For Cristina Hineman, the situation felt urgent: the 17-year-old needed treatment at Planned Parenthood, where she knew she wouldn’t be subjected to humiliating questions, or an unnecessary waiting period, or lectures, or prying about her certainty. But it wasn’t an abortion she sought. It was testosterone.
Planned Parenthood was founded a century ago to promote birth control. Today, its nearly 600 clinics nationwide make it the largest single provider of abortion, contraception, reproductive care, and sex education in the U.S.
It has also, in less than a decade, become the country’s leading provider of gender transition hormones for young adults, according to insurance claim data. In 2015, around two dozen of their clinics began offering this service. Now it’s available at nearly 450 locations. Insurance claim information provided to The Free Press by the Manhattan Institute shows that at least 40,000 patients went to Planned Parenthood for this purpose last year alone, a number that has risen tenfold since 2017. The largest proportion, about 40 percent, were 18- to 22-year-olds.
Faced with her parents’ skepticism, Hineman waited to make an appointment for just after her 18th birthday in November 2021 at the Planned Parenthood in Hudson, NY. Some clinics offer hormones starting at age 16 with parental approval, but as a legal adult Hineman wouldn’t need their consent.
After she filled out forms in the Planned Parenthood waiting room, a nurse led her to an exam room and handed her a consent form for “masculinizing hormone therapy.”
Records show that a nurse practitioner asked about Hineman’s identity and desires; she noted that “patient has consulted with a mental health provider”—meaning Hineman had previously talked to therapists. The two discussed the “expected changes” related to testosterone—growing a beard and body hair, deepening voice, and that “changes to fertility may be permanent or reversible.”
