Meet Sarah
Sarah's story
HRT Access Fund recipient
Sarah (she/her) spent much of her adult life supporting her parents, working in family-run parcel businesses after college. When they retired, a friend helped her pursue new education and provided a place to live during her career transition. Yet, throughout these years, the weight of gender dysphoria lingered—becoming undeniable as she entered middle age, navigating chronic pain, job searching, and financial uncertainty.
With a background in IT and courier work, Sarah’s real passions lie in storytelling, philosophy, and games. She designs tabletop role-playing systems, debates philosophy with friends online, and once served as lead writer for an alternate reality game at a major convention. For her, beginning HRT is both exciting and a profound relief. “Even the knowledge that I’ve been lucky enough to receive this grant feels like the weight of the world has lifted. I don’t know what the future holds, but I’m excited to finally discover the woman I’ve always dreamed of being,” she shared.
Sarah's timeline
Grant details
$1,320 towards gender-affirming care.
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Help us support more people like Sarah get the care they need and deserve.
About Estrogen+
On average, it costs $1,700+/year for Sarah'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.