Transgender Hormone Therapy- FAQ part 1
At HEALOR, we have treated hundreds of patient's with gender dysphoria and based on our experience we have compiled a list of most commonly asked questions when it comes to Feminizing or masculinizing hormone therapy.
QUESTION 1. DO I NEED A LETTER FROM MY PSYCHIATRIST OR COUNSELOR BEFORE I CAN START HORMONE THERAPY?
As most hormone therapies can have irreversible effects both physically and mentally, we at healor, we require a letter or statement from patient's psychiatrist or counselor before Feminizing or masculinizing hormone therapy can begin.
QUESTION 2. WHAT ARE SOME OF THE PHYSICAL EFFECTS OF HORMONE THERAPY?
In female to male transition, you can expect enlargement of the clitoris, deepening of voice, increase in facial and body hair, irregular menstrual cycles followed by complete cessation of menstrual period, and decrease in the percentage of body fat.
In male to female transition, you can expect a decrease in testicular size, decreased erections, increase in percentage body fat, and some growth of breast tissue.
QUESTION 3. WILL HAVE MORE SKIN PROBLEMS AFTER STARTING HORMONE THERAPY?
Patient is on testosterone, can expect the skin to be more oily and can result and development of acne and flare-up of acne.
QUESTION 4. HOW MUCH SCALP HAIR WILL LOSE TESTOSTERONE HORMONE THERAPY?
Scalp Hair loss is very variable, as the sensitivity of hair follicles to dihydro testosterone or DHT may very. Patients who are on higher doses of testosterone will experience male pattern baldness. We at healor, will prescribe customized formulations to block DHT conversion, which protects scalp hair from damage.
QUESTION 5. WHEN WILL I STOP HAVING MY MENSTRUAL CYCLE?
Patient’s on masculinizing hormone therapy can expect complete cessation of menstrual cycle in 6 months.
QUESTION 6. WHEN WILL NOTICE A DEEPENING OF MY VOICE?
Deepening of voice on masculinizing hormone therapy generally takes about 6-12 months and is irreversible.
QUESTION 7. I WILL NOTICE ENLARGEMENT IN MY BREASTS WITH HORMONE REPLACEMENT THERAPY?
The development of breast tissue is variable, typically results are seen in about 3 months and breast tissue growth may continue up to 2 years. Many patients are happy with the results, however some may require surgical breast augmentation.
QUESTION 8. WHAT ARE SOME OF THE RISKS AND SIDE EFFECTS ASSOCIATED WITH MASCULINIZING HORMONE THERAPY?
Patients can experience male pattern baldness, development of acne, increase in the red blood cell production which can raise hemoglobin level and cause secondary polycythemia. Secondary polycythemia can increase the risk of heart disease and stroke. Some other risks include development of osteopenia and osteoporosis, elevation of cholesterol and liver enzymes.
QUESTION 9. WATER SOME OF THE RISKS AND SIDE EFFECTS ASSOCIATED WITH FEMINIZING HORMONE THERAPY?
Patients can experience More blood clots, elevation of liver enzymes, elevation of lipids especially triglycerides and breast cancer.