Do Trans People Need Hormone Therapy to Qualify as Trans?

Dear Papabear,

I'm transgender, MTF, and have started transitioning at least to the best of my ability given the Covid-19 situation. So here is the problem I'm facing due to the current situation in the world: I don't know how to handle it as I'm struggling to find the help or start hormone therapy, or even if I even need to actually go onto hormones to be transgender. Every site I've looked at only ever mentions going onto hormones to be considered trans, so I don't even know if I'll be accepted as female if I'm for whatever reason unable to do hormone therapy. Even though I'm trying my best to present as female. (But I've still been misgendered several times, which I can only assume is because I still "look and sound" male, which has been stressing me to no end on how to even handle that).

Anonymous

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Dear Furiend,

Thank you for asking a very important question that may help others who read my column. Let's get down to it.

Just like people who think all furries wear fursuits, there is an assumption among the public that all transgender people get surgery and/or hormone therapy. This is false. There are a lot of people just like you who do not go for medical options. This can be for a number of reasons. Perhaps they are unable to afford hormones or surgeries. Perhaps they have other medical problems that prevent them from doing so safely. Or perhaps they simply don't want to put their body through a medical procedure. These are extremely personal decisions, and there is no right or wrong answer. You must do what is best for you.

Are you trans if you don't have surgery or hormone therapy? If you feel that your physical sex does not match the real you, then yes, you are trans. Your true self lies within you and how you feel. It is not subject to public opinion.

Assuming that, even if you do want hormone therapy, you are unable to pursue it at least for the time being, what else can you do to be trans? Your third option is called "social transitioning." That is, you change yourself outwardly in things that can be easily perceived by society. One obvious thing you can do is change your appearance--your hair, your clothes, your makeup, etc. Next, you can change your name (you can do this legally online for very little money at websites such as totallegal.com, which charges like $30 to do the paperwork), and you can insist on people referring to you with the appropriate name and pronoun that suits you. Finally, you need to look into all your legal rights in your state, which might require you to do some paperwork, depending on where you live. Check out this page https://transequality.org/know-your-rights for more on that.

Finally, related to the last part of your letter, try to build a network of support, including friends, family, and professionals (anyone from doctors, nurses, and therapists to ministers and other counselors). I recommend you check out the National Center for Transgender Equality at transequality.org to get further advice and support.

Hugs,
Papabear