Meet River
River's story
HRT Access Fund recipient
River (he/him) is a disabled trans man facing financial and housing instability while supporting his mother, who is undergoing cancer treatment. Living with a transphobic relative and without reliable transportation, River struggles to balance rent, bills, and the cost of HRT. Despite these challenges, he has finally begun to feel comfortable in his body and fears losing access to the care that has brought him peace and happiness.
River shared, “Getting picked to receive a year of HRT means I can continue to pay rent at the house I live at and help my mom during cancer treatment. It also means I can finally be comfortable and happy in my body for the first time in my life.”
River's timeline
-
Award Granted
August 17, 2025
River has been granted an HRT Access Fund award! -
HRT Onboarding Date
September 29, 2025
River has been onboarded by their HRT Provider!
Grant details
$4,900 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.