Hey there! Thank you so much for your question. I personally haven’t performed such a ritual myself before as I’m cis, but I can explain to you how I might approach it.

For manifestation of various things - the access to the care you need seems to be one avenue to approach, the other to bring about change in what level of hormone you’re actively producing. All bodies under normal circumstances produce both testosterone and estrogen! Looking into herbs/foods/etc that are associated with masculine energies or even have some science behind their ability to boost testosterone would be an initiating factor. Additionally, to address the dysphoria, finding components that will enhance confidence and help with a form of glamour may be useful. For manifestation of getting what you need, do a combination of visualization, spellwork with luck and prosperous associated components and active work (ie. contacting clinics, checking up on your insurance co, etc). 

From my (brief) research and background knowledge into this topic some recommendations. Note that this list is not at all exhaustive, but I dont want to share a lot of things that I haven’t myself used or can’t adequately back up/ verify in some fashion. 

Ginger - assc with improving testosterone levels in with low testosterone (scientifically studied in animals with proven results - link)

Vitamin D - a number of studies find links between low Vit D and low testosterone, I also think that this might be associated with Apollo if you’re a Hellenic practitioner and a great manifestation of masculine archetype

Cedar & Juniper - both make a nice smoke-cleanser or herb for a pouch/to hang when dried with elements of confidence, protection; for me they have a masculine vibe, Juniper berries are also great in recipes both savory and sweet and you can prepare grilled food items with cedar for good flavor

Holly - I am less familiar with, should not be consumed but can be used in a sachet or spell; associated with protection and luck as well

Mint - another masculine herb, for luck, prosperity and strength, though it may cause small decrease in testosterone so it may be better to use as a spell component that isn’t necessarily consumed

Additionally I did a little digging and it looks like there are some existing posts on this topic that may resonate with you. Linked below: 

The Adonis Charm (also a Venus Charm ) 

Spell Bag for Transmasc folks 

Masculine Vibes Charm Bag (also a Feminine Vibes version)  

Stay safe, and know you are loved. 

by bailor (@littlegreengrimoire​)

Intent: The purpose of this spell is to allow the person who makes and carries the bag with them a pleasant journey into, around, and out of the city.

Ingredients:

Rose Quartz (for attracting and building strong platonic and romantic relationships)

Snowflake Obsidian (for protection and grounding)

Amethyst (for protection and good mental health)

Clear Quartz (amplifier)

Any sigils you think you’ll need (I used three sigils - “I am aware and considerate of my surroundings” “I am emotionally healthy and happy” and “I eat properly and healthy”)

Some spare change - some pennies will do (for wealth and luck)

Pronoun pins (I included these because I am trans and being out in large public spaces makes me scared of being misgendered. The presence of pronoun pins affirms my gender identity. You can leave this out if you want to.)

A spare stopwatch or pocket watch (for getting to your destination on time)

A key (Represents unlocking goals and opening up new opportunities. This is also the physical representation of the witch in the spell, so make sure to find a key that you vibe with!)

A small bag or pouch (the vessel for the spell)

Instructions:

Prepare sigils by drawing them on slips of paper and writing their purpose on the back.

Open the bag, placing crystals inside one by one. As you place the crystals inside the bag, remember to focus your intent into them. Remind yourself what purpose each crystal has in your spell.

Next, add the spare change, pronoun pins, and pocket watch. The order in which you add these does not matter, but you should add them in separately, and remind yourself of their purpose in the spell.

If you have any sigils, you should now put them in the bag.

Finally, add the key.

Close the bag.

Carry this bag in your pocket while you spend time in the city. Do not open unless you want to break the spell. 

*Written for Pride Month*  Find the Venus Charm for Transwomen Here! 

Needed: - Something to charm of your choice (watch, binder, shoes)  - Blue Candle - Topaz - Amber - Maple Leaves  - Salt - White Sharpie or Paint (Or a carving tool).  - String of some variety. 

Steps:  - Gather your ingredients, and find a space to work in.  - On your candle, draw, paint or carve the symbol for male on/into your candle. - Light your Candle.   - You’re going to create a bundle using your leaves and string.  - Gather your Topaz and amber together, and set them on top of one or a few of your leaves.  - Sprinkle a little salt in.  - If you can add the item your charming in, do so. if you cant that's okay. - Wrap everything together in your leaves, and use your string to bind it all together.  - If your couldn't put your item in, Set the bundle with your item.  - Bring it all near your candle and focus the energy you are aiming to imbue it with.  - Leave it all together overnight, but blow out the candle before you go to bed.  - In the morning, retrieve your charmed item and wear it as needed to dispel dysphoria and bring confidence. 

You're valid, you're brave, you're not sick, you're not broken.

And now, a spell!

I wish this blessing upon you:

May your heart find a home in your body, may your reflection smile back at you, may you fear not for your safety, may your name be a war cry, may you be surrounded by love.

* written for Pride month* Find the Adonis Charm for Transmen here!

Needed: 

- Something to charm (Lipstick, necklace, shoes, etc) 

- Pink candle

- Moonstone

- Bloodstone

- Oak (Not poisonous!!!) Leaves 

- Cinnamon

- White sharpie or Paint (Or a carving tool).

- String of some variety. 

Steps: 

- Gather your ingredients, and find a space to work in. 

- On your candle, draw, paint or carve the symbol for Venus on/into your candle. 

- Light your candle. 

- You’re going to create a bundle using your leaves and string. 

- Gather your moonstone and bloodstone together, set them on top of one or a few of your leaves. 

- Sprinkle a little cinnamon in. 

- If you can add the item your charming in, do so. if you can’t that's okay. 

- Wrap everything in your leaves, and use your string to bind it all together. 

- If you cannot put your item in, set the bundle with your item. 

- Bring it all near your candle and focus on the energy you are aiming to imbue it with.

- Leave it all together over night, but blow out the candle before you go to bed. 

- in the morning, retrieve your charmed item and wear it as needed to dispel dysphoria and bring confidence. 

*Inspired by Kahlessi's journey across the Narrow Sea*

Can be used for moving, changing careers, or any major kind of change. If Im being honest I did write this spell with Trans People in mind. I only hope it can do some good.

Gather the following:

~ if the following stones can not be gathered get some small trinkets to represent them

- Garnet (confidence and survival skills)

- Jet (clear negativity and stabilize emotions)

- Labradorite (to help find your way)

- Moonstone (Inner Peace) v good for mtf

~ can be interchanged with Goldstone for ftm

- Malachite (Balance emotions)

- two bowls

- an orange candle (change and bringing about desired results) or white (all purpose)

Steps:

- set up your bowls on either side of the candle

- light your candle, and place all your stones or trinkets inside the left bowl.

- think about the transition you are going to make. Think about where you are. Now think about where you are going.

- pick up the Garnet, pass it over (not through) the candles flame and place it in the next bowl. Say or think: "it is time to transition. I know where I am, I know where I want to go. As I move this stone, I call to myself confidence in my decision and the skills to survive"

- next move the Jet and move it in the same manner say/think: "as I move this stone, I call to myself the removal of negativity, and stability.

- then move the Labradorite and say/ think: "as I move this stone, I call to myself the ability to find the path best for me."

- move the moonstone next. Think/say: "as I move this stone, I call to myself inner peace."

- finally move the Malachite. Think/say: "as I move this final stone I call to myself balanced emotions and the resilience and preparation to make the change nessicary.

- blow out the candle or dust off your hands to close the spell.

Best Wishes, Aesa <3 (this is my original spell, please do not repost on any platform without my explicit permission)