Vielleicht wünschen Sie sich aber auch wohnortnah Unterstützung. Dazu können Sie sich an niedergelassene Haus- und Fachärzt_innen wenden, die mit uns während der gesamten Studiendauer eng zusammenarbeiten. Über den Button gelangen Sie zu einer interaktiven Karte, auf der Sie Fachpersonen in Ihrer Nähe finden.

Netzwerk

Sie suchen eine_n Ärzt_in in Ihrer Region?
Nutzen Sie unsere Kartensuche.

She was thinking Only the last two hours of patrolling in the street were available, and I could survive. Shakes continued. The first time she felt uneasy this morning as she walked into a bush. Someone is watching me. The hot wind blew through the dry bushes and made the rustling male enhancement male enhancement pills sound. A car truck ran full steam ahead male enhancement of the Lincoln Tunnel. She remembered one thing the patrolmen would male enhancement often think of the city was so noisy that I could not detect if someone came back to me behind me and walked to lift me up with a knife. Or take my back as a target She turned quickly. Nothing except leaves, rusty machines and rubbish. When climbing a pile of stones, the knee pain so she could not help but shrink body. Emily Shakes, 31, is afflicted with joint inflammation - her mother often says youre 31 It is inherited from her grandfather, just as she inherited her mothers good figure, her fathers good looks and occupation as long as the red hair no one can say it. She slowly passed through a cluster of dead shrubs, a sharp pain on her knees. Thanks to her prompt closing, she did not drop male enhancement pills a steep 30-foot deep slope. Below her male enhancement was a gloomy gorge that cut deeply through the bottom of the West End. The railroad tracks of the U.S. Railroad Passenger Transport Company run through the canyon and the train goes to the north. She narrowed her eyes and looked to the bottom of the canyon not far from the tracks. what is that Is inserted in a circle of soil has been turned over the twigs It looks like Europe, my god The sight of her made her shiver. Nausea suddenly rose, burning like a flame burning her skin. For a moment she really wanted to turn around and escape, pretended nothing was seen. But she tried hard to suppress the idea in my male enhancement pills heart. male enhancement pills He hopes the victim is dead. This is the best. She runs to an iron staircase that leads from the sidewalk to the canyon. She stopped in time as she grabbed the balustrade of the male enhancement iron staircase. bad The murderer has escaped in all likelihood, and is likely to have left the male enhancement pills ladder. If she touches male enhancement the railings, she may undermine the mark he left behind when he ran away. Okay, then well waste something. She took a deep male enhancement pills breath and held back the pain of the knee joint. She inserted the deliberately polished bright boot into the crevice of the stone on the first day of her new job and began to climb down the rock wall. She was still four feet off the ground and jumped straight to the place where it was buried. My God It is not a branch that extends from under the ground it is a mans hand. The body of this man was buried vertically in the earth, male enhancement pills leaving only the arm, wrist male enhancement and palm left outside. She stared at the ring finger of the hand all the muscles had been cut off, the red of the bones of male enhancement pills the fingers, set with a huge female diamond ring. Shakes knelt on the ground, began digging down. The soil fluttered under her hands as a dog. She found that those fingers that had not been cut were wide male enhancement pills open, pointing in the direction that their fingers would not normally bend. This shows that the victim was still alive when the last shovel of mud buried his face. Maybe its still alive now. Shakes desperately dug soft soil, her hands were shattered by pieces of glass, dark male enhancement pills red blood and dark red soil mixed together. This persons hair is exposed, followed by a bluish, gray forehead due to lack of oxygen. She continued digging until she male enhancement pills saw the dull eyes and mouth of the man. The mans mouth twisted into horrible curvature, indicating that in the last few seconds of life the victim struggled to keep his mouth through male enhancement pills the rising black soil. This is not a woman. Despite the finger on the set of a diamond ring. He was a big man in his fifties and was as angry as the soil surrounding him. She took a few steps male enhancement back, her gaze male enhancement never leaving that person, almost tripped over by the tracks behind her. For a while, her mind was empty and could not think of anything, only knowing that a man was buried to die like this. Then she reminded herself Be strong, baby. In front of you is the scene of a homicide together, and you are the first police officer present. You know what to do ADAPT, adapt. A is the current arrest of Arrest. D male enhancement is a major eyewitness and suspect to Detain. A is Assess murder scene. P is P what is it She bowed her head towards the walkie-talkie Patrolman 5885 calls headquarters.

Shakes finally remembered the first of the police officers arriving at the scene to adapt to the fourth rule P is to protect the scene of the murder. Angry horn started flooding the air in the early morning misty, quickly mixed into the drivers roar angry. A moment later, she heard sharp sirens also joined the dissonant noise, and the first police car arrived. Forty minutes later, the scene was already packed with uniformed police and criminal detectives, male enhancement more than the usual number of murders in Hells Kitchen the famous crime male enhancement pills zone in New Yorks West End A lot of. In view of the shocking death of the victim, sending so many people does not seem excessive. However, Shakesi heard from other police officers that this was a big case and a media concern - the deceased was one of a group of travelers male enhancement arriving at JFK last night and they made a taxi into the city, But never got home. CNN is reporting on the spot, the uniformed male enhancement police officer whispered to her. So when Emilia Shakesh saw the handsome Vince Piriti, the head of the Criminal Investigation and Resource Scheduling Team climbed to the top of the embankment overlooking the crime scene and stopped to beat him from time to time It is not particularly surprising when it comes to the dust on suits of thousands of dollars. However, she was surprised. male enhancement pills Piriti actually noticed her, and waving her past. He smoothed a little in his shaven clean male enhancement face. She thought she would probably be applauded for the extraordinary performance of todays unruffled. Well done, saved the fingerprint on the iron ladder Maybe it will give her a little reward. The male enhancement pills last hour on duty on the last day. She will leave with glorious glory. He looked up and down at her. Policewoman, you are not a novice, right I think I will not mistake. Im sorry, sir Youre not a male enhancement newbie, Im sure. Strictly speaking, she can not be considered. Although male enhancement pills she entered the police only a short period of three years, unlike her other police at this age, most have nine to ten years of seniority. Before entering the police academy, Shakesi had been in male enhancement society for several years. I do not understand what youre trying to ask. He seemed annoyed and the smile on his face disappeared. Are you the first policeman to arrive at the scene Yes, sir.

Flyer-Download

In unserem Flyer finden Sie kompakte Informationen zum i²TransHealth-Projekt. Er steht hier für Sie zum Download bereit.

Shakes finally male enhancement pills remembered the first of the police officers arriving at the scene to adapt to the fourth rule P is to protect the scene of the murder. Angry horn started flooding the air in the early morning male enhancement pills misty, quickly mixed into the drivers roar angry. A moment later, she heard sharp sirens also joined the dissonant noise, and the first police car arrived. Forty minutes later, the scene was already packed with uniformed police and criminal detectives, more than male enhancement the usual number of murders in Hells Kitchen the famous crime zone in New Yorks West End A lot of. In view of the shocking death of the victim, sending so many people does not seem excessive. However, Shakesi heard from other police officers that this was a big case and a media concern - the deceased was male enhancement one of male enhancement a group of travelers arriving at JFK male enhancement pills last night and they made a taxi into the city, But never got home. CNN is reporting on the spot, the uniformed police officer whispered to male enhancement pills her. So when Emilia Shakesh saw the handsome Vince Piriti, the head of the Criminal Investigation and Resource Scheduling Team climbed to the top of the embankment overlooking the crime male enhancement scene and stopped to beat him from time to time It is not particularly surprising when it comes to the dust on suits of thousands of dollars. However, she was surprised. Piriti male enhancement pills actually male enhancement noticed her, and waving her past. He smoothed a little in his shaven clean male enhancement face. She thought male enhancement she would probably be male enhancement applauded for the extraordinary performance of todays unruffled. Well done, saved the fingerprint on the iron ladder Maybe it will give her a little reward. The last hour on duty on the last day. She will leave with glorious male enhancement pills glory. He looked up and down at her. Policewoman, you are not a novice, male enhancement pills right I think I will not mistake. Im sorry, sir Youre not a newbie, Im sure. Strictly speaking, she can not be considered. Although she entered the police only a short period of three years, unlike her other police at this age, most have nine to ten years of seniority. Before entering male enhancement pills the police academy, Shakesi had been in society for several years. I do not understand what youre trying to ask. He seemed annoyed and the smile on his face disappeared. Are you the first policeman to arrive at the scene Yes, sir.

I am asking you now. They want to see you. I only know these. Because they have male enhancement pills something, they are not, they are regular, heavy, and want. Lincoln. Tone. male enhancement pills The handsome young man reached for his blond hair. He was wearing brown trousers and a white shirt, tied with a blue tie and the bow tie was flawless. When he hired Tommar a year ago, Lyme once told him that he could wear jeans and a T-shirt to work whenever he wanted. But from that day until now, male enhancement pills he has been meticulously dressed. Lyme did not know if it was because he had kept the young man so far, but he did. No one had been in custody male enhancement before Thomas before for six weeks, and those who resigned were tantamount to excommunication. Well, how do you tell them I told male enhancement pills them to give me a few minutes to let me see if you got dressed first, and then they could come up. You did not ask me Self-assertion. Thank you very much. Thomas back to take a few male enhancement pills steps toward the small stairs downstairs shouted male enhancement pills Come on, gentlemen. What did they say to you, is not it Said, You have something to hide from me. Thomas did not male enhancement answer. Raim looked at the two men up the stairs. When they first entered the room Lyme first spoke. He male enhancement pills said to Thomas Putting on the curtains, you have already disturbed the two birds too much. The actual meaning of this sentence was that he had enjoyed the male enhancement bright morning sunshine. Can not male enhancement speak. Sticking to the mouth of the tape stinky and sticky, so that she can not pronounce a word. She felt despair more helplessly than the cold, handcuffed metal on her wrist, compared to the short, stout male enhancement fingers on her shoulders. The taxi driver, still wearing a ski boot, led her to a dark, damp corridor that ran through the rows of pipes and male enhancement plumbing to the basement of an office building. But she does not know where the exact location is. If I can speak to him T. J. Kofax is a fun person. Morgan Stanley third floor of the mother of insects. A negotiator. male enhancement pills money Do you want money I male enhancement give you money, a lot of money, boy. But male enhancement more than a few. She thought the remarks more than ten times, desperately trying to seize his eyes as if she could deliver the remarks into his head. Beg for you, she begged silently. She started thinking of her 401 k Retirement Savings Fund an important U.S. tax deferred savings plan to protect retiree benefits, with about 42 million people participating and a total asset pool of more than 2 trillion. - translator, she can give her all the pensions to him. Oh, beg you She remembered the scene of the last night The man turned around after watching the fireworks, pulled them off and put handcuffs on them. He put them close to the trunk, and then re-drive the road.

Kontakt

Bei Fragen oder Anregungen zum Projekt i²TransHealth oder der Website nutzen Sie bitte unser Kontaktformular oder schreiben Sie uns unter i2transhealth[AT]uke[PUNKT]de.

In dringenden Fällen wenden Sie sich an den ärztlichen Notdienst oder ein Krankenhaus vor Ort.