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Meet Lilith

Lilith's story

HRT Access Fund recipient


Lilith (she/her) is a self-described "homeless agoraphobe:" a transient sex worker struggling with housing insecurity, job insecurity, and lack of support from family. Lilith lives with major anxiety, depression, PTSD, and sensory processing issues associated with ADHD and Autism spectrum disorder.

"The inconsistencies I experience with my mental health associated with my lack of access to HRT make receiving this care almost life or death," she shares. Lilith has a degree in theatre with a focus on lighting design, and is a former fine dining cocktail bartender. She describes herself as an audiophile and makeup enthusiast. 

Lilith's timeline

  • Award Granted

    September 13, 2023

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

    January 8, 2024

    Lilith 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 Lilith'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.