Date of Completion

2025

Document Type

Thesis

Degree Name

Bachelor of Science in Pharmacy

Keywords

Endocrinologists, FHT, Gender-affirming hormone therapy (GAHT), Gender Dysphoria (GD), Hormone therapy, NVIVO software, Pharmacists, self medication, Transpinay

Abstract

Transpinays, or Filipino transgender women, encounter significant structural barriers in accessing feminizing hormone therapy (FHT), an essential component of gender-affirming care in the Philippines. Despite growing visibility of transgender individuals in society, unequal access persists due to systemic discrimination, socioeconomic limitations, and knowledge gaps among healthcare providers (Abeyratne et al., 2022; Wesp et al., 2019). This study utilized hermeneutic phenomenology to explore the lived experiences and perspectives of eight (8) Transpinays in Cavite who have been using FHT for at least three (3) months. Semi structured interviews were conducted following purposive and snowball sampling of participants. Data was thematically analyzed guided by Andersen’s Behavioral Model and the Intersectionality Research for Transgender Health Justice Framework (IRTHJF). Key themes that emerged included the use of FHT to alleviate gender dysphoria, inconsistent FHT use, lack of financial support, and self-medication risks due to limited regulated access. Several participants reported self medicating without medical guidance, often relying on peer recommendations and purchasing from non-pharmacy sources. While some described empowerment and enhanced femininity through FHT, others experienced significant side effects and continued feelings of gender dysphoria, highlighting the need for pharmacist guidance and more inclusive healthcare.

First Advisor

Katrice L. Binos, RPh

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