Andorra Health Ministry Addresses Trans Care Gaps After Doctor Refusal

Andorra's Ministry of Health has met with Diversand, a local association advocating for transgender rights, to address gaps in medical care for trans patients, including hormone blockers for minors and instances of professionals declining treatment.

The discussions highlighted a recent case where an endocrinologist at the Andorran Health Service (SAAS) refused to treat a trans patient, citing a lack of confidence in handling the case. Ministry officials pledged to contact the doctor directly. Diversand's vice-president and spokesperson, Isabella Vargas, described the incident as isolated, noting that other endocrinologists in the country are already providing care to trans patients starting hormone therapy. "It was bad luck that this person ended up with the endocrinologist who wouldn't treat her," Vargas said.

The association used the meeting to raise user concerns and push for mandatory training for health professionals. Vargas explained that while it's understandable for unprepared doctors to refer patients elsewhere, the frustration is acute for those who have waited years to begin treatment only to face rejection from their trusted physician. Diversand has since recommended alternative endocrinologists to affected individuals and urged the ministry to equip all relevant staff to deliver optimal care.

Another key topic was a potential agreement between the ministry and Trànsit, a Catalan service promoting trans health. The proposed deal would allow referrals of patients over 16 to reference centres in Catalonia. Diversand welcomed the step but called for expansion to under-16s. No firm details have been finalised yet. "After waiting three years, seeing that this isn't fully in place is disheartening," Vargas said, emphasising the need for dignified, high-quality care for trans people in Andorra.