Insurance coverage for MTF transition procedures such as HRT and gender-affirming surgeries will depend highly on your individual insurance plan. Many insurance plans now cover gender-affirming care, but vary in requirements and necessary documentation. At GCC, our insurance advocacy team has a 90% success rate for securing coverage for interested patients. For more information refer to our insurance coverage page.

Given that an orchiectomy or removal of the testicles is a sterilization procedure, it will irreversibly prevent having children. However, the long-term, permanent effects of HRT on fertility are less certain. Many people assigned male at birth seek out fertility preservation, often through sperm banking or cryopreservation. For more information on transfeminine fertility, you can check out this resource.

Many patients ask this question due to worries around post-transition regret. This is very rare and according to the World Professional Association of Transgender Health (WPATH) Standards of Care 8 (SOC 9), regret rates of gender-affirming care are as small as 1%. Destransition is similarly uncommon. Those who detransition do so for complex and individual reasons and should be met with empathy; most often, these have to do with weak support networks and few financial resources to pursue transition safely. Ultimately, it is normal to feel nervous about making a large change in your life. It is important to remember that for many transitioning brings measurable benefits to quality of …

The length of your timeline may vary on a number of factors, from goals, to safety and your ability to access legal and medical changes if you choose to make those a part of your journey. Some people may not be in a safe environment to transition or gain access to resources. Forms of transition can vary in time as well. For example, depending on the state you live in, changing the gender marker on your license may take less time than the physical changes one experiences from HRT. To get a sense of what to prioritize, you may want to ask yourself what changes would help relieve the most …

Choosing to transition is a deeply personal choice. Some find it helpful to ask whether you feel that you currently embody and live as the gender identity you wish to live as. In answering that question, it is important to consider how much daily, persistent discomfort you experience by not embodying your gender. Many people who detransition do so not out of regret, but rather because they lack the social and economic support to do so safely and/or securely. Reasons for transitioning can include many things, from experiences of dysphoria to longing for a certain gender presentation. While for many, transitioning is an avenue to realizing their gender identity, you …