@pandanouk meine Psychologin hat mir das Schreiben nach drei Sitzungen gegeben.

Dr. Caprano-Diehl, Mainzer Straße, Pirmasens

@pandanouk I can't help, but you could try r/asktransgender over on Reddit - it's a superbly helpful sub. (Indeed, it provided my first pointers, leading to commencing HRT a couple months later)