To receive coverage for hormones like testosterone or estrogen, a person must be 16 or older and meet a standard criteria. “When I got my first testosterone shot,” said Pasini, “I think I cried for like three hours.” Those injections reshaped his body, produced facial hair and coarser body hair, deepened his voice and boosted his confidence.
According to the new rule, those under 16 can receive payment for the treatment in specific cases if deemed medically necessary and prior approval is granted. It was in Pasini’s case.
“The traumatizing thing of going through the wrong puberty, for me, when I first started developing at 11, I began having so much self hatred for myself,” Pasini told LGBTQNation, who has already legally changed his name, undergone top surgery and is living full-time as the male he’s known he was since he was 3 years old. The dysphoria he has felt since that time he stumbled into a bathroom and saw a male relative peeing standing up, realizing for the first time his body wasn’t the same as a grown man, only got worse when he reached puberty. “When the menstrual cycle started it caused so much anxiety,” he said.
It didn’t get much easier, he said, after he came out and started using the men’s bathroom and had to deal with his period in a stall. “It caused me so much anxiety and dysphoria, a constant kick in the face, like, ‘Hey! You were born in the wrong body.'”
All that Pasini lacks right now, he says, is a hysterectomy, which is difficult to obtain for anyone under 25. He’s working with transgender-friendly doctors at Mount Sinai in New York City in hopes of achieving that final transition goal. And he’s about to take the first step, to see a trans-supportive gynecologist:
“I have an appointment next week, wow!”