GUIDED BY AN EXPERT Yammy Fernandez, a transgender woman from Negros, undergoes a postoperative checkup with Dr. Troy Recomo after her gender-affirming surgery in Manila, underscoring the importance of professional medical supervision. —KAYE BRIER

(First of two parts)

DUMAGUETE CITY, NEGROS OCCIDENTAL, Philippines — For years, Angel, a transgender woman from Negros Oriental, bought contraceptive pills from pharmacies, ordered hormones online and injected herself based on advice from Facebook groups and friends—all without ever consulting a doctor.

“I sometimes experience headaches and shortness of breath, but I never consulted a doctor,” Angel said in Cebuano.

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