Some transgender individuals choose not to undergo hormone replacement therapy (HRT) as part of their transition or gender expression. There are various reasons for this choice:

  1. Medical Concerns: Some people might have medical contraindications to HRT, or there could be potential side effects that they wish to avoid.
  2. Personal Preference: Not all transgender individuals feel the need for HRT to align with their gender identity. They might be content without the physical changes that hormones would induce.
  3. Fertility Concerns: Hormone treatments can affect fertility. Some transgender individuals might delay or avoid HRT if they wish to have biological children in the future.
  4. Cost and Accessibility: In some regions, HRT might not be easily accessible or might be cost-prohibitive.
  5. Social or Family Reasons: Some might avoid HRT due to fears of social stigma, lack of acceptance from family or community, or potential professional repercussions.
  6. Interim Decisions: Some individuals might decide to delay HRT until they’re more certain about their decision or until they’re in a more supportive environment.

Even without HRT, transgender individuals might take other steps in their transition or gender expression:

  1. Social Transition: This includes changes like adopting a new name, using different pronouns, changing one’s style of dress, and/or adopting a new hairstyle.
  2. Surgeries: Some might opt for surgeries such as mastectomy, breast augmentation, facial surgeries, or gender-confirming surgeries without undergoing HRT.
  3. Legal Changes: This could involve changing the name and/or gender marker on identification documents.
  4. Voice Training: Transgender women, in particular, might undergo voice training to achieve a more typically feminine pitch or speech pattern.
  5. Hair Removal or Growth: Transgender women might pursue laser hair removal or electrolysis, while transgender men might use products to promote facial hair growth.
  6. Counseling and Support: Many find value in counseling or support groups to navigate gender dysphoria, societal challenges, or personal feelings related to their gender identity.

Remember, there’s no single “right” way to be transgender. Every individual’s journey is unique, and each person should pursue the path that feels most authentic and fulfilling to them. It’s always important to approach this topic with sensitivity and respect.