Overview
Official guidelines lack regimens for tailored outcomes for non-binary people. Many providers defer to ‘micro-dosing’ standard regimens. This can be challenging for non-binary people seeking specific goals. Non-binary people often face more gatekeeping in the formal healthcare system. Because of this, some non-binary people will turn to DIY HRT as it is harder to find experimental treatments in the formal healthcare system.
For non-binary people seeking feminisation w/o breast growth, experimental approaches exist in the community (e.g., SERMs) but strictly outside of official guidelines. Pursuing such approaches will require intense self-advocacy, such as providing existing medical literature and engaging in shared risk-assessment to reach a conclusion. You will likely encounter medical providers deeming experimental approaches as beyond their clinical competency.
On the other hand, RHO recognises individualised approaches for non-binary people seeking masculinisation w/o facial hair or bottom growth (e.g., combining testosterone with DHT blockers like finasteride).
Further Reading
| Title | Type | Additional Details |
|---|---|---|
| San Francisco’s HRT Guidelines | City Health Guideline | San Francisco’s official city guidelines acknowledge the growing community experimental use of SERMs for feminising therapy. |
| Selective Estrogen Receptor Modulators: A Potential Option For Non-Binary Gender-Affirming Hormonal Care? |
Peer-reviewed Article | Peer-reviewed article written with endocrinologists in a recognised medical journal about the potential use of SERMs for feminising HRT. |
| Gender-affirming endocrine care for youth with a nonbinary gender identity | Peer-reviewed Article | Peer-reviewed article mentioning SERMs as a potential drug for gender-affirming care. |
| A Review of Selective Estrogen Receptor Modulators and their Potential for Transfeminine Hormone Therapy |
Community Article | Community-written article about the potential use of SERMs in transfemme hormone therapy. |
| An Exploration of Possibilities for Hormone Therapy in Non-Binary Transfeminine People | Community Article | Community-written article about some possibilities for HRT in transfeminine people. |