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Think through who you will tell and what you will say. If you haven’t already, make a plan to come out as transgender . Start by telling people who you trust. They can help serve as a support system. Choose a good time and place where you will be able to have a private, uninterrupted talk. [1]
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You might tell your sister, "I have something important I’d like to talk to you about. Can you come over Friday evening?" Then you can say whatever makes you comfortable. "I’m transgender and I identify as a male," might be a good place to start.


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Talk to people who are supportive. You don't have to tell anyone that you don't want to. If you only want to tell 1 friend or family member, that's fine. This is your news to share. If you have someone who is supportive of you, consider asking them to be with you while you come out to others. They can be a great source of moral support!

Before you come out, make sure that doing so won’t endanger your health, safety, or living situation. If you think there might be a problem, have a safety plan in place. That means having a bag with some essentials packed and ready to go. Plan ahead to stay at a friend or family member's house, if necessary.
Make sure that you are completely comfortable with your own identity before discussing it with others.


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Research being trans so that you are prepared to answer questions. Unfortunately, many people don’t understand what it means to be trans. It’s likely that they will have plenty of questions for you. Take some time to gather lots of facts about being trans and transitioning. You can share this information with those who have questions. [2]
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You can search online for helpful information. You could also reach out to a local LGBT center and ask them for good resources.

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Give people time to process your news. Hopefully, you are met with immediate support and love. But some people might need time to adjust to knowing that you are trans. That’s okay; it probably took you a little while to come to terms, too. [3]
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You can say something like, "Thanks for listening. I know this is a lot to process. Maybe we can get together in a couple of days after you’ve had time to think?"

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Look into laws in your area before coming out at work. There is no federal law that protects people from being fired because of their gender identity or expression. Many states and cities, however, do have protections in place. If you think your gender identity might cause problems for you at work, check the laws where you live.

If there are not explicit protections in place, you might want to contact a lawyer for some advice.
If you are still in school, you might want to talk to an adult before you decide to come out. A favorite teacher or the school counselor can help you decide how open you want to be at school. Hopefully, everyone will be supportive. But if you are bullied, these people will be ready to support you. [4]
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Find a support system to help you deal with your emotions. Even when it goes smoothly, deciding to transition can be a really emotional experience. In addition to trusted family and friends, reach out to others for support. It can be especially helpful to talk to others who have transitioned to get some advice. [5]
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Look for LGBT support groups in your community.
You can also find support from national organizations like The Trevor Project and PFLAG.


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Ask people to use your preferred pronouns. One of the first steps of your transition can be letting people know the gender you identify with. Pronouns are important because they let people know how you like to be referred to. [6]
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When you meet a new person, you can say, "Hi! I'm Taylor, and I'd love it if you could use he/him when you're referring to me."
You can gently correct people who use incorrect pronouns when referring to you. Try saying, "Can you please either use he/him pronouns or just use my name? Thanks so much."


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Change your name if you want to. Everyone chooses to transition differently. Remember that you can make whatever choices you want. If you want to change your name, you can do so legally or just socially. [7]
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You can start slowly by just asking friends and family to call you by your new name. You can say, "I know you know me as Sara, but I’m going by Sam now."

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Alter your grooming and clothing to be more masculine if you want to. You can also further your transition by changing your appearance. You might want to try a short haircut, for instance. You can also start shopping in the men’s section for your clothing and shoes. You could try wearing something like jeans and a blazer when you go out for the evening. Remember, what's most important is that you feel comfortable. [8]
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Eric A. Samuels, PsyD Clinical Psychologist
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Find out what your insurance will cover. Transitioning medically is unfortunately often expensive. Actual costs will vary depending on where you live and who your doctor is, but it will likely cost several thousand dollars. However, there is some good news! More and more insurance plans are covering all or parts of the cost of transitioning.

First, talk to your doctor and get an explanation of expected treatments and costs. Next, examine your insurance plan. If you can't tell from reading your policy what is covered, call and speak to a representative.
Both employer-based plans and Medicare and state marketplace plans are starting to cover more of the costs of transitioning.


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Make an appointment with an experienced doctor. If your doctor doesn’t have experience helping people transition, seek out a doctor with expertise. They’ll be better able to guide you through the process and answer your questions. Schedule an appointment and talk to your doctor about what steps you want to take to transition medically. Hormone therapy will likely be the first step.
Talk to your doctor about risks associated with hormone therapy. As a result of hormone therapy, your overall health profile will be that of a male. That may mean you are at greater risk for conditions like heart disease and high blood pressure. [9]
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Choose the right dosage and method for you. Testosterone can be taken in 3 ways: orally (pill), through a skin patch or gel, or with an injection. The right method for you will depend on your individual health needs. Talk through each of these options with your doctor. Don't be afraid to ask lots of questions. They're there to help you! [10]
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Oral testosterone is the least effective, so it's not as commonly used. If you use transdermal therapy, you will be using a skin patch or gel each day. If your doctor recommends injections, you'll typically get a shot either once a week or every 2 weeks.
Doses vary greatly. It might take some time for you and your doctor to figure out what's right for you.


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Expect changes to your skin to come first. Shortly after you begin taking testosterone, your skin will start to look and feel different. Your pores will be larger and you might notice that your skin is thicker and more oily. It’s not uncommon to experience some acne flare-ups. [11]
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Your sense of touch might also change, and things might "feel" different when you touch them.

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Look for weight, hair, and voice changes to follow. You might notice that you begin to carry weight differently. For example, you might see less weight in your hips and thighs, and more in your abdomen. Overall, your muscle mass will probably increase. [12]
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Listen for changes in your voice after a
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