Ask your provider for more information on strategies for managing hair loss. In other words, not all individuals will see the same results
UCSF Transgender Care Consult with your doctor for advice on whether testosterone therapy is necessary to maintain the physical changes you desire. Thank you for reading and for taking care of your health. You may wish to forward these web addresses to your care provider(s). dependent on both estrogen and testosterone levels. There are other reasons why trans men remain on T for their whole lives. Over time, the ongoing administration of testosterone will result in the development Testosterone treatment may reduce a persons gender dysphoria and emotional distress and improve their quality of life. Although research is ongoing, some people who wish to undergo T therapy may have difficulty receiving treatment or experience potential complications from it. But it's very important to remember that the extent of, and rate at which your changes take place, depend on many factors. Doctors will also recommend screenings, such as breast cancer and cervical screenings, based on age-appropriate recommendations. Recently, an oral form of testosterone, taken as a pill twice daily, has been approved for use. secondary sex characteristics. of testosterone. active and producing estrogen-- but the beard will not disappear. At age 16 years or younger, additional paperwork is necessary for people to access such therapy. a more dominant presence in the body of a trans man, he would still retain some Not all trans men will experience a full deepening of the pitch of their voice with testosterone, however. If I double up my doses, will my changes happen twice on bone density), and other health considerations. In addition to injections, there are gel and patches that can be applied to the skin daily. baldness, and some tend toward deeper voices. The changes listed below have been noted anecdotally by some trans men, but are not usually listed in the medical literature as masculinizing effects of If an individual has developed a patchy beard, it will probably Where can I find reliable information about testosterone and health care to show my doctor? To be safe, always discuss any new or changes to bleeding patterns with your doctor. After starting the medication, physical changes may begin within a few weeks.
The 1978 releaseTicket Home followed the sexual exploits of blonde farmboy Luke in the big city. This helps decrease estrogen production and suppress menstrual cycles. Uncoupled, starring continue reading, Flashback Friday is back with this vintage threesome, originally from Falcon Studios. In fact, I half expect (and want) halfway through this amateurish orgy scene for Monty Pythons Graham Chapman to wander continue reading. You may also gain fat around your abdomen. It causes the development of typically masculine traits, such as facial hair growth, increased muscle mass, and a deeper voice. Fortunately, since you do not have a prostate, you have no risk of prostate cancer and there is no need to screen for this condition. Often this acne responds to typical over-the-counter treatments, but in some cases prescription medication may be required. literally means "porous bones.". Speak openly to your doctor, It can also lead to physical changes, such as male-pattern hair growth and a deepening voice.
Other names for T therapy may include masculinizing hormone therapy, cross-sex hormone therapy, testosterone-based hormone therapy, and gender affirming hormone therapy. Some may find that practicing various vocal techniques or working with a speech therapist may help them develop a voice that feels more comfortable and fitting. UCSF Health System For example, facial hair that has already grown in may continue to grow, while new facial hair will not develop. People may receive T therapy in a number of ways. The answer to this question varies depending on the specific changes you are talking about. Hair Loss on Head: There have been different anecdotal reports regarding
Your chest will not change much in response to testosterone therapy. They may take a complete personal and family medical history and perform a physical examination. more information on different types of T and common dosages, click here.). Their materials are downloadable in PDF, and cover numerous topics of concern to trans people and their care providers. Change in cholesterol levels may occur-- the "good" cholesterol T is usually a life-changing experience, and with any life-changing experience High levels of testosterone also result in increased estrogen levels, as a percentage of all testosterone in the body is converted to estrogen.
While most trans men continue some level of testosterone hormone therapy for their entire lives, others will stop at some point. Some trans men report positive effects of testosterone on their mood, demeanor, and overall mental health. Muscle/fat changes: Will revert back to more female patterns, if the What are the different types of testosterone available, and how do I take them? Estrogen is a hormone associated with the development of typically feminine traits. Studies have shown that using a smaller needle and injection by the subcutaneous, or under the skin, approach, is just as effective as the intramuscular approach, which involves a larger needle injecting deeper into the muscle. "FTM Testosterone Therapy and General Health.". Clitoris growth: Will generally stay at the length/thickness it has which may result in acne). Dont be afraid to explore and experiment with your new sexuality through masturbation and with sex toys. If I double up my doses, will my changes happen twice as fast? Daddy Got Dick, directed by David Romero for Pantheon Productions at NakedSword gives us simply fantastic pairings of beefy masculinity. Or, do you want to begin at a lower dose and allow things to progress more slowly? You may expect to develop a pattern of body hair similar to other men in your familyjust remember, though, that everyone is different and it can take 5 or more years to see the final results.
And because everyone is different, your medicines or dosages may vary widely from those of your friends, or what you may have read in books or in online forums. All of these forms work equally well when the dosing is adjusted to achieve the desired hormone levels, and the decision about which form to use should be based mostly on your preference. Some changes, like voice pitch and clitoral growth, are typically permanent. 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). Do you want to get started right away on a path to the maximum safe effects? major effect on your body as it is forced to adjust to changes. It is unclear if testosterone therapy plays any role in HPV infection or cervical cancer. Some research indicates that T therapy can bring about a number of desired effects in transgender men, including: T therapy can involve a few risks, however, including: Other complications of T therapy may include: Some effects are reversible once a person stops the treatment. What kind of changes does T therapy bring? Changes due to treatment may be temporary or permanent. If your periods have stopped because of testosterone treatment, be sure to report any return of bleeding or spotting to your provider, who may request an ultrasound or other tests to be certain the bleeding isnt a symptom of an imbalance of the lining of the uterus. Some people develop a thick beard quite rapidly, others take several years, while some never develop a full, thick beard. 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. 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. are a number of reasons for this, both health-related and emotionally-related. dosages. What are the different types of testosterone available, and how do I take them? Facial/body hair: The hair that has come in on the face and body at simply do not tend to grow thick facial or body hair.
difficult to predict what emotional changes, if any, an individual will experience The continue reading, Robert and Ravi have been together for about 8 years. 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. Approaches to managing hair loss in trans men is the same as with cisgender men; treatments can include the partial testosterone blocker finasteride, minoxidil, which is also known as Rogaine, applied to the scalp, and hair transplantation. In general, the maintenance of healthy bone density in all people is partly reasons. A person has gender dysphoria when they experience distress because their gender identity does not match their sex assigned at birth. The results of hormone therapy can vary. Ask your medical provider for more information about this approach.
This may be attributed to cartilage, muscle, or connective tissue growth. You may choose to stop taking T at any time, either for health or personal under the tongue or against the gums; or by a pellet inserted under the skin. more information on different types of T and common dosages, click here, see also the section below should be considered and discussed with your doctor to help ensure healthy bones. Working past personal and societal stigmas may help them access care and find the support, Testosterone is the male sex hormone, and its levels in the body decline steadily with age. Bone Density: An important factor to consider The age at which a person can access gender affirming hormone therapy varies across the world. Should You Continue to Take Testosterone Forever After FTM Surgery? Of course, taking Other changes reported by trans men the point of stopping T will continue to grow in, but large quantities of new hair will most likely As with cis men, unfortunately there is no way to completely prevent male pattern baldness in those predisposed to develop this condition. This film features 11 of Bel Alam Wernik has become one of the most popular bottoms in current porn, rightfully so. These factors include your genetics, the age at which you start taking hormones, and your overall state of health. every three weeks, and subcutaneous T pellets are replaced every 3-4 months. 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. Next your voice may break a bit as it finds its new tone and quality. For the continue reading, The Don Juan of Porn,Cesar Xes is coming to the infamous Island House in Key West on Wednesday, August 24 from 5-8 PM. considered medical advice. men, testosterone is an integral part of their male identity. for his hormone balance. What changes periods (see section below on "What changes are permanent?" Types and Delivery.". You may develop acne, which in some cases can be bothersome or severe, but usually can be managed with good skin care practices and common acne treatments. These include: In the United States, doctors prescribe the medication and provide guidelines on how to safely administer the therapy. Some men may experience a return of spotting or heavier bleeding after months or even years of testosterone treatment. People undergoing T therapy receive the hormone testosterone. The HPV vaccine can greatly reduce your risk of cervical cancer, and you may want to discuss this with your provider. This will help prevent a weakening of the bones, otherwise known as osteoporosis, , which can result in serious and disabling bone fractures. then the cessation of testosterone would leave him without a significant amount Uncommonly, testosterone therapy may cause you to completely lose the ability to create fertile eggs or become pregnant. In this document I will provide an overview of gender affirming masculinizing hormone therapy, including choices, risks, and unknowns associated with testosterone therapy. reason. What to know about female-to-male surgery, Mental health for transgender men: What to know. Others may reverse themselves partially.
These hormones can be used in cases where periods continue after testosterone levels have been optimized. The National Transgender Discrimination Survey Report on Health and Health Care reports that at least 80% of transgender people have either undergone gender affirming hormone therapy or wish to at some point. A person may undergo T therapy if they have gender dysphoria. For most people, things usually settle down after a period time. Your muscle mass will increase, as will your strength, although this will depend on a variety of factors including diet and exercise. In some other European countries, access depends on the maturity of the person who wishes to receive the therapy. There is a wide range of characteristics in all men (and in all people, for that matter), and we cannot always predict which changes or characteristics we will develop individually. This would be problematic as summarized below. feel more emotionally balanced and at home in their bodies with a maintenance Will T make me a different person? Individuals who wish to learn more about T therapy can speak with a doctor. This one does too, but it a really good way like in a two boxes of Kleenex way. It may also allow a person to experience gender congruence, which can feel empowering and liberating. Conversely, for some people, testosterone has negative mental health effects such as aggression, anger, anxiety, increased appetite leading to weight gain, or depression. There are differing medical opinions as to Cesar will be naked poolside for Island continue reading, We met Johnny Mercy at Xbiz in Miami. It has been suggested that the risk of other conditions such as diabetes or being overweight is increased by masculinizing testosterone therapy, however actual research supporting these claims are limited. Acne may be minimized by using an appropriate dosing of testosterone that avoids excessively high levels. The T-delivery method used will depend on the type of medication available in While testosterone would soon become However, it can be difficult to screen for breast cancer in this tissue, and there are risks of a false positive test result. Another great site to show your doctor. from T therapy-- even at the same dosage and over the same period of time! the most part, the person taking T will not suddenly become someone else. This treatment may improve mental health and quality of life in those who experience gender dysphoria. at the point T therapy is stopped. 2004-2022 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Cervical cancer is caused by an infection with the human papillomavirus, or HPV. treatment), take note of your changes and the feelings in your body, and adjust
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.
just as it is impossible to predict exactly when they will occur and to what The following masculinizing effects can be expected as a result of testosterone Certain emotional ups and of a medication herein does not imply endorsement by the author. flashes, loss of bone mass (see also the section below therapy? The Average Cost of Top Surgery Across Canada, 10 Reasons Why Toronto is the Most LGBTQ+ Friendly City, A Brief History of Torontos Gay Village, 6 Support Groups for Transgender Youth in Toronto and the GTA. T therapy is a treatment that induces typically masculine physical traits while suppressing typically feminine ones. your changes. Excess testosterone can result in mood symptoms or irritability, bloating, pelvic cramping, or even a return of menstruation. Second, if your ovaries have been removed The most common discuss them with your doctor if they concern you. While it is possible to make adjustments in medications and dosing to achieve certain specific goals, in large part the way your body changes in response to hormones is more dependent on genetics and the age at which you start, rather than the specific dose, route, frequency, or types of medications you are taking. This article will replace the term FTM testosterone therapy with the term T therapy. report going up in shoe size, and some report that their hands become a bit What are the health concerns associated with FTM testosterone transdermal application through gel, cream, or patch applied to the skin; Mississauga, Ontario T can also help maintain the libido. People typically receive T therapy as an injection, either into a muscle (intramuscular) or under the skin (subcutaneous). It is Red blood cell count and cholesterol levels will probably revert to This can be prevented by maintaining an appropriate dose and through blood tests to monitor blood and hormone levels. 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. testosterone within a healthy range over the lifetime of a trans man can protect
If the individual does not have a large more masculine hairline; possibly male-pattern baldness, Migration of body fat to a more masculine pattern (i.e., fat deposits shifting from by itself.
Some men (both trans and non-trans) All rights reserved. Pap smears are used to detect cervical cancer or precancer conditions, as well as an HPV infection. What are the health concerns associated with FTM testosterone Some research also indicates that structural changes occur in the brains of those receiving continuous, high dose hormone therapy. You may find that you have access to a narrower range of emotions or feelings, or have different interests, tastes or pastimes, or behave differently in relationships with other people. Increase in size of feet and/or the width/thickness of hands. consultation with or treatment by a trained medical professional. testosterone therapy. For more on T dosing, click here to go to the section "Testosterone Therefore, all are permanent? Can I decide which changes I will get? Clitoral growth, facial hair growth, voice changes and male-pattern baldness are not reversible. University of California - San Francisco First: Will changes Ive already undergone reverse themselves when I stop taking testosterone? This is because excess testosterone in your body can be converted into estrogen by an enzyme called "aromatase." or that it will make them become a different person on the inside. Regardless of the type of testosterone you are taking, its important to know that taking more testosterone will not make your changes progress more quickly, but could cause serious side effects or complications. Learn more about what to expect from different forms of this surgery, Transgender men face a number of mental health concerns. What will happen if I stop taking T? the cessation of testosterone would shift the body back to a more estrogen-dominant 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. Early changes tend to include oily skin, acne, and the cessation of menstrual periods. 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. Consider the effects of hormone therapy as a second puberty, and puberty normally takes years for the full effects to be seen. There are four areas where you can expect changes to occur as your hormone therapy progresses: Physical, emotional, sexual, and reproductive. Where can I find reliable information about testosterone and health care to show my doctor? While available data are limited, it does not appear that testosterone increases the risk of cancer to the uterus, ovaries, or breasts. Also check out the page "Myths and Misconceptions about Testosterone, Transition, and Trans Men" for additional information. 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. Use caution when reading about hormone regimens that promise specific, rapid, or drastic effects. In any case, consult with a physician before making any changes to hormone therapy, including the cessation of the therapy. In general, the first changes noticed by most trans men upon starting T therapy the size of the breasts somewhat in some individuals, it should be noted that Puberty is a roller coaster of emotions and the second puberty that you will experience during your transition is no exception. Most people using masculinizing testosterone therapy will experience at least a small amount of acne. Some people experience little or no change in their emotional state. 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. Canada, L5B 3C2. I am so happy youve chosen to trust UCSF Transgender Care with providing for your health and gender transition. Many would be required for permanent hair removal. are lowering of the voice, increased sex drive, and enlargement of the clitoris. Missing a dose or changing your dose can sometimes result in return of bleeding or spotting. Bone Density: An important factor to consider. Now that you have learned about the effects of masculinizing hormone therapy, as well as risks and specific medication options, the next step will be to speak with your provider about what approach is best for you. not appear. 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. Testosterone is not stored by the body for future use, so in order to maintain Others report that T has made them feel more even-tempered and calm. It does carry some risks, however. to develop over a period of years. effects) will help protect against bone loss and osteoporosis, a condition that Just as with cisgender men, trans men may have varying degrees of facial hair thickness and develop it at varying ages.
These changes usually begin to happen within the first few months of hormone and it should continue to grow back. to your doctor if you are considering stopping testosterone therapy for any Therefore, taking very large doses of testosterone might not be a great idea.
Bone Density: An important factor to consider Testosterone must be taken as directed by your endocrinologist or family doctor. Your eyes and face will begin to develop a more angular, male appearance as facial fat decreases and shifts. Your pores will become larger and there will be more oil production. Results will vary depending on several factors, including when the person begins treatment. So this all #PrinceofPegging began because continue reading, Over at MenAtPlay, Dani Robles is at it again, getting some of the best European cock up his furry hole, and were all the more jealous for it. changes so that they begin to be read as men "on the street." of testosterone (or estrogen, in the event that an individual no longer wishes Finally, for some Doctors also use them in, Testosterone is a sex hormone that regulates sexual development, muscle mass, and red blood cell production. I wish you all the best as you begin this exciting new life phase of self-realization. Trans Care Project of Vancouver, British Colombia The information contained herein is to be used for educational purposes only. surgery to remove breast tissue.). It has been hypothesized that the earlier hormone therapy is started in life, the on bone density, FTM Testosterone Therapy and General Health, www.vch.ca/transhealth/resources/tcp.html, Thickening of the vocal chords and deepening of the voice, Facial hair growth (mustache and/or beard growth), Increased body hair growth (notably on arms, legs, chest, belly, and back), Potential hair loss at the temples and crown of the head, resulting in a In general estrogen blocking medicines are not used as a part of masculinizing hormone therapy. therapy? However, higher doses can cause complications. This would cause a menopause-like state, which could include hot The second area of impact of hormone therapy is on your emotional state. 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. 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. that will magically change who a person is at their core. ", What are the health concerns associated with FTM Your body will begin to redistribute your weight. Later changes may include changes to facial appearance, hair growth, clitoral changes, and increased muscle mass. growth rate-- depending in part on whether the individual's ovaries are still There This includes those who: Not everyone who experiences gender dysphoria will have T therapy. For example, in Europe, many countries allow people between the ages of 14 and 18 years to access it, but in some countries, such as Holland, people can access it from the age of 12 years, as long as they have parental consent. Hi, I'm Dr. Maddie Deutsch, Associate Professor of Clinical Family & Community Medicine at the University of California San Francisco (UCSF), and Medical Director for UCSF Transgender Care. stopping testosterone treatment once the ovaries have been surgically removed Again, whether or not an
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