Meet Fable
Fable's story
HRT Access Fund recipient
Fable (they/them) lives in a rural community of about 5,000 people where healthcare access is extremely limited. Past experiences with local providers have been traumatic: one nurse pressured Fable to find a “home church” and physically blocked the door during an exam, while another doctor in a nearby town dismissed them outright, saying, “We don’t do that here.” When Fable asked about HRT, they were told to “Google it” and try Atlanta, an overwhelming option given their autism and need for their spouse’s support when traveling.
Fable is also the primary caregiver for their autistic son, which makes it difficult to work or find childcare. Their spouse earns too much to qualify for disability, yet the family still lives paycheck to paycheck, often relying on credit cards during emergencies. Fable is already a few thousand dollars in medical debt from seeking answers to a possible chronic condition, though many doctors have dismissed their symptoms.
Fable shared, “Receiving HRT would finally let me focus on living as my authentic self without the constant fear of dismissal or denial. It would give me hope, stability, and the chance to move forward with confidence.”
Fable's timeline
-
Award Granted
August 18, 2025
Fable has been granted an HRT Access Fund award! -
HRT Onboarding Date
September 4, 2025
Fable has been onboarded by their HRT Provider!
Grant details
$1,480.50 towards gender-affirming care.
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Help us support more people like Fable get the care they need and deserve.
About Testosterone+
On average, it costs $1,200+/year for Fable's care.
- What is it?
- Accessibility
- After care
What is it?
Testosterone+ refers to the gender-affirming hormone replacement therapy (HRT) methods that some trans men, trans masc, 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?
Testosterone+ introduces a wide range of masculinizing 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.