Masculinising hormone therapy uses testosterone to induce physical changes that align with masculine characteristics. Oestrogen blockers can also used to suppress the effects of oestrogen, although testosterone alone is usually enough to suppress oestrogen levels.
Hormones Used in Masculinisation
Testosterone: The primary hormone for developing masculine characteristics. It can be taken through injections, patches, gels, or oral medications.
Oestrogen Blockers: These medications can be used to reduce the effects of oestrogen, complementing the effects of testosterone. This is usually only needed when testosterone alone does not fully suppress oestrogen.
The Physical Changes
Masculinisation hormone therapy leads to various changes, which include but are not limited to:
- Facial and Body Hair Growth: One of the first noticeable changes is the increase in facial and body hair.
- Voice Deepening: Testosterone usually causes a deepening of the voice within a few months.
- Increased Muscle Mass and Body Fat Redistribution: There’s often an increase in muscle mass and a shift in body fat distribution for a more masculine shape.
- Menstrual and Reproductive Changes: Testosterone therapy typically leads to the cessation of menstrual periods and may affect reproductive health.
See the Masculinisation Timeline here.
Emotional and Psychological Impact
The benefits of masculinisation hormone therapy go beyond physical changes. Lots of people experience a significant boost in self-esteem and mental health, as their physical appearance aligns with their gender identity.
Considerations and Risks
Medical Supervision: Hormone therapy should be undertaken under the guidance of a healthcare provider experienced in transgender health. GenderGP helps with this.
Potential Side Effects: Testosterone therapy can have side effects such as acne, changes in lipid profiles, and increased red blood cell count. The use of any medication carries its own risks and potential side effects, which should be monitored.
Fertility: Both oestrogen blockers can impact fertility. You may want to explore fertility preservation options.
Emotional Wellbeing: Some people may experience mood changes, so we recommend establishing a support network and accessing mental health support.