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Meet Sarah

Sarah

Sarah's story

HRT Access Fund recipient

Sarah (she/her) lives in Florida, where the current political climate has made it nearly impossible to access HRT. After coming out, her wife ended their marriage and she was forced to leave home. For 11 years before that, Sarah was a stay-at-home parent, and now she faces the challenge of re-entering the workforce as a trans woman over 40 with a long employment gap.

A member of the Mohegan tribe, Sarah relies on a modest monthly check to cover her bills, barely keeping her afloat while she searches for work. For her, receiving HRT support would mean not only easing a heavy financial burden but also finding peace and stability during this uncertain chapter of her life.

Sarah shared, “Receiving HRT support would ease my financial burden and afford me some peace, while I continue seeking employment.”

Sarah's timeline

  • Award Granted

    September 4, 2025

    Sarah has been granted an HRT Access Fund award!
  • HRT Onboarding Date

    September 25, 2025

    Sarah has been onboarded by their HRT Provider!

Grant details

$1,320 towards gender-affirming care.





About Estrogen+

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