According to an article published in NBC, self-administered hormone treatment may place a person in legal and physical danger. According to research, around 9% of transgender people who get hormone treatment do so using illegally acquired hormones. When medical monitoring is disregarded, the risks of getting blood clots, heart attacks, and several forms of cancer increase. Since the present political context restricts access to gender-affirming therapy in many countries, experts expect that the DIY technique will grow increasingly popular, despite the hazards involved.
Max Adomat, a 26-year-old nonbinary person, finds the ability to shift between genders to be a luxury. Adomat need six years of hormone therapy to develop female genitalia, but the procedure was not easy. They self-medicate with hormones acquired from an untrustworthy online vendor since they couldn’t afford or receive medical coverage. Many transgender people choose this choice because it saves them money, provides them additional hormone alternatives, and puts them in control of their own bodies.
Self-administration is becoming increasingly popular as a solution to the rising expense of transition-related care. In the United States, a month’s supply of feminizing hormones can cost up to $115, but anyone can get them for as cheap as $8 (plus delivery) from unregulated internet pharmacies. Many transgender people struggle to make ends meet, with many reporting yearly household incomes of $25,000 or less. Hormones, checks, therapy, and maybe surgery are among possible costs connected with transitioning.
Hormone shortages and expensive out-of-pocket expenses have prompted even the insured to look for alternatives. Stephanie Coiro believes that 10% of her transgender customers have attempted to get hormones without a prescription in order to save money. She stresses, however, that even without insurance, hormones may be obtained at a discounted price at some retail locations due to manufacturer discounts.
People all across the world are fighting to make ends meet while still attempting to receive gender-affirming health treatment. Alicia Tuplin West, a British university student at the time, went to an illicit internet pharmacy because she couldn’t afford private medical insurance or wait for treatment. Although the National Health Service in England provides free gender-affirming care, there may be large wait times. West saved 90% by obtaining his hormones online.
There is a growing legislative movement to prevent or limit transition-related treatment, particularly for children, reducing legal access to gender affirming therapy even more. It’s probable that more people may start using unregulated internet pharmacies now that 18 states have passed legislation to that effect. The stigma associated with gender dysphoria, the difficulty in obtaining insurance, and the dread of being placed on treatment waiting lists are all reasons why people put off seeking medical care.
Dr. Joshua Safer, director of the Center for Transgender Medicine and Surgery, is concerned that depriving transgender patients of hormone treatment could do them psychiatric harm. Transgender people are more likely than the general population to suffer from depression and suicidality, however getting transition-related treatment has been linked to lower rates of depression and suicidality.
Some transgender people seek hormone therapy through unlicensed online pharmacies due to the high expense of transition-related care, a lack of affordable health insurance, political constraints, and lengthy waiting lists. While the benefits of saving money and obtaining some freedom are enticing, the hazards to health and the law outweigh the benefits. The present political context may create increased motivation for self-administration, which has been associated with poor mental health and well-being results.