What Is A Practical Guide to Feminizing HRT (pghrt.diy)?

Updated

pghrt.diy hosts A Practical Guide to Feminizing HRT, a self-described "living document" written by a layperson under the name Katie Tightpussy. It is a community-written reference that aims to give simplified, direct answers to common questions about feminizing hormone replacement therapy, rather than the fuller biological background found on larger community wikis. It is not medical advice, and the author states plainly that they are not a doctor or medical professional in any capacity.

What the guide is

The foreword frames the project as a reaction to existing community wikis. The author calls those wikis valuable but "impractical" for readers who want clear, actionable guidance instead of every semi-relevant biological process and graph. The stated goal is an "exhaustive quick reference guide of simplified direct answers" to the most common HRT questions the author has received over the years, written both for people considering HRT and for people already on it.

Two framing points matter for how you read it:

  • The guide assumes baseline familiarity with HRT's effects. It is not written as a first introduction to what HRT does.
  • The author says the guide "prioritizes community moral truth where scientific research falters," and labels all information and assertions as opinion rather than fact or medical advice.

The document is also explicitly a living document, meaning it is meant to be updated over time rather than frozen as a finished text.

Who it is for

The guide is aimed at people who already know roughly what feminizing HRT involves and want practical answers, not a textbook. The author also notes that sections remain relevant to people pursuing masculinizing HRT, though goals and outcomes differ, and links to a separate masculinizing guide they describe as looking "pretty solid" without having examined it in full depth.

What it covers

The visible section headings give a sense of the structure:

Section Topic
0 Foreword Purpose, scope, and disclaimers
1 Introduction Opening framing
2 Why Injections Rationale for one delivery method

The table of contents shown in the source is partial, so the full range of topics is not visible from the excerpt alone. The "Why Injections" heading indicates the guide takes positions on delivery methods rather than only listing options neutrally.

Language availability

The document is currently available in:

  • English
  • German (Deutsch)
  • French (Français)

The author invites anyone interested in producing a translation or alternate version to get in touch.

How to weigh it

Because the guide is written by a layperson and presents opinion, it is best used as a starting point for further learning and as a way to find questions worth asking, which is how the author describes its intended role. For decisions about your own care, the guide itself points you toward making your own judgment and toward qualified sources. The author also advises staying away from trans subreddits, particularly r/mtf, calling them neither healthy places nor sources of good wisdom.