Last month the landmark Cass review of children's gender treatment in England concluded there was a lack of reliable evidence supporting the use of cross-sex hormones and puberty blockers by young people questioning their gender identity.
As a result, provision of crosssex hormones to under-18s is under review. The report said that while they can still be made available to patients from the age of 16, they should be prescribed only with extreme caution and a strong clinical rationale for not waiting until an individual reaches 18. The recommendations apply to the NHS and the private sector. Trans adults are often prescribed such hormones, but it is illegal to supply the drugs in the UK to adults or under-18s without a prescription.
Guardian research found online pharmacies in places ranging from India to Hong Kong and Portugal offering hormone treatments without a prescription, typically ranging from about £10 to £30 for a 28-day supply of a starting dose of feminising hormones.
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