Transgender hormone therapy (female-to-male)

Transgender Hormone Therapy (Female-to-Male)

A vial of testosterone, commonly used in FTM hormone therapy.

Introduction

Transgender hormone therapy for female-to-male (FTM) individuals, also known as gender-affirming hormone therapy, is a form of hormone therapy in which sex hormones and other hormonal medications are administered to transgender individuals to more closely align their secondary sexual characteristics with their gender identity. This therapy primarily involves the administration of testosterone to induce masculinizing effects.

Hormones Used

The primary hormone used in FTM hormone therapy is testosterone. It is available in various forms, including injections, transdermal patches, gels, and occasionally, oral medications.

Testosterone

• Injections - Intramuscular or subcutaneous injections are common and typically administered weekly or biweekly.
• Patches and Gels - Transdermal options provide a steady hormone level and are daily alternatives to injections.
• Oral Medications - Less commonly used due to potential liver concerns but available in some cases.

Effects of Hormone Therapy

FTM hormone therapy leads to various physical and psychological changes. The onset and degree of these changes can vary widely among individuals.

Physical Changes

• Deepening of the voice
• Growth of facial and body hair
• Redistribution of body fat and increased muscle mass
• Cessation of menstruation
• Clitoral enlargement
• Possible male-pattern baldness

Psychological and Emotional Changes

• Many report improved psychological well-being
• Increases in energy levels
• Possible changes in sexual orientation or libido

Health Considerations

Before starting hormone therapy, individuals undergo thorough medical evaluations. Ongoing monitoring is necessary to assess the effects of the therapy and manage any potential health risks.

Risks and Side Effects

• Changes in cholesterol and lipid profiles
• Increased red blood cell count
• Potential impacts on liver function
• Changes in mood or mental health

Informed Consent

Informed consent is a critical component of transgender hormone therapy. Patients should be fully aware of the benefits, risks, and irreversible changes associated with hormone therapy.

See Also

• Gender dysphoria
• Transgender health care
• Informed consent in healthcare

External Links

• World Professional Association for Transgender Health (WPATH) Standards of Care
• National Center for Transgender Equality - Health and Wellness

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