Sourcing HRT in Iraq

1 min read

This guide is harm-reduction information. It is not medical advice. We provide it because most readers do not have access to an informed clinician. The goal is that anyone who is going to do this anyway does it as safely as possible.

We have guidance on accessing HRT, including the companion Pharmacy script guide. For more information, please reach out through the secure channel.

Common questions

Which Iraqi pharmacies sell HRT medications?
Almost all private (non-chain) pharmacies in Iraqi cities will sell or order Estrofem and most antiandrogens. Chains and pharmacies inside government clinics or hospitals are more variable. The community pattern is to try smaller private pharmacies in mixed-demographic, college-adjacent, or commercial neighbourhoods; refusal in one pharmacy does not predict refusal in the next. ISPC can sometimes refer to specific vetted pharmacies in Baghdad, Basra, Erbil, and Sulaymaniyah. Contact via the [community page](/en/community).
What is مذخر (mathkhar / wholesaler) and how does it work?
مذخر is the Iraqi term for a medical wholesaler. The regional distributor pharmacies order from when something is not on the shelf. If your pharmacy doesn't stock what you need, say: "لو سمحت، ممكن تطلبه من المذخر؟" ("Please, can you order it from the wholesaler?"). Most مذخر orders arrive within 1-3 business days. The pharmacy will usually ask for your phone number to call when it arrives. Give a number you're comfortable being called on, or use a small deposit (around 10,000-20,000 IQD) and ask them to set it aside without a callback.
What do I do if a pharmacist refuses to sell me hormones?
Walk out without arguing, do not return, try another pharmacy. Refusal is usually about the individual pharmacist's discomfort, not a legal block. The pharmacist will not call your family or report you. They will simply not sell. Iraqi urban areas typically have 5+ pharmacies within walking distance of each other, and younger pharmacists in less-conservative neighbourhoods tend to be more flexible. Bringing a friend or partner whose presence makes the request "read" differently (a woman requesting Estrofem reads as menopause-related to most pharmacists) also helps.
Can I buy hormones online and have them shipped to Iraq?
We do not recommend it. International medication shipments to Iraq face customs inspection and frequent seizure, the receiving address creates a paper trail, and online sources of injectable testosterone in particular often ship counterfeit or contaminated product. Iraqi private pharmacy sourcing is more reliable, cheaper, faster, and lower-risk than international ordering.
How many months of HRT should I buy at once?
If you can afford it, buy 3 months at a time. This minimises pharmacy interactions, reduces your exposure pattern, and provides buffer against supply disruption (which happens periodically with Androcur in particular). Frame larger purchases as "for travel" or "for the upcoming Hajj / Ramadan / busy season". Pharmacists rarely question multi-strip purchases when there is a plausible reason.

Sources

  1. Iraqi Social Progress Collective. Pharmacy sourcing field notes (Baghdad, Basra, Erbil, Sulaymaniyah) , ISPC , 2026
  2. Everyone Wants Me Dead: Killings, Abductions, Torture, and Sexual Violence Against LGBT People in Iraq , Human Rights Watch , 2022
  3. Iraq: Anti-LGBT Law a Blatant Violation of Rights , Human Rights Watch , 2024