Tech adviser Josh Stols felt a wave of euphoria when his doctor handed over his first testosterone prescription, allowing him to finally start his physical transition as a transgender man after a year of psychiatric assessments.
In SA, trans men and doctors say that widespread testosterone shortages began around 2015, and can last for a few months at a time. Depo-Testosterone, the affordable, injectable hormone used by many SA trans men and gender nonconforming people, is produced by Pfizer, which has had to pivot resources to meet huge demand for its Covid-19 vaccine.
Trans people using black-market testosterone report side effects such as dizziness, exhaustion and nausea. But many of those who are unable to access alternative supplies — whether official or illicit — cannot cope and choose to end their lives, said Stols.
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