Meet Mabell
Mabell's story
HRT Access Fund recipient
Mabell (she/her) is a trans woman who has faced significant challenges accessing local care. Even with valid prescriptions, she has struggled to get medication filled at pharmacies due to bias and lack of provider knowledge. F
Balancing two full-time jobs while covering rent and paying for university out of pocket, Mabell is stretched to her limit. Rising costs and a recent switch to estrogen injections have left her unable to afford care without risking homelessness, dropping out of school, or forced medical detransition. “Being as early into my transition as I am, being forced off HRT would cause irreparable harm,” she shared. Receiving support would allow her to continue treatment, finish school, and eventually move somewhere safer and more livable.
Mabell's timeline
-
Award Granted
August 20, 2025
Mabell has been granted an HRT Access Fund award! -
HRT Onboarding Date
September 10, 2025
Mabell has been onboarded by their HRT Provider!
Grant details
$1,100 towards gender-affirming care.
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Help us support more people like Mabell get the care they need and deserve.
About Estrogen+
On average, it costs $1,700+/year for Mabell's care.
- What is it?
- Accessibility
- After 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.