Testosterone & yes.
This depends on your provider and you. Some doctors will have a nurse on site to teach you to inject yourself. Other providers may have you come in biweekly to attain your shot.
Testosterone is most often given once a week to help balance the rise and fall of testosterone levels in your body.
That is a personal journey. Finding a gender therapist can help you make this decision if you are questioning hormones.
It is recommended that you start to meet with your doctor every 3 months the first year, 6 months the next year, and then once a year.
While testosterone can make you happier and more confident it does not change your personality. Being aware of how testosterone effects your body and your mood is important but it is not as large of a factor as rumored to be.
Doubling up is not only dangerous but can slow down your transition. Testosterone thickens your blood which can lead to blood clots and heart problems. Though your body may also turn extra testosterone into estrogen as a safety against testosterone poisoning.
As much as we would love to pick and choose the effects of testosterone on our bodies we can not.
Hormones are a large decision and while most effects of testosterone are permanent some of them are not. You can stop testosterone at any time with the assistance of a doctor to make sure that you are safe. Most effects of testosterone are completed in the first two years of hormone replacement therapy and from there people using hormones continue on a maintenance dose.
You will start to lose muscle mass and your face may start to appear more feminine after stopping testosterone.
Intramuscular Injection – most common. Here's a guide for intramuscular injections.
Subcutaneous Injection – longest standing
Transdermal Application (gel, cream, or patch).
Both intramuscular and subcutaneous are scheduled injection. How often you get a testosterone shot depends on you and your doctor. Most people start with biweekly injections.
Transdermal testosterone has been shown to be less effective at causing changes but is more effective and holding testosterone levels consistent in a person body. Transdermal testosterone can be applied to the skin in gel, cream, or patch form. These are harder to have insured.
|Risk Level||Masculinizing Hormones (Testosterone)|
|Likely Increased Risk||Polycythemia
Androgenic Alopecia (balding)
|Possible Increased Risk||Elevated Liver Enzymes
|Possible increased Risk With Presence of Additional Risk Factors*||Destabilization of Certain Psychiatric Disorders
Type 2 Diabetes
|No Increased Risk or Inconclusive||Loss of Bone Density
|*additional risk factors includes age.|
More providers are moving towards an informed consent model. Those who require you be in therapy usually require a letter. WPATH has no standard time period for any individual to be in therapy before receiving a letter for hormone replacement therapy.
The recommended content of the referral letter for masculinizing hormone therapy is
1. The client’s general identifying characteristics;
2. Results of the client’s psychosocial assessment, including any diagnoses;
3. The duration of the referring health professional’s relationship with the client, including the
type of evaluation and therapy or counseling to date;
4. An explanation that the criteria for hormone therapy have been met, and a brief description of
the clinical rationale for supporting the client’s request for hormone therapy;
5. A statement about the fact that informed consent has been obtained from the patient;
6. A statement that the referring health professional is available for coordination of care and welcomes a phone call to establish this.
For providers working within a multidisciplinary specialty team, a letter may not be necessary,
rather, the assessment and recommendation can be documented in the patient’s chart. From WPATH.
|Effects||Expected Onset||Expected Maximum Effect|
|Skin Oiliness/Acne||1-6 Months||1-2 Years|
|Facial/Body Hair Growth||3-6 Months||3-5 Years|
|Hair Loss (Depends on Genetics)||Variable|
|Increased Muscle Mass & Strength||>12 Months||2-5 Years (depending on amount of exercise.)|
|Body Fat Redistribution||3-6 Months||2-5 Years|
|Menstruation Ceases||2-6 Months||N/A|
|Vaginal Atrophy (Thinning of Tissue/Lubrication)||3-6 Months||1-2 Years|
|Clitoral Enlargement||3-6 Months||1-2 Years|
|Deepened Voice||3-12 Months||1-2 Years|
Guide for Transgender Hormone Injection
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While finding, an endocrinologist can be helpful and create a safer transition many general practitioners can also provide hormone therapy. Transgender Affirming Doctors that provide hormones for transgender people.
Each lab has a different set of blood test that they will require. This usually includes but is not limited to, testosterone levels, complete blood count, liver test, blood clotting test, and cholesterol/lipids levels.
There isn’t one.
Testosterone does make you start to build more muscle though it is also necessary to work out more regularly to keep your body in a healthy state.
Your feet may grow wider and your hands may become stronger and therefore, a bit large though there may be no significant change. Testosterone effects everyone’s bodies differently.
Testosterone will not change your height. Many transgender people who start testosterone feel taller because their new-found confidence helps them stand up straighter and therefore appear taller.
While testosterone will deepen your voice by thickening your vocal cords there is no guarantee for how deep your voice will go. If you are looking to deepen your voice you can also work on voice training exercises many of which can help deepen your voice quite significantly with or without testosterone.
Your Adams apple may become more prominent because your body weight shifts around but it will not be a significantly larger.
Most people do not sweat more while starting testosterone though some have said that the smell of their sweat was worse than before. Testosterone makes your skin oilier, it is possible that this oil is the cause for the new smell though it is not confirmed.
Testosterone has not been scientifically proven to affect anyone’s personality. Testosterone can however influence your mental state. Testosterone can boost your confidence and your emotional state though as testosterone levels fluctuate they can make an individual moody so it is best to discuss this with your doctor to find the best dosing schedule for you.
This depends on your body. Some trans individuals have reported growth of about 3cm while others have had less than this. Keep an eye on it and know that it is a part of testosterone therapy. If this is not something you could handle with hormones think about what changes you would like. From this list, you can obtain many of the results through other means, such as weight lifting, voice training, and makeup.
You do not need to be on hormones in order to have a breast/chest surgery. What you do need is the following:
1.One referral from a medical health provider.
2. Persistent, well-documented gender dysphoria;
3. Capacity to make a fully informed decision and to consent for treatment;
4. Age of majority in a given country (if younger, follow the SOC for children and adolescents);
5. If significant medical or mental health concerns are present, they must be reasonably well controlled.
Hair growth and facial hair is largely dependent on your genetics.
While there has been no research to correlate depression being limited by hormone replacement therapy, many individuals who have started hormones usually feel more at peace with their gender identity and that helps reduce their depression. It is best to seek out mental health professionals if you believe you may have anxiety or depression.
Yes, while it is less likely it is still possible to get pregnant.
Doctors are studying whether it is a good idea for younger gender nonconforming individuals to start hormones or to start puberty suppressors. Most doctors would prefer individuals to use hormone suppressors over hormones as the hormones have many irreversible changes. Suppressors however have been show to stunt bone growth and it is not understood whether that bone growth makes a full recovery after returning to hormones.
Hormones are a large decision and not one to be taken lightly. If you do not feel ready to start hormones do not feel pressured to. Hormones have many permanent effects that not every individual knows about. So do a little research and give yourself time to decide.
Guide for Transgender Hormone Injection
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