Feminine-to-male (FTM) testosterone remedy, or T remedy, is a therapy that some individuals might obtain to induce “masculine” bodily traits and suppress “female” ones.
There are a number of potential advantages and dangers related to this remedy. Some individuals might expertise modifications inside a number of months, however sure modifications might take a number of years to take most impact.
This text will change the time period FTM testosterone remedy with the time period T remedy. It is because FTM terminology is binary and exclusionary. Not everybody who makes use of testosterone-based hormone remedy might establish as a lady or have the purpose of changing into a person.
This text will talk about T remedy, together with the potential dangers, the advantages, and what individuals can anticipate throughout and after therapy.
T remedy is a therapy that
Folks present process T remedy obtain the hormone testosterone. This helps lower estrogen manufacturing and suppress menstrual cycles. It may possibly additionally result in bodily modifications, corresponding to male-pattern hair progress and a deepening voice.
Adjustments on account of therapy could also be momentary or everlasting.
Different names for T remedy might embrace masculinizing hormone remedy, cross-sex hormone remedy, testosterone-based hormone remedy, and gender affirming hormone remedy.
An individual might endure T remedy if they’ve gender dysphoria. An individual has gender dysphoria once they experience distress as a result of their gender identity doesn’t match their intercourse assigned at beginning.
Present process T remedy throughout adolescence (across the age of 16 years and older) might cease the event of feminine secondary intercourse traits, corresponding to breasts. It could additionally induce male secondary intercourse traits, corresponding to facial hair.
Though analysis is ongoing, some individuals who want to endure T remedy might have problem receiving therapy or expertise potential problems from it. This consists of those that:
Not everybody who experiences gender dysphoria can have T remedy. Though it might have advantages for some individuals, the therapy isn’t with out danger.
The Nationwide Transgender Discrimination Survey Report on Well being and Well being Care reviews that a minimum of
Folks might obtain T remedy in a number of ways. These embrace:
- testosterone injections
- oral testosterone
- transdermal (by means of the pores and skin) testosterone
In the USA, medical doctors prescribe the medicine and supply tips on how one can safely administer the remedy.
Folks sometimes obtain T remedy as an injection, both right into a muscle (intramuscular) or below the pores and skin (subcutaneous). Most individuals will obtain the injections weekly, although some individuals might require larger doses each
Oral administration of testosterone undecanoate (
The age at which an individual can entry gender affirming hormone remedy varies internationally. For instance, in Europe, many nations enable individuals between the ages of 14 and 18 years to entry it, however in some nations, corresponding to Holland, individuals can entry it from the age of 12 years, so long as they’ve parental consent.
In another European nations, entry relies on the maturity of the one who needs to obtain the remedy.
Within the U.S., most people can entry T remedy at age 18 years, which is when they’re able to consent. At 17 years previous, an individual might have entry, however they are going to require a mother or father or guardian to accompany them to appointments. At age 16 years or youthful, extra paperwork is important for individuals to entry such remedy.
Folks might contemplate T remedy as a second puberty. Though some modifications will happen faster than others, it will probably take years for the total impact.
Adjustments may include:
These present process T remedy might discover:
- thicker, oilier pores and skin and bigger pores
- pimples, which can peak throughout the first yr however then enhance
- a extra masculine facial look
- the expansion of facial hair
- a deepening voice
- hair progress on the arms, again, and chest
- thinning hair on the pinnacle
- a discount in fats across the hips and thighs
- a rise in abdomen fats
- elevated muscle within the legs and arms
- extra distinguished veins
- a rise in sweat manufacturing
- modifications within the odors of sweat and urine
These modifications may have an effect on how an individual interacts with others or their verbal and spatial talents, for instance.
T remedy will trigger modifications to the reproductive system, together with:
- menstrual modifications, corresponding to lighter, shorter, or heavier durations earlier than they cease utterly
- problem releasing eggs from the ovaries
- a discount within the skill to get pregnant
Present process T remedy might result in modifications in an individual’s emotional state. For instance, an individual might expertise emotional shifts, or they might really feel fewer feelings than they did beforehand. These modifications might have an effect on how the particular person pertains to others or how they understand issues they as soon as loved.
When an individual receives therapy for gender dysphoria, they might additionally start to really feel extra like themselves and extra comfy in their very own physique. A few of these modifications might cool down over time.
T remedy will sometimes change an individual’s libido in addition to their genitals. People might expertise:
- an enlarged clitoris
- modifications in orgasms
- modifications in arousal
- modifications in sexual pursuits and points of interest
- the induction of masculine bodily traits
- elevated sexual need
- cessation of menstruation
- reductions in gender dysphoria
- reductions in stress, nervousness, and despair
T remedy can contain a number of dangers, nonetheless, together with:
- Pimples: Pimples is a standard facet impact of T remedy. It could peak throughout the first yr of therapy earlier than enhancing. Making an attempt pimples remedies and sustaining good skincare can usually assist individuals handle the situation.
- Fertility modifications: Testosterone can cut back the flexibility to develop into pregnant, however it doesn’t get rid of the prospect. Folks ought to use contraception with any sexual companions who can produce sperm to stop unintended being pregnant. Those that might wish to get pregnant sooner or later ought to communicate with a physician about their choices.
- Hair loss: Some individuals will expertise hair thinning following T remedy. The extent to which this happens might rely on their age and household historical past. People can talk about therapy choices for hair loss with a physician in the event that they so want.
- Dangers throughout being pregnant: People present process T remedy ought to communicate with a physician instantly if they think that they’re pregnant. Testosterone poses a danger to the well being of the fetus.
Different problems of T remedy
- irregular ranges of lipids within the blood (dyslipidemia)
- salt retention
- heart problems
- producing too many purple blood cells (erythrocytosis)
- sleep apnea
- weight achieve
- clitoral progress
- facial hair progress
- male-pattern baldness
- voice modifications
Earlier than an individual begins T remedy, a physician will consider their well being. They could take a whole private and household medical historical past and carry out a bodily examination.
The physician may additionally take blood assessments and a being pregnant take a look at, in addition to another age- and sex-related screenings they really feel are mandatory. They’ll talk about the potential dangers related to the therapy and talk about contraception and future fertility.
Some individuals may additionally endure a psychological well being analysis that explores their psychological well being, gender dysphoria, and use of alcohol and medicines.
Folks below 18 years of age may additionally see medical doctors with experience in pediatric transgender well being.
Some individuals might want to see a psychological well being skilled earlier than starting therapy to discover potential objectives, challenges, and expectations of hormone remedy, in addition to its results. They could additionally want to talk about the social helps obtainable to them.
Through the visits, individuals will obtain testosterone by way of an injection, patch, gel, or capsule.
After beginning the medicine, bodily modifications might start inside a number of weeks. Others might not seem for a few months, whereas some might take a number of years for optimum impact.
Early modifications have a tendency to incorporate oily pores and skin, pimples, and the cessation of menstrual durations. Later modifications might embrace modifications to facial look, hair progress, clitoral modifications, and elevated muscle mass.
Folks can have common checkups with a physician throughout therapy to watch their progress and test for antagonistic results. Docs will even suggest screenings, corresponding to breast most cancers and cervical screenings, primarily based on age-appropriate suggestions.
The outcomes of hormone remedy can differ. They rely on elements corresponding to genetics, general well being, and the age of the particular person present process therapy.
Beginning therapy in a single’s 40s or 50s, for instance, can result in less dramatic modifications than those who would happen in adolescents or younger adults who obtain T remedy.
As soon as an individual is throughout the regular vary of testosterone ranges for males, receiving larger doses doesn’t sometimes end in extra dramatic results. Nonetheless, larger doses may cause problems.
T remedy is a therapy choice for individuals who expertise gender dysphoria. It causes the event of sometimes masculine traits, corresponding to facial hair progress, elevated muscle mass, and a deeper voice.
This therapy might enhance psychological well being and high quality of life in those that expertise gender dysphoria. It does carry some dangers, nonetheless. These embrace hair loss, fertility modifications, hypertension, and weight achieve.
Outcomes will differ relying on a number of elements, together with when the particular person begins therapy. People who want to study extra about T remedy can communicate with a physician.