Advocacy for Gender Affirming Care: Learning from the Injectable Estrogen Shortage

Transgend Health. 2018 Mar 1;3(1):42-44. doi: 10.1089/trgh.2017.0025. eCollection 2018.


Hormone therapy is medically necessary for many transgender individuals. The U.S. Food and Drug Administration (FDA) and pharmaceutical companies' failure to guarantee a supply of injectable estrogen in 2016 and 2017 for transgender individuals is a violation of their right to comprehensive medical treatment, free of discrimination. A series of advocacy actions eventually led to all formulations of injectable estrogen being restored to market; however, long-term solutions to supply interruptions of injectable estrogen are needed. Long-term solutions should address the lack of federally funded research and, consequently, evidence-based practice on hormone therapy for gender affirmation.

Keywords: clinical care; gender dysphoria; gender transition; public policy and advocacy; transgender.