What Physical Changes to Expect on Testosterone Hormone Replacement Therapy

Key Points

• Testosterone Hormone Replacement Therapy (HRT) affects individuals differently.
• Dosage influences the speed and degree of change; higher doses lead to faster changes.
• Therapy can alleviate gender dysphoria, affirm identity, and enhance self-experience.

Permanent Changes

• Voice: Lowering and deepening of voice tone.
• Hair: Growth of facial and body hair.
• Genitals: Clitoris enlargement or "bottom growth" (1-2 cm).

Changes Requiring Ongoing Administration

• Muscle Mass/Strength: Increase noticed.
• Body Fat Redistribution: Moves from hips/thighs to abdominal area.
• Menstrual Cycle: Alterations in monthly bleeding patterns.
• Libido: Increase in sex drive.

Variability in Changes

• Changes can greatly differ among individuals, influenced by genetics and dosing.
• Not all changes are linear; full effects may take years to manifest.

Common Side Effects

• Skin Changes: Increased oiliness/acne.
• Hair: Possible male pattern baldness or thinning.
• Other: Increased sweating, appetite, and changes in facial structure.

Emotional Changes

• Misconceptions exist linking testosterone to anger; no inherent increase in anger or violence.
• Some people experience easier access to a full range of emotions or a decrease in crying.

Face Changes

• Structure: Possible restructuring leading to a more masculine appearance.
• Fat: Redistribution leading to less fat in cheeks.

Stopping Hormone Therapy

• Pausing or stopping can lead to returning menstruation, mood changes, muscle loss, and fat redistribution.
• Consult healthcare providers before making changes.

Additional Resources

• FOLX Health offers virtual care, gender-affirming hormone therapy, mental health care, and more for the LGBTQIA+ community.
• Members gain access to expert clinicians and a plethora of resources aimed at LGBTQIA+ wellness.

Notes

• Consult healthcare providers for personalized advice and to discuss transition plans.
• The variety of effects emphasizes the need for a tailored approach to HRT.