Meet Joshua
Joshua's story
HRT Access Fund recipient
Joshua (he/him) is a Hispanic trans man living in Florida. He began his hormone replacement therapy journey in 2005, but since moving to Florida, he has faced mounting barriers to consistent care. Discriminatory state policies and restrictive regulations have made it nearly impossible for him to find a provider, leaving him without the stability that HRT has long provided.
Alongside these challenges, Joshua is navigating treatment-resistant depression, CPTSD, and degenerative spinal disease, which limit his mobility and ability to work. He is currently awaiting a review of his Disability application and has been enduring a year without income. Despite these hardships, he remains committed to doing the hard work of intensive trauma therapy.
Joshua shared, “HRT has been a crucial source of stability in my life. Losing access to this care has been devastating. Receiving 12 months of support would ease my burden and allow me to focus on healing without the anxiety of losing my identity’s anchor.”
Joshua's timeline
-
Award Granted
August 21, 2025
Joshua has been granted an HRT Access Fund award! -
HRT Onboarding Date
September 5, 2025
Joshua has been onboarded by their HRT Provider!
Grant details
$1,320 towards gender-affirming care.
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Help us support more people like Joshua get the care they need and deserve.
About Testosterone+
On average, it costs $1,200+/year for Joshua'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.