“I didn’t have any choice … The other doctors didn’t even listen to me; they refused,” Sylla, 22, told the Thomson Reuters Foundation, visibly upset, as she sat in a restaurant in the capital, Ouagadougou.
Despite the health risks, she has been self-medicating ever since using the same prescription, a practice that trans rights advocates say is widespread among transgender people in the conservative West African country.
A shortage of qualified doctors who are willing to work with trans patients, and fear of seeking medical help due to social stigma, lead many trans people to take hormones without proper supervision, campaigners and community members said.