One young woman, Helena, told me that after she came out as “trans” to her mother in her senior year of high school, she couldn’t wait to start T. “So I told my parents that I was going to be on a sleepover and then I just drove to Chicago,” where the nearest “informed consent” clinic was located. She walked out of the office the same day with a course of testosterone, without even having had to present a therapist’s note.
