#testosterone HRT

[actualalivecreature]

stop associating testosterone with only men and estrogen with only women. thanks.

[red-dead-sakharine]

Hello Kater!

art idea i've had since last night

[genderqueerdykes]

going insane thinking about how a lot of people don't understand that the labels FtM and MtF can also be used to describe intersex experiences and don't always necessarily reflect willing changes or inherently trans experiences. it makes me go insane when i realize i'm MtF but it's impossible to talk about because people don't understand that intersex experiences do not mirror trans experiences 1:1 and they don't have to because they're unique experiences that aren't shared by anyone else.

both trans and intersex experiences deserve equal space to be discussed. sometimes someone's sex changes multiple times. sometimes that's willing, sometimes it's not. whether or not it's voluntary doesn't make it any more important or valid to discuss. people who were born one way but were placed on hormones and/or had corrective procedures done still had a sex change done to them.

i'm MtFtM because i want my body to go back to the way it was before i was forced to undergo "corrective" treatment and procedures. that doesn't make me cis, this is an inherently intersex experience, and it does encompass being both MtF and FtM. it's complicated because of what i've gone through, both of my own volition, and against my will.

let intersex people discuss these experiences and be heard. break down the binary in your mind of what these phrases mean. our lives depend on it.

[shamebats]

Every time I take a shower I'm pleasantly surprised by how much firmer my body feels to the touch. I'll get used to it eventually.

[the-transgenda-agenda]

ATTENTION TRANSGENDER MEN (AND NONBINARY PEOPLE) WHO ARE ON T OR WANT TO GO ON T.

After spending roughly the past week editing and updating the testosterone page of The Transgender Dictionary, I can confidently say that its pretty comprehensive at this point. Check it out!

please

[dyke-husband]

women who get top surgery and/or take T: I’m kissing you on the forehead goodnight. Hope you have a lovely dream tonight where people mind their business and respect everyone’s bodily autonomy.

[emotional-moss]

shoutout to trans guys who don’t look like and/or don’t want to look like skinny white twinks. who are or want to be be tall and hairy and chubby not willowy and thin. who want deep voices and body hair and facial hair. who have or want more body fat. we are epic cool and sexy

[auti-starshine]

The fearmongering around medical transition for transmascs will never not be upsetting to me.

“you’re gonna look ugly as a man” “but you’re such a pretty girl, don’t change that” Wrong. You will look different after T, but you will look happy. You will probably grow hair and gain weight and look pretty different, and none of that is bad or makes you less desirable. You are going to look like you and that’s all that matters.

“T makes you angry” “you’re gonna be a scary man i won’t feel safe around you” Wrong. Testosterone does not “make” you angry. Messing with your hormones will mess with your emotions for sure, but you will not immediately become some scary predator when you start T. Being a man/masculine does not make you a threat, a predator, or inherently angry. That’s radfem shit.

“bottom growth is gross” “no one will want you with bottom growth” Wrong. Bottom growth is cool and a LOT of guys end up loving theirs a lot more than they thought they would. For a lot of people it is a desirable trait, there are people who find bottom growth hot and attractive. And! If you’re sure you don’t want it there’s things you can do to work around that, just talk to your provider.

“bottom surgery is super painful and not worth it” First off, call it phalloplasty, because that’s what you’re talking about. Second, yes it’s painful, it’s surgery. There are risks to it and complications can happen, but that’s true of any surgery. Phallo might not be for you, but it is life saving care for other folks. It is beautiful and should be talked about as life saving care and not as some afterthought thing that no one actually does.

Being transmasculine is a beautiful thing. Transitioning medically is not something every trans person wants, but if you notice yourself holding back for the reasons i’ve listed above (or similar) maybe reconsider.

[our-ftm-experience]

A brief guide to Testosterone HRT

If you’d like the one for Estrogen HRT, ask in the comments and you shall receive.

Image from the Transpeak Discord - unsure of actual source (a clinic?) (if anyone knows, please tell!)

Alternate text under the cut

Alt:

What is the goal of testosterone therapy?

Testosterone has two main jobs: It causes masculinizing changes to occur throughout the body, and it suppresses the production of estrogen. Some of the changes caused by testosterone are permanent (they would remain if testosterone was stopped), and other changes are reversible.

How is testosterone administered?

Testosterone is available as injections, cream, or gel. Injections are administered either every two weeks intramuscularly (into the muscle) or every week subcutaneously (under the skin). Nursing staff provides injection training here at clinic. Creams and gels are absorbed through the skin and applied daily.

What are the irreversible effects of testosterone?

Testosterone causes voice deepening, clitoral growth, body/facial hair growth, and sometimes male-pattern balding (also influenced by age and genetics). Testosterone may irreversibly affect fertility. Desires for fertility should be considered prior to starting hormones, and for those seeking fertility preservation (or education about fertility preservation), referrals can be made to Lurie’s fertility preservation team.

What are some of the reversible effects of testosterone?

Testosterone causes increased muscle tone, fat redistribution (hips to stomach area), skin oiliness and acne. Mood changes (often irritability, having a “shorter fuse”) and heightened sex drive may occur. Menstrual cycles will change and eventually stop after some time. There may be genital changes caused by low estrogen levels.

What are some of the known side effects and risks of testosterone?

Testosterone may increase your metabolic risk profile — that is, the risk for conditions such as heart disease, diabetes, high cholesterol or blood pressure. The risk for heart disease is higher for people who smoke cigarettes, are overweight or have a family history of heart disease.

Testosterone causes hematocrit, the proportion of red blood cells in a volume of blood, to increase. This blood thickening, at high levels, can be life-threatening, causing stroke or a heart attack.

Testosterone can also cause increased appetite, headaches, and acne.

A low-detail diagram of the upper half of three bodies is displayed. From left to right, the bodies represent having been on testosterone for little to no time (a month or less), a medium amount of time (six to eight months) and a greater amount of time (a year or more).

The diagram is a visual representation of testosterone effects on the body. Hip mass shifts to the stomach area, The adam’s apple grows. Muscle mass grows and shoulders become broader. Facial and body hair grows on the arms, face, and assumably the legs not displayed in the image. The skin gets oily and acne appears on the face.

Testosterone affects: skin, muscle mass, body fat, body hair, voice change.

Increased skin oiliness and acne starts within 1-6 months of testosterone. Its complete effect can be within 1-2 years.

Increased muscle mass and strength starts within 6-12 months of testosterone. Its complete effect can be within 2-5 years. This effect is highly dependent on the amount of exercise one does.

Voice pitch deepening starts within 6-12 months of testosterone. Its complete effect can be within 1-2 years.

Body fat redistribution starts within 3-6 months of testosterone. Its complete effect can be within 2-5 years.

Facial and body hair growth starts within 6-12 months of testosterone. Its complete effect can be within 3-5 years.

Monthly periods stop within 2-6 months of testosterone.

Clitoral enlargement of 0.5 inches to 1 inch begins within 3-6 months of testosterone. Its complete effect can be within 1-2 years.

Male pattern hair loss starts when you have been on testosterone for over a year. Its complete effect date is variable. It depends on age and genetics, and can be minimal.

Sex drive also increases.

How do we monitor for safety?

Labs (bloodwork) are collected prior to starting hormones and every three months for the first year of treatment. In the second year, labs are checked every six months. Tests that are monitored include cholesterol, liver tests, hematocrit, and hormone levels. These labs can be drawn at Lurie’s or a local facility.

How quickly will changes develop?

Remember, it’s normal to want to see changes occur rapidly, but (just like in puberty) these changes take time! Most changes start to begin around 3-6 months after starting testosterone and take years to fully develop.

Will I look like my friend _____?

Remember, everyone experiences puberty differently. Factors other than testosterone (such as genes!) affect appearance. It’s impossible to predict exactly what changes will develop.

It’s important to take the prescribed dose of testosterone. Taking more increases health risks.

Always tell your health care provider if you have questions or concerns about your health.

[eternahormonesolutions]

Begin your HRT JOURNEY WITH OUR NEWLY DEVELOPED PILLS. 💯 Removal of your D1*K and Enlargement of your BOSSOMS

[sorin-sunchild]

Go on T! It'll give you a lovely deeper voice!

Go on T! It'll help you grow an awesome beard!

Go on T! It'll give you more energy!

Go on T! You'll feel so much better in yourself!

Go on T! You'll get so handsome!

Hurray turning into a cub, otter or bear! Hurry bottom growth! Hurray chance to become more masc! Hurray looking in the mirror and seeing Yourself! Hurry hurry HRT!!

Woo! Testosterone!!!

[nothorses]

hi sorry to bother u about this, i searched around transmasc subreddits for an answer to this and while i saw a few people joking about getting dry cramps, nobody seems to know what this is. and i vaguely remember seeing a post by you mentioning "mystery cramps" in a post also about vaginal atrophy, but I didnt pay attention to the post much at the time bc at that point i wasnt experiencing atrophy or mystery cramps.

but now I'm a bit over a year on T, (my periods stopped only about 4 months ago though, because i was on a much lower dose than most for a lot longer time than most. that ~4 months ago time frame lines up with upping my dose from 0.2 to 0.3ml. i'm on 0.4ml tho now as of about 3 weeks ago) and suddenly i'm getting "mystery cramps" sometimes, it seems to happen especially the night before my T-shot day, (but i cant say that with certainty—i know i'm having them right now and my shot day is tomorrow morning, and i think thats been the case, but i dont know for sure) and they feel exactly like period cramps. to the point where i feel super paranoid that maybe i've been injecting improperly and the testosterone isnt absorbing right and my period is actually coming back. (something i often have nightmares about)

i searched your blog again for that post and did find it, (the one about estradiol cream treating it) but the wording of it is a little unclear and i wanted to just clarify that this is the same thing youre talking about? or if what im experiencing is different than the "mystery cramps" you meant and i should see a doctor

I am for sure not a doctor, and I think you should see one either way!

My personal understanding of the "mystery cramps" is that it's a part of "vaginal atrophy" that some, but not all trans folks who go on T experience, and it usually doesn't start until a couple of years on T ( which is also, to my knowledge, based on more standard doses as opposed to "low-dose" T).

Mine started about two years in, and was happening occasionally at first- always at night, and often the day before my T shot- then progressed to several nights a week over time. Nowadays I tend to experience cramping almost every time I so much as miss one dose of estradiol. Ibuprofen and Midol are the only OTC pain relievers that seem to do the trick, and the cramping will keep me up through the entire night untreated. It also tends to come in fairly predictable waves (spaced maybe 15-30 minutes apart) and right before I started estradiol, I remember getting some light spotting as well.

iirc, I talked to my PCP when it was just starting up, and their response was along the lines of "that's weird, let's keep an eye on it". I moved and didn't have a PCP for a while, so when the spotting started, I went to a walk-in urgent care clinic and talked to them. They gave me a referral for an ultrasound, and encouraged me to go to a "women's health" clinic that had long history of specializing in trans care as well. When I talked to the folks at that clinic, they encouraged me to go through with the ultrasound (I didn't), and prescribed estradiol cream because I asked them to and they didn't see a reason not to try it.

If you think it's possible this is what's going on with you, I would really encourage you to talk to a doctor, specifically bring up research around this issue and estradiol cream as a treatment option, and ask them if there's a reason not to try it just to see if it does anything for you. If nothing else, estradiol cream also treats vaginal dryness, tightness, and inflammation (other symptoms of "vaginal atrophy"), so it might be worth a shot for those reasons anyway!

And don't do what I did; if they want you to do an ultrasound or whatever else, go with it, and rule out other possibilities. Listen to medical advice from medical professionals who know your medical history and who you trust are listening to you & know what they're talking about.

[actualalivecreature]

STOP!!!!!!! CALLING EVERY SINGLE PERSON ON TESTOSTERONE HRT TRANSMASC!!!!!! STOP IT!!!!!!!!!! WE ARE NOT ALL TRANS MASC AND DO NOT ALL FIT IN YOUR NARROW VIEW OF GENDER, EXPRESSION, AND TRANSITION!!!!!!

[genderqueerdykes]

i love you so much if you are a person, trans, intersex or something else who takes testosterone hrt and loves what it's done for you. people often treat testosterone like it's a tragedy, but most people who want to take it end up loving its effects. even if people don't, that's okay, they're unique experiences that don't diminish the other. it just always makes my heart sing when someone else finds out that they love what testosterone HRT does for their mental and physical health. it's a blessing

[shamebats]

[eldrytchcryptid]

YALL I REALLY DONT MEAN TO HATE BUT IM SO SICK AND TIRED OF SEEING THIS SHIT

*me when the testosterone does things that it's supposed to do*

Do your FUcKING RESEARCH!!!!

TESTOSTERONE IS A MASCULINISING HORMONE

YES your voice is going to break

YES you're gonna be gross and sweaty and horny

YES theres FUCKING BOTTOM GROWTH AND HAIR AND SHIT

Like please yes it's difficult to go through and I get that but like

I'm just happy to have it after years of fighting for it Just to sEE PEOPLE WHINING ABOUT THE SHIT ITS SUPPOSED TO DO

"thE bAd SiDeS of T" like dude please they're not bad 🥲