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Meet Madison

Madison's story

HRT Access Fund recipient


Madison (she/her) is a 32-year-old disabled trans woman who has been struggling to afford HRT due to high cost of medications. She struggles to make ends meet every month, especially in the summer with electricity prices rising.  Madison currently lives in a small town with her two brothers. She wants to finally feel like herself: "I'm excited to start my journey, to finally feel comfortable in my own body. I'm looking forward to the rest of my life now, living as the woman I was meant to be." Madison shares that she very shy and likes to stay in and keep to herself most of the time.

Madison's timeline

  • Award Granted

    September 13, 2023

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

    October 26, 2023

    Madison was seen by her HRT/GaHT provider.
  • Update

    February 8, 2024

    Madison shared, "I'm finally starting to like my body. I'll eventually be able to find the confidence to come out and finally be myself."

Grant details

$1,700 towards gender-affirming care.

TikTok-a-Thon grantee

About Estrogen+

On average, it costs $1,700+/year for Madison'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.