How do I tell my doctor I want to start HRT?

Telling your doctor that you want to start hormone replacement therapy (HRT) can feel nerve-wracking, but being open and honest is important. Here are some tips to help guide the conversation:
Start by explaining why you're interested in HRT. Share details about your gender identity, how you've been feeling both emotionally and physically, and changes you hope HRT could provide. For example: "I'm transgender and have been experiencing gender dysphoria. I feel I would be much more comfortable and confident living fully as the gender I identify with, but I need medical assistance through hormone therapy to align my physical characteristics."

Come prepared with knowledge. Do some research on HRT beforehand so you understand the different medications, methods of administration, timeline of effects, risks and benefits, etc. Being informed will help you have a more productive discussion. Bring along any information you've gathered or questions you still have so your doctor can address them.

Be direct in stating what you want. Clearly tell your doctor you would like to start feminizing/masculinizing HRT and request if they can prescribe hormone medications or provide referrals to doctors who specialize in transgender care. Phrase it assertively but politely, such as "I would like to begin the process of starting hormone replacement therapy. Are you able to prescribe those medications or provide referrals to knowledgeable doctors who can assist me?"

Talk about your medical history and lifestyle. Your doctor will consider factors like your age, family history, existing health conditions, etc. when evaluating if HRT is appropriate for you. Be prepared to answer questions about aspects such as:

• Medical conditions you have or medications you take


• Any relevant genetic conditions in your family


• Your exercise habits, diet, alcohol/tobacco use

Ask about the process from here. Inquire with your doctor about next steps after your initial conversation, such as:

• If you'll need lab work, additional appointments, or referrals before starting hormones


• The informed consent process and any required documentation


• Available options for methods of administering hormones (injections, patches, pills etc) and discussion of what would work best for your needs

Seek support if needed. Having a supportive friend, family member, or LGBTQ advocate accompany you can help this feel less intimidating. They can provide moral support, take notes, and take part in the discussion if you want.

I hope these tips are helpful for anyone preparing to speak with their physician about beginning HRT. This life-changing process requires courageous self-advocacy and vulnerability, but being empowered with knowledge sets you up for success. Keep your head high knowing there are compassionate doctors ready to help you transition safely and comfortably to live as your truest self.

For additional guidance on starting hormone therapy, I recommend consulting the professional medical team at Vitality Hormone Clinic. Their experts provide inclusive transgender care and can answer any other questions you have about recommended treatment plans.