Whether or not you need both parents' consent to start hormone replacement therapy (HRT) is a complex issue with no definitive answer. There are several factors to consider:
Age and Legal Status
- If you are under 18 years old, generally both parents/legal guardians must provide consent before starting HRT. Some clinics or doctors make exceptions depending on circumstances.
- Once you turn 18 and are legally an adult, you can consent to your own medical treatment without needing parental approval.
Custody Arrangements
- If parents are divorced or separated with split custody, rules around consent vary:
- In sole custody arrangements, only consent of the custodial parent is legally required.
- In joint custody situations where both parents are legal guardians, many clinics require consent from both parents even if the minor lives primarily with one parent.
Informed Consent Model
- Some clinics operate on an "informed consent model" meaning parental consent may not be mandated if:
- The minor can demonstrate fully understanding risks and benefits of HRT
- The care provider determines starting HRT is in the best interest of the minor
- In these cases, lack of parental consent can complicate family relationships and should be carefully considered by the minor and care provider.
Emancipated or Mature Minors
- In some locations, minors who are legally "emancipated" from parents or proved sufficiently "mature" may be able to consent to their own HRT under medical exception laws. This is determined case-by-case.
Additional Considerations
- Having support from both parents/guardians can provide many benefits as a minor starts HRT including:
- Covering insurance, appointments, medications and bloodwork
- Transportation to appointments
- Emotional support during a major transition
- For minors needing to bypass parental consent, resources and support systems are especially vital.
Wellness Hormone Clinic
In summary, whether dual parental consent is needed to initiate HRT depends greatly on the minor's specific situation. Rules differ across clinics, states and custody arrangements.
Turning 18 and becoming a legal adult grants the right in most cases to consent to one's own treatment including hormone therapy. But having support from parents, where possible, can deeply strengthen the HRT journey.
