Lived experiences of Filipino trans people on gender-affirming hormone therapy: a phenomenological study

Background Gender-affirming hormone therapy (GAHT) is a critical component of gender-affirming care that supports transgender individuals in developing physical characteristics aligned with their gender identity and improving psychosocial well-being. While global evidence highlights its benefits, limited research has examined the lived experiences of transgender individuals undergoing GAHT in the Philippines, where access remains constrained by structural and sociocultural barriers.Methods This qualitative study employed an interpretative phenomenological approach to explore the lived experiences of Filipino transgender individuals undergoing GAHT. Eighteen transgender adults (11 trans men and 7 trans women), aged 20–40 years, were recruited using purposive sampling. In-depth semi-structured interviews were conducted between March and May 2024. Data were analyzed using reflexive thematic analysis, supported by MAXQDA software.Results Three major themes emerged. Navigating structural barriers and embodied uncertainty captured financial constraints, limited access to care, stigma, and reliance on self-directed hormone use. Stepping into a second puberty reflected participants’ experiences of bodily, emotional, and sexual changes following hormone initiation, including voice changes, breast development, libido shifts, and mood fluctuations, often requiring trial-and-error adjustments. Becoming the true self highlighted the transformative effects of GAHT, including enhanced self-recognition, improved well-being, and strengthened engagement in transgender communities.Conclusion GAHT was experienced as both a medically and socially transformative process. Despite persistent structural barriers, it enabled participants to achieve greater alignment between their bodies and identities. Expanding accessible, culturally competent gender-affirming care and strengthening community support systems are essential to improving the safety and continuity of GAHT in the Philippines.