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Meet River

River

River's story

HRT Access Fund recipient

River (he/they) has lived his whole life in the deep South, where access to transition-related healthcare is notoriously difficult due to targeted laws aimed at erasing the existence of trans people. Despite these challenges, River has shown remarkable tenacity and, with a bit of luck, has managed to access HRT intermittently, through legal and other means.

Having consistent and legal access to affordable gender-affirming care is something River does not take for granted. Though he has finally escaped the South and is living in a better place, financial challenges still make it difficult for him to afford the healthcare he needs.

Outside of his transition, River works long hours as a courier. In his free time, he enjoys spending time with his spouse and their two dogs, exploring local parks, cooking, and discovering new and interesting music and podcasts.

Being able to access gender-affirming healthcare will allow River to feel comfortable interacting with the world, helping him aspire to and work toward prosperity, stability, and authentic connections with others and with himself.

River's timeline

  • Award Granted

    September 26, 2024

    River was awarded a grant toward HRT/GaHT!

Grant details

$900 towards gender-affirming care.





About Testosterone+

On average, it costs $1,200+/year for River's 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.