Jump to content
  • Welcome to the TransPulse Forums!

    We offer a safe, inclusive community for transgender and gender non-conforming folks, as well as their loved ones, to find support and information.  Join today!

What can I expect if I try to go onto HRT?


Recommended Posts

Hello. As you can probably assume by the title, I haven't began my physical transition yet. However, I want to try and begin the process within the next year or so. What I want to know is, if I start to go on HRT, what can I expect? Will there likely be obstacles such as transphobic doctors? Endless amounts of people trying to ask me if this is absolutely for sure what I want?

Link to comment

Hi @SpongeBobFan, not sure how helpful my answer will be from the U.S. in terms of providers in the U.K., but it's my understanding you would need a referral from your primary care doctor (GP) to one of the handful of NHS gender dysphoria clinics. I'm sure such clinics will create a welcoming environment for transgender people and a safe space to talk about HRT and your goals to support your medical transition. That said, I don't know if transgender-friendly healthcare or HRT prescriptions are available outside of the NHS network.


As far as your transphobia concerns... will you be speaking first with a doctor you know already, or a new one? If it's an established doctor you have a good relationship with, you might say something like: "I'm hoping to speak with someone who has experience working with patients around their gender identity, what's your experience with that?" If you're not sure how accepting a provider will be, sometimes you can also get a sense by the language on their website, the inclusivity actions they take in their office and on registration forms, or even word of mouth.


I'm four months into HRT. So far I've had skin softening, maybe a little slower body and facial hair growth rate, a lot of nipple soreness, and the beginnings of breast growth. I also notice that I'm experiencing my sexuality differently than before. Emotionally, I feel absolutely wonderful, like a fog lifting. People comment I seem much happier, even those who I haven't come out to yet. Honestly, starting HRT was one of the best decisions I ever made!


Hope these thoughts are useful to you. Wishing you the best as you explore the possibilities of HRT!




Link to comment

I live in an "informed consent" state, so there was not really any delay to start HRT when I was ready.

But my impression is there is more of a process in the UK with the NHS.  I'm thinking I have heard there are private clinics that will work with you though.  Not sure how much gate keeping is involved with them though.

Link to comment

Hi @SpongeBobFan In the UK it depends on your area. You need to find out your closest Gender Identity clinic and get on their waiting list ASAP. Most wont allow self referrals now as they were getting swamped so you will probably have to ask your GP for a referral but check with the clinic first.

The NHS offers to connect you with a gender therapist, a speech therapist and then a token contribution for electrolysis and wigs if you need. In Scotland they only use E patches. Every person you see has their own waiting list so it does take a long time compared to the US pay to play model, so it can literally take years, but we get HRT and bottom surgery for free.

You will likely be advised to talk to a therapist so that they can confirm your gender dysphoria but I have found the folks very friendly, and okay with whatever pronouns/prsentation you use for the meetings.


Once that is done you are referred to one of the few specialist clinics where you have to chat to a pyschologist before hrt is prescribed. Some of the effects are irreversible so it is not a bad thing to make sure of. Do your research, the NHS guidance is actually a pretty good place to start. You must have socially transitioned for at least a year before they will perform surgery for the same reasons of permanent changes and that was known as the real life test historically.

You can circumvent the waiting times dramatically by going private but that costs a lot of money and the process does not alter with the exception that they wll do shared care with your GP to monitor you.

My advice is get the phonecall out of the way, get electrolysis started when you can and then work out the rest while you are in the system. Hope this helps!

Link to comment

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
  • Who's Online   6 Members, 0 Anonymous, 41 Guests (See full list)

    • MiraM
    • Lydia_R
    • MaryEllen
    • Ivy
    • KymmieL
    • heatherd
  • Recently Browsing   0 members

    • No registered users viewing this page.
  • Forum Statistics

    • Total Topics
    • Total Posts
  • Member Statistics

    • Total Members
    • Most Online

    Newest Member
  • Today's Birthdays

    1. carolcrissy
    2. DanielleBrewer
      (51 years old)
    3. RobinCarly
    4. sherlockian2342
      (47 years old)
  • Posts

    • Lydia_R
      That's an interesting picture with the squirrel Mmindy
    • Jani
      Your cats are adorable @KathyLauren.  My girl has never been outside that I am aware of.  The pads of her paws are a nice soft pink with nary a mark on them.  She has no desire to go out.     Zulu is cute hiding among the papers! 
    • Lydia_R
      Thank you everyone!  Sharing your experience helped me decide.  I wound up getting 4 birth certificates.  I only had one of my old one.  I submitted my application and they took my money, so it's just a waiting game now.   Hugs, Lydia
    • Ivy
      Same here.  After years of denial, I got the nerve to wear a skirt (privately) - just to feel what it was like.  The dam kinda broke.
    • heatherd
      Things going good for me.Went to court on Thursday,I have full guardianship of the 14 year old girl I took in.Judge was impressed  with everything.It was good for us and my family told her welcome to the family.I had to testify in court on Tueday,the man that sexually assaulted me was charged with one count of sexual assault and a hate crime last week.I was brave testifying.He faces 35 years,his attorney tried plea deal again and the prosecutor said no.I am glad the prosecutor is being good to me.He is facing 35 years now due to a couple more on his long arrest record,Rape and domestic violence conviction he did to an ex wife of his.
    • Willow
      @mmindy. You sure do have a nice shop.  I had a Delta 14” bandsaw, table saw, jig saw, wood lathe, drill press all Delta cast iron except the table saw that was Sears. Lots of hand tools power and hand.  Thickness planner.  Woodworking was my hobby.  I made our entire bedroom set out of maple.  I made my daughter a memory chest for our youngest granddaughter after she died of cancer, all cherry plus some hand carving, and many more things over the years.  I get it!  Each has his priorities.     my son now has all those now.   yes my wife gets indoor decorating.  Our coffee maker is Keurig but it’s a combination machine.  Make a cup, make a pot.  It shares counter space with a hot water pot.   Willow
    • Ivy
    • Vidanjali
      Screenshot from the video. The title of the play is not mentioned, if I recall. 
    • Hannah Renee
      Experience - 2008, front row center seats watching Jeff Dunham live. He was presenting some of the stuff for his upcoming Christmas special.
    • Mmindy
      Well, I think your KEURIG* should have equal space in one of the kitchens. As for the Zavarka? I would give it a fair chance to develop a taste for it.   @Willow we live in a ranch style house in a middle class neighborhood. When we built the house, I wanted the largest one story home, that would fit on the smallest lot. We knew it would be our forever home, and didn't want to climb stairs, or mow a hug yard. Suzie has decorating priorities in the house, and I can do anything I want in the 2 car garage. The only gas engines in the space I affectionately call my shop, are a Harley (year round) Spring and Summer the lawn mower, Winter the snow blower. Other than that it's a small metal fabrication/assembly area, a 36" wood lathe, bench top band saw, and full size drill press. I also have a table saw with out feed table, along side that is a combination swing arm chop saw.   I'm set,   Mindy🐛🏳️‍⚧️🦋
    • Colleen Henderson
      Having more rings on my trunk than most, I go back to the era of World War II, when much of the vocal music reflected the angst of couples and families separated by war and not knowing what the future held.   Even now, some of the Vera Lynn songs of that time resonate with my emotions.    
    • awkward-yet-sweet
      @Mmindy I thought the Keurig machine was amazing when I first saw one.  But my family is old-fashioned, and when I was going to get one I was firmly denied the counter space in both our main kitchen and the downstairs kitchenette 😔.    GF has a couple of huge Russian samovars....one for use inside which is electric, and an outdoor one that uses charcoal. Russian tea is different than how tea is made in the USA.  There's a very concentrated tea called "zavarka" which is then diluted with hot water.  It seems overly complicated to me, but I have gotten used to it.      Breakfast this morning was tea, a plain boiled egg, and a bowl of kasha (buckwheat pepared similar to oatmeal or grits). Simple and not particularly tasty, but at least there's plenty of it.      
    • Heather Shay
      I was thinking about this, this morning and the best I can come up with it I Want to Hold Your Hand by the Beatles. When I saw them on the Ed Sullivan Show - that was it. From then on music has been an integral part of my life including over 50 years of  writing and singing my own songs.   You can just love to hear music or are affected by music or type of music or artist but how has music touched you.
    • Ivy
      There were things going on in some of the bigger cities.  But I never heard about it.  I lived a rather sheltered life - small town, conservative family, etc. I guess that's one thing about the internet.  "Don't say gay" bills won't keep kids from hearing about it.  If they don't themselves, their friends will.
    • Ivy
      Back then it was more of a curiosity, at least in the media.   I kinda remember seeing something once when I was still a kid.  But it didn't mean much to me at the time.  Somehow I didn't make the connection with my thoughts of wanting to be a girl.  After that I kinda forgot about it. When puberty struck and I tried to cover up my girly-tendencies, I had forgotten about that.  I was more concerned with survival, and learning to play the game. I wonder what it would have been like if I had been born 60yrs later.
  • Upcoming Events

Contact TransPulse

TransPulse can be contacted in the following ways:

Email: Click Here.

To report an error on this page.


Your use of this site is subject to the following rules and policies, whether you have read them or not.

Terms of Use
Privacy Policy
DMCA Policy
Community Rules


Upstream hosting for TransPulse provided by QnEZ.


Special consideration for TransPulse is kindly provided by The Breast Form Store.
  • Create New...