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Meet Sansa

Sansa

Sansa's story

HRT Access Fund recipient

Sansa (they/them) is a nonbinary person of color who has been let down by their healthcare providers. They have experienced negative side effects from their blockers, and their doctor will not listen to their concerns. Without a proper blocker, they experience remasculinization, but when they sought alternatives, local doctors refused to explore other options, leading them to seek care elsewhere.

Sansa has also faced scrutiny from local providers who have questioned their identity and the validity of their transition because of their presentation and race. These providers, despite working in informed care clinics, have not understood Sansa's decision to present neutral/masculine for safety reasons, further complicating their access to care.

Currently unemployed and struggling to find work, Sansa's Medicaid does not cover the specialized services provided by online gender affirming care providers. They were able to afford their initial appointment through the clinic's sliding scale but cannot comfortably afford follow-up visits. As they are in their first year of HRT, maintaining regular follow-ups is crucial, especially since they are taking a blocker with potential serious side effects. Accessing continued care and lab monitoring is vital for Sansa's health and well-being as they navigate their transition.

Sansa's timeline

  • Award Granted

    August 12, 2024

    Sansa was awarded a grant toward HRT/GaHT!

  • HRT Onboarding Date

    September 18, 2024

    Sansa was seen by their HRT/GaHT provider.

Grant details

$2,475 towards gender-affirming care.





About Estrogen+

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