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Meet Elise

Elise's story

HRT Access Fund recipient


Elise (she/her) is a 54-year-old homeless trans woman who is just about one year into accepting who she is, and is eager to more fully realize her true self. In the past, Elise has had great challenges with self-loathing and alcohol abuse in trying to deal with ADHD and pretending to be someone she wasn't.

"Gender-affirming care is essential to being able to feel, think, and look like the person I really am," Elise says. "It will help me interact with the world authentically. Once I decided to live authentically and accept who I am, it was the most life-changing and exhilarating feeling. I realized so much, and gained the confidence and self-knowledge to do anything I desire with my life."

Elise's timeline

  • Award Granted

    September 13, 2023

    Elise was awarded a grant toward HRT/GaHT!
  • HRT Onboarding Date

    October 16, 2023

    Elise was seen by her HRT/GaHT provider.

Grant details

$1,700 towards gender-affirming care.

TikTok-a-Thon grantee

About Estrogen+

On average, it costs $1,700+/year for Elise's care.

What is it?

Estrogen+ refers to the gender-affirming hormone replacement therapy (HRT) methods that some trans women, trans femme, and non-binary people take that result in physical changes which align with their gender identity. Every person's preferences and personal healthcare needs vary, so this can include oral medications, injections, and transdermal patches.

How accessible is it for trans folks to receive this care?

For trans folks who live in states most impacted by anti-trans healthcare legislation, it can be extremely difficult to find a knowledgeable, trans-affirming provider as well as access prescription medication. Many insurance plans do not cover HRT. For trans folks without insurance coverage, the ongoing out-of-pocket expense can be challenging.

What is the impact of this care on the recipient’s life?

Estogen+ introduces a wide range of feminizing physical, emotional, and psychological changes that align with their gender identity. This often leads to a more positive emotional well-being, increased confidence, increased safety when in public, and better opportunities at employment and more.