Make an appointment with a primary care doctor, endocrinologist, or gender-affirming care clinic
Ask for an evaluation and discuss your goals, medical history, and any risks
If required in your area, obtain a referral or letter from a therapist or qualified clinician
Complete any requested blood tests or health screenings
Review informed consent forms and treatment options with the clinician
Get a prescription for hormone therapy if you are eligible
Fill the prescription at a pharmacy or through an approved mail-order service
Follow the prescribed dosing schedule exactly
Attend follow-up visits and repeat lab work as directed
Report side effects or concerns to your clinician promptly
Do not start hormones from non-medical sources or without medical supervision