Trans Long Covid Experience with Hormone Replacement Therapy (HRT)
In partnership with the Sick Times and the Trans Journalist Association, here is a preliminary form to be filled out before our interview discussing the effects of HRT on trans people living with Long COVID and the correlation between hormones and hallmark symptoms of Long COVID (ie. Pots, chronic fatigue, cognitive dysfunction, etc). By filling this out, you are expressing interest in being interviewed by Khalil (Kae) Dennis, a Black trans Long Hauler and Public Health/Movement Journalist.
Name (can be legal or chosen name)
First Name
Last Name
Name you want used in the article (if you are wanting to be on record)
First Name
Last Name
Pronouns
Email
Phone number (optional)
Gender Identity (choose as many as accurately reflect you)
Trans Woman
Trans Man
Trans Femme
Trans Masc
Non-binary
Genderqueer
Two-Spirit
Agender
Other
If "Other," please provide additional gender identifier(s) not listed above
Race
Hispanic or Latino
Black or African American
American Indian or Alaska Native
Middle Eastern or SWANA (Southwest Asian/North African)
Native Hawaiian or Other Pacific Islander
Native Hawaiian or Pacific Islander
Asian
White
Ethnicity (anything to clarify cultural context)
Are you currently living with Long Covid?
Yes, I am living with Long Covid
No, I am not living with Long Covid
Are you currently undergoing hormone replacement therapy (HRT)?
Yes, I am currently doing HRT
No, I have never done HRT
No, but I have undergone HRT and had to stop due to Long Covid symptoms
If living with Long Covid, what symptoms have you experienced, either currently or in the past while living with the condition?
Describe your experience taking HRT while living with Long COVID (please feel free to be as detailed as you want here or summarize)
Did/Does your medical provider know about HRT's relationship to Long COVID?
Will you be impacted by new Medicaid work requirements?
Are you interested in being interviewed? (in-person only available to Chicago residents while video call is open to any trans Long Hauler in the US for this story)
Yes, in-person
Yes, video call
No, my answers here are all I want to provide
If you are interested in being interviewed, do you want to be interviewed:
On Record (meaning anything in-conversation can be attributed directly to you by name)
Not for Attribution/On Background (meaning your comments may be quoted directly, but you may only be identified in general terms or anonymously [e.g., “a government insider”]; we can discuss how you want to be identified)
Off the Record (No information provided can be used for publication; however, the information you provide can be used without attribution to verify its veracity with another source. Ultimately, your name and contents of the interview will not be disclosed via print or with other sources)
Unsure (I want to discuss this further before a formal interview)
I do not want to be interviewed beyond this form submission
Submit
Should be Empty: