Trans Women: Here are 3 Things to Jump-start Your Transition, Even if You are Not Out! / by Dr. Natalia P Zhikhareva


One of the patterns I see working with trans women over the course of my career as a gender specialist, is FEAR!  Fear of coming out and expressing who they are.  Given our societal ignorance with regards to gender identity, it is understandable why so many people would be terrified to express gender other than their assigned sex assignment at birth, not to mention their desire to transgress the binaries.  

“I am afraid I will lose my job if I come out,” is a common fear, or “my family may disown me if they know,” is another.  Even such fears as “I will be cut out of my inheritance,” or “my legacy will be jeopardized,” have been uttered in my office before. 

While these fears vary in concerns, they do share a common theme of preventing you from moving forward with transition.  Similar to a T-blocker, FEAR acts as a Courage-blocker, inhibiting our strength to move forward.  

Let’s be honest.  All of us experience fear on some level and confronting fear head on with reckless abandonment can be a stupid thing.  In fact, fear just may be communicating to you things you should be mindful of or attend to with caution.

If you are a trans woman struggling with FEAR, thinking you have no options on the table until your family members suddenly become trans friendly or your grandma that holds the key to your inheritance drops dead, I am here to tell you there are things you can do to start your transition while not being out!  Here at 3 things to jump start your transition with one foot in the closet without anyone even batting an eyelash!

1. What are you waiting for girl?  Unless you are hairless (lucky you), you better get started working on your facial hair and perhaps even body hair.  Start looking into electrolysis (my preference) or laser hair removal in your area.  Did you know LA Care covers electrolysis/laser and so does Kaiser! (For LA Care, you will need a letter from a therapist, contact me for a free eval letter).  Don’t have insurance?  There are many affordable trans friendly locations listed on my local resource list  Or better yet, look into Groupon for a great deal!  You can start this process without anyone raising an eyebrow or questioning your new smooth face because many people today, especially in LA, go hairless!

2. What does your voice sound like?  Concerned it is too masculine and feeling paranoid you may not pass once you transition?  While still remaining in the closet, it is a great idea to start voice therapy to practice your true feminine voice in private.  This may take anywhere from 6 months to a year or more, depending on your voice.  I highly recommend Eryn, who is fantastic and has tons of experience working with trans people or Anna who herself is a trans woman and has hands on experience and knowledge Anna Lantry BM, GCPH.

3.  Feeling dysphoric?  Unable to concentrate at work?  Feeling more anxious or depressed as a result of not being able to start transition?  Consider HRT!  No, I am not kidding.  Do consider starting hormone therapy while you are still in the closet.  For starters, you can start on a low dose of hormones without having drastic results that may give you away.  I know many individuals who are on HRT and are still not out, nor do they present in their preferred gender.  Starting HRT will not only help you feel less dysphoric, help you focus, and relieve anxiety and depression, but it will also make you feel empowered to begin your journey!  A common concern is using work or parents insurance to start HRT out of fear of having gender dysphoria disclosed.  Here is a tip, if you are truly concerned, consider St. Jon’s Transgender Clinic  As of today, they have an amazing out of pocket package that costs $120 for 3 months of HRT, doctor visit, and lab works.  

Call Dr Z 310-946-6361 to book a complimentary face to face consultation.