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Meet Sean

Sean

Sean's story

HRT Access Fund recipient

Sean (she/her) is a trans woman living in Idaho with limited support and significant health challenges. Currently unemployed and living with her parents. Sean relies on Medicaid for most medical needs, but it does not cover gender-related care. She’s explored local options but found no reliable financing programs; out-of-state care would be financially impossible while unemployed.

Managing Type 1 diabetes and ADHD alongside moderately severe gender dysphoria has left Sean’s mental health fragile and made consistent work feel uncertain. She’s been talking with a therapist about HRT and has applied for outside assistance, but has heard nothing back. Without access to hormones, she wakes up daily feeling alienated from her body and exhausted by survival alone.

“Twelve months of HRT would mean not waking up hating parts of my body and finally being able to live instead of just surviving,” she shared. Receiving support would offer Sean not only physical relief but the emotional space to stabilize, pursue work, and truly participate in life.

Sean's timeline

  • Award Granted

    August 22, 2025

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

    September 1, 2025

    Sean 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 Sean'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.