transdermal application through gel, cream, or patch applied to the skin; person were to begin testosterone therapy, there would be a time of transition What will happen if I stop taking T? People may consider T therapy as a second puberty. Can I decide which changes I will get? Completed in January of 2006, the Trans Care Project created a series of training materials and practice guidelines for clinicians treating trans patients, as well as consumer information about trans health for trans people-- FTM and MTF. not had an oophorectomy) and/or via the natural aromatization of testosterone Later changes may include changes to facial appearance, hair growth, clitoral changes, and increased muscle mass. Here, stud continue reading, We live for scolding hot tea, and theres no scandal better than a royal scandal (please see Netflixs The Crown seasons 1-4). Some people may wish to see a mental health professional before beginning treatment to explore potential goals, challenges, and expectations of hormone therapy, as well as its effects. ", What are the health concerns associated with FTM When deciding whether to resume testosterone hormone therapy after surgery, there are a few factors you should consider. for maintaining bone density. T will most likely not significantly decrease breast size-- most trans men require remain in that same patchy state upon quitting T; he will be able to shave it Many people wish to supplement it when they are deficient, Testosterone injections are a hormone treatment for low testosterone in males and postmenopausal symptoms in females. Between the first Youll also notice that the odors of your sweat and urine will change and that you may sweat more overall. Some people may also undergo a mental health evaluation that explores their mental health, gender dysphoria, and use of alcohol and drugs. Acne usually peaks within the first year of treatment and then begins to improve. might not be an accurate indicator of what is to come. delivery method used, and the individual's own bodily sensitivity to the effects A person has gender dysphoria when they experience distress because their gender identity does not match their sex assigned at birth. or are no longer functional and you stop taking testosterone, your body will Many people worry that taking T will drastically change their personality, discuss them with your doctor if they concern you. What will happen if I stop taking T? your changes. They might report feeling more balanced or more like themselves. This itself is a good reason to continue taking a permanent maintenance dose of testosterone. Where can I find reliable information about testosterone and health care to show my doctor? health considerations should be weighed carefully with a medical professional That said, surgeons often recommend waiting at least 6-12 months after the start of testosterone therapy before having masculinizing chest surgery, otherwise known as top surgery, in order to first allow the contours of the muscles and soft tissues of your chest wall to settle in to their new pattern.
If a female-bodied If you suspect you may have become pregnant or have a positive pregnancy test while taking testosterone, speak with you provider as soon as possible, as testosterone can endanger the fetus. T report that their hair loss stopped immediately. If a trans man discontinues testosterone therapy, there are two possible outcomes Results are influenced by genetic make-up/heredity. While gender affirming hormone therapy usually results in an improvement in mood, some people may experience mood swings or a worsening of anxiety, depression, or other mental health conditions as a result of the shifts associated with starting a second puberty. Starting hormone therapy in your 40s, 50s, or beyond may bring less drastic changes than one might see when beginning transition at a younger age, due to the accumulated lifetime exposure to estrogen, and declining responsiveness to hormone effects as one approaches the age of menopause. the rate of hair loss upon stopping T. Some individuals who have quit taking Am I receiving mental health benefits from testosterone in addition to the physical effects? T therapy will typically change a persons libido as well as their genitals.
lower dose could work better for you. University of California - San Francisco Sometimes such an imbalance could lead to a precancerous condition, although this is rare in transgender men. T is usually a life-changing experience, and with any life-changing experience The third area of impact of hormone therapy is on your sexuality. one can expect to feel some changes, both good and bad. In other words, not all individuals will see the same results Often this acne responds to typical over-the-counter treatments, but in some cases prescription medication may be required. Mississauga, Ontario This conversion is part of the body's natural feedback system-- if there is an abundance of testosterone in the body, it is converted ("aromatized") to estrogen in order to maintain a "normal" hormonal balance. You may also gain fat around your abdomen. the benefits and drawbacks to hormone replacement therapies-- be sure to speak on bone density), and other health considerations. daily doses; oral and sublingual/buccal T are also typically taken daily. They may also wish to discuss the social supports available to them. Recently, an oral form of testosterone, taken as a pill twice daily, has been approved for use. would be required for permanent hair removal. Some men tend toward male-pattern What to know about testosterone injections, have or have had a hormone-sensitive cancer, such as, transdermal (through the skin) testosterone, acne, which may peak within the first year but then improve, a reduction in fat around the hips and thighs, menstrual changes, such as lighter, shorter, or heavier periods before they stop completely, difficulty releasing eggs from the ovaries, a reduction in the ability to get pregnant, changes in sexual interests and attractions, the induction of masculine physical traits, reductions in stress, anxiety, and depression, abnormal levels of lipids in the blood (dyslipidemia), producing too many red blood cells (erythrocytosis). Other changes reported by trans men Hormone therapy does much more than present visible physical changes and affect mood. Myths and Misconceptions about Testosterone, Transition, and Trans Men, For Changes due to treatment may be temporary or permanent. For example, facial hair that has already grown in may continue to grow, while new facial hair will not develop. A person may undergo T therapy if they have gender dysphoria. Your arms and legs will develop more muscle definition, with more prominent veins and a slightly rougher appearance, as the fat just beneath the skin becomes a bit thinner. Some people may experience changes within a few months, but certain changes may take a few years to take maximum effect. It does carry some risks, however. Or, do you want to begin at a lower dose and allow things to progress more slowly? ovaries are still present and active. Overview What will happen if I stop taking T? The answer to this question varies depending on the specific changes you are talking about. Those who choose to undergo T therapy will receive the hormone testosterone to reduce estrogen production. changes so that they begin to be read as men "on the street." This is because FTM terminology is binary and exclusionary. Slight decrease in density of the fatty breast tissue. HPV is transmitted sexually, more commonly by having sexual contact with someone who has a penis. When a person receives treatment for gender dysphoria, they may also begin to feel more like themselves and more comfortable in their own body. The patch also allows swimming, showering, exercise, and contact with others. Many people are eager for hormonal changes to take place rapidly- understandably so. Dont be afraid to explore and experiment with your new sexuality through masturbation and with sex toys. "FTM Testosterone Therapy and General Health.". Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Was this page helpful to you? Starting treatment in ones 40s or 50s, for example, can bring about less dramatic changes than those that would occur in adolescents or young adults who receive T therapy. Doctors will also recommend screenings, such as breast cancer and cervical screenings, based on age-appropriate recommendations. Regarding the hair on your head: most trans men notice some degree of frontal scalp hair thinning, especially in the area of your temples. This one does too, but it a really good way like in a two boxes of Kleenex way. method is injection (either subcutaneous or intermuscular) with a syringe. into your body, it is wise to observe your feelings, make note of them, and The changes listed below have been noted anecdotally by some trans men, but If an individual has developed a patchy beard, it will probably Because not all breast tissue is removed during masculinizing chest surgery, otherwise known as top surgery, there is a theoretical risk that breast cancer could develop in the remaining tissue. People may receive T therapy in a number of ways. Final thoughts reasons. Transgender men may use any form of contraception, including the numerous options available that do not contain estrogen, and some that contain no hormones at all. estrogen in his system, both through the presence of his ovaries (if he has And finally, please remember that all of the changes associated with the puberty youre about to experience can take years to develop. Ask your provider for more information on strategies for managing hair loss. The first physical changes you will probably notice are that your skin will become a bit thicker and more oily. produces estrogen as its main sex hormone (as in the case of female-bodied people), How fast do the changes happen? growth rate-- depending in part on whether the individual's ovaries are still The speed at which changes take place will differ depending on several Some men may experience a return of spotting or heavier bleeding after months or even years of testosterone treatment. The listing If you have any mental health conditions it is recommended you remain in discussion with a mental health providers as you begin hormone therapy. Consider the effects of hormone therapy as a second puberty, and puberty normally takes years for the full effects to be seen. What are the health concerns associated with FTM testosterone As with cis men, unfortunately there is no way to completely prevent male pattern baldness in those predisposed to develop this condition. under the tongue or against the gums; or by a pellet inserted under the skin. Voice changes may begin within just a few weeks of beginning testosterone, first with a scratchy sensation in the throat or feeling like you are hoarse. considered medical advice. Red blood cell count and cholesterol levels will probably revert to Last medically reviewed on March 17, 2021, Female-to-male gender-affirming surgery may involve the creation of a new penis. secondary sex characteristics. Next your voice may break a bit as it finds its new tone and quality. People will have regular checkups with a doctor during treatment to monitor their progress and check for adverse effects. If he no longer has functional ovaries due to oophorectomy or some other reason, It should be noted that starting and stopping hormone therapies will have a Doctors also use them in, Testosterone is a sex hormone that regulates sexual development, muscle mass, and red blood cell production. How fast do the changes happen? Some people find that their sexual interests, attractions, or orientation may change when taking testosterone; it is best to explore these new feelings rather than keep them bottled up. Oral administration of testosterone undecanoate (Jatenzo) involves taking a pill twice daily. Learn more about what to expect from different forms of this surgery, Transgender men face a number of mental health concerns. to your doctor if you are considering stopping testosterone therapy for any
These changes may affect how the person relates to others or how they perceive things they once enjoyed. It is unclear if testosterone therapy plays any role in HPV infection or cervical cancer. Overview Your pores will become larger and there will be more oil production. However, for This article will discuss T therapy, including the potential risks, the benefits, and what people can expect during and after treatment. have begun hormone therapy late in life and have been very satisfied with their (monthly periods). However, longer term, definitive studies are lacking. Overview of MasculinizingHormone Therapy Some people develop a thick beard quite rapidly, others take several years, while some never develop a full, thick beard. 2004-2022 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company.
This will help prevent a weakening of the bones, otherwise known as osteoporosis, , which can result in serious and disabling bone fractures. Pap smears are used to detect cervical cancer or precancer conditions, as well as an HPV infection. or that it will make them become a different person on the inside.
T therapy is a treatment that induces typically masculine physical traits while suppressing typically feminine ones. The face may become more angular in appearance, with a squarer jaw. In FTM testosterone therapy, testosterone (often called "T" for Your orgasms will feel different, with perhaps more peak intensity and a greater focus on your genitals rather than a whole body experience. This would be problematic For example, trans men who have had their ovaries removed have no natural way of producing enough testosterone or estrogen to maintain healthy bone density, so it is important to continue hormone therapy for this reason. T can also help maintain the libido. To learn learn more about the different types of testosterone, examples Some research also indicates that structural changes occur in the brains of those receiving continuous, high dose hormone therapy.
treatment. reason. Others may not appear for a few months, while some may take a few years for maximum effect. before beginning or ending any hormonal treatment. It may also allow a person to experience gender congruence, which can feel empowering and liberating. There are several potential benefits and risks associated with this therapy. Testosterone comes in several forms. Bone Density: An important factor to consider In the U.S., most people can access T therapy at age 18 years, which is when they are capable of consent. therapy? Your tastes in foods or scents may change. The against those potential problems. First: Will changes Ive already undergone reverse themselves when I stop taking testosterone? Testosterone may reduce your ability to become pregnant but it does not completely eliminate the risk of pregnancy. They may take a complete personal and family medical history and perform a physical examination. If you have had or are considering female to male transgender surgery, there is a good chance that you are currently taking testosterone to assist in acquiring the desired physical changes of an ftm transition. Ask your medical provider if you have further questions about the risks, health monitoring needs, and other long term considerations when taking hormone therapy. in the body while hormone levels adjust. Will T make me a different person? Some of these changes may settle down over time. short) can be administered into the body in a number of ways. Ask your medical provider for more information about this approach. All these factors Types and Delivery.". Thank you for reading and for taking care of your health. All rights reserved. It causes the development of typically masculine traits, such as facial hair growth, increased muscle mass, and a deeper voice. have your T levels checked periodically (especially during the first year of more effective it will be in terms of masculinizing effects. There are differing medical opinions as to Some of the effects of testosterone are permanent, and some are reversible, are not usually listed in the medical literature as masculinizing effects of T therapy is a treatment option for those who experience gender dysphoria.
Second, if your ovaries have been removed There An individual can also help protect against bone loss by taking 6 to 12 months of treatment, many trans guys note the culmination of enough physical are permanent? These include: In the United States, doctors prescribe the medication and provide guidelines on how to safely administer the therapy. dependent on both estrogen and testosterone levels. Contains the downloadable book Medical Therapy and Health Maintenance for Transgender Men: A Guide For Health Care Providers by R. Nick Gorton MD, Jamie Buth MD, and Dean Spade Esq. of their T cycle (i.e., just after a shot, or a few days before their shot). Where can I find reliable information about testosterone and health care to show my doctor? UCSF Health System active and producing estrogen-- but the beard will not disappear. Most people using masculinizing testosterone therapy will experience at least a small amount of acne. There will always be a range in If you do want to have a pregnancy, youll have to stop testosterone treatment and wait until your provider tells you that its okay to begin trying to conceive. of either testosterone or estrogen in his system.
Some non-trans guys end up with acne while others have clear skin, some grow lots of facial hair quickly while others can never grow a beard or mustache, some develop deep voices while others might see little change in their voices over time, some experience male-pattern baldness at and early age while others keep a full head of hair their whole lives, and so on. Again, whether or not an What are the health concerns associated with FTM testosterone First, if your ovaries are still present and functional, the cessation of testosterone Speak openly to your doctor, Most of the research on risk of heart disease and strokes in transgender men suggests that risk does not increase once testosterone is begun. Testosterone must be taken as directed by your endocrinologist or family doctor. Some changes, like voice pitch and clitoral growth, are typically permanent. Others may reverse themselves partially. Should You Continue to Take Testosterone Forever After FTM Surgery? Your provider can give you more information about breast cancer screening after top surgery. What kind of changes does T therapy bring? The degree to which they can be reversed depends on how long you have been taking testosterone. Clitoral growth, facial hair growth, voice changes and male-pattern baldness are not reversible. If you have had your ovaries removed, it is important to remain on at least a low dose of hormones post-op until at minimum age 50. But it's very important to remember that the extent of, and rate at which your changes take place, depend on many factors. I encourage you to take the time to learn new things about yourself, and sit with new or unfamiliar feelings and emotions while you explore and familiarize yourself with them. Perhaps your long term goal is to seek less-than-maximal effects and you would like to remain on a low dose for the long term.
your dosage within reasonable limits if necessary. Some medical professionals therefore advise against It may take several years, for example, for a beard to fully grow in, even though hair continued to fall out for a while after stopping T. If an individual has These hormones can cause mood swings, bloating, and other side effects, so it is recommended that you discuss these medications further with you provider if they are to be used. 50 Burnhamthorpe Road West, Suite 343, All Rights Reserved. There are potential risks of high blood pressure when taking this medication, so extra steps need to be taken to monitor your health if you choose to use this form of your testosterone. level of testosterone. wider. Finally, for some Will T make me a different person? If he still has his ovaries and they are still functional, Fat will diminish somewhat around your hips and thighs. Check out the following two web sites, which contain free, downloadable information written by care providers for care providers and trans patients. What kind of changes does T therapy bring? that estrogen in healthy levels protects against bone loss. Some people experience little or no change in their emotional state. literally means "porous bones.". In general estrogen blocking medicines are not used as a part of masculinizing hormone therapy. While cisgender men do have higher rates of cholesterol related disorders and heart disease than cisgender women, the available research on transgender men taking testosterone has generally not found these differences. calcium supplements and performing weight-bearing exercise. The T-delivery method used will depend on the type of medication available in
The results of hormone therapy can vary. Use caution when reading about hormone regimens that promise specific, rapid, or drastic effects. Where can I find reliable information about testosterone and health care to show my doctor? Hair Loss on Head: There have been different anecdotal reports regarding What are the different types of testosterone available, and how do I take them? What changes therapy. The information contained herein is to be used for educational purposes only. What kind of changes does T therapy bring? on either side of your family to try to predict possible results, but even that Female-to-male (FTM) testosterone therapy, or T therapy, is a treatment that some people may receive to induce masculine physical traits and suppress feminine ones.
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