Meet Silva
Silva's story
HRT Access Fund recipient
Silva (she/her) has dreamed of starting HRT, but living in a rural area with limited transportation and few clinics has made access impossible. The nearest clinic to her has since closed, and the cost of care has remained far out of reach.
A year ago, Silva was a full-time student focused on her studies, but after a sudden move and difficult circumstances, she is now unemployed and facing limited opportunities due to transportation barriers and lack of work experience. Despite these challenges, she has never stopped hoping for the chance to begin her medical transition.
Silva shared, “If my application were to be accepted, I’d feel like it would save me. Even if it’s just for a year, just seeing those little changes in my body would save me.”
Now, Silva looks forward to taking steps toward the life she has always wanted, with hope and determination guiding her forward.
Silva's timeline
-
Award Granted
September 8, 2025
Silva has been granted an HRT Access Fund award! -
HRT Onboarding Date
September 18, 2025
Silva has been onboarded by their HRT Provider!
Grant details
$1,320 towards gender-affirming care.
Donate
Help us support more people like Silva get the care they need and deserve.
About Estrogen+
On average, it costs $1,700+/year for Silva'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.