Meet River
River's story
HRT Access Fund recipient
River (they/them, ey/em) is an androgynous nonbinary transmasc parent who has faced numerous barriers to starting HRT. After losing their job earlier this year, their insurance has been unstable, and transportation challenges have made it nearly impossible to attend in-person appointments. Past negative healthcare experiences have also made it hard to find providers they trust.
As the primary caregiver for their 16-month-old son, River’s limited unemployment income goes toward housing and food, leaving little room for medical expenses. Debt and financial stress have made affording HRT feel out of reach.
River shared, “Having this support means the difference between me getting HRT and not. It would allow me to finally feel more secure with myself while still caring for my family.”
River's timeline
-
Award Granted
August 25, 2025
River has been granted an HRT Access Fund award! -
HRT Onboarding Date
September 1, 2025
River 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 River get the care they need and deserve.
About Testosterone+
On average, it costs $1,200+/year for River'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.