Receiving Gender-Affirming Care Hasn’t Worked Out for Me 3 Times in Just 10 Months

Alysha V. Scarlett
4 min readOct 1, 2023

It’s been a nightmare for me, a woman who is transgender, to receive gender-affirming care. That’s because it hasn’t worked out three times in just 10 months. I have gotten severely depressed due to the setbacks.

The first issue regarded Intermountain Health, before I came to the Los Angeles area from Utah in mid-February. The second and third problems have been in southern California.

Me (photo credit: Alysha Scarlett)

Intermountain Health

IH didn’t even have equipment for vagina surgery to take place.

Also, a nurse practitioner, Noemi Gay, claimed I had to wait a year before starting progesterone. As I’ve learned from four medical providers, that’s not the case. Also, her assistant was difficult.

(Also, Micah Sheldon, the case manager who was supposed to coordinate my care, didn’t write his case note of our visit for 16 days. A different social worker told me that his employer requires it within 72 hours. And I find that he told me 48 hours.)

IH sent me six complaint forms, as I initially requested, before I left to southern California (as I then told an IH patient advocate I was doing). One of just two reasons I relocated was because I imagined things would go more smoothly in the left-leaning state.

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Alysha V. Scarlett

Alysha's won 13 writing awards. Formerly of B/R, Screen Rant, Patch. Author, “Re-finding Yourself in the Age of Trump.” “Big-city cousin.” --rural, rival paper