Tuesday, December 5, 2023

How To Start Testosterone Therapy Ftm

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Severe Side Effects From Ftm Testosterone Hrt

How To Start Testosterone | HRT Transition FTM Transgender

Suicidal tendencies, violence, panic attacks, rage, jaundice , severe allergic reaction , nausea, vomiting, liver failure, cancer, kidney or urinary problems, infection of the injection site, stroke, or heart attack. This list is not exclusive and other severe reactions to testosterone HRT may occur. If you experience any severe side effects or suspected severe side effects from testosterone hormone replacement therapy, call your doctor or seek emergency medical treatment immediately.

What Is Gender Affirming Hormone Therapy

Some transgender people choose to take “gender affirming” hormones that is, hormones that align with their gender identity rather than the sex they were assigned at birth. These hormones can be used to make the body more masculine or more feminine so that it is more closely aligned with the persons inner sense of self.

How Long Does A Person Continue Hormone Therapy

The decision to continue or discontinue hormones is entirely up to the individual. The physical transition process, during which hormones alter the physical characteristics of the body, can take up to five years. After that, many people choose to continue taking hormones in order to maintain the changes that have already occurred. The goal of hormone therapy is to keep the hormones within the normal, physiologic ranges. Around age 50-60 years, hormone levels naturally decline in healthy people and some individuals might discontinue them then or reduce them to a very low dose.

If a person has surgery to remove the testes , the body would no longer produce testosterone. A testosterone blocker would no longer be needed but estrogen would still be needed to maintain feminine characteristics.

If a person has surgery to remove the ovaries , the body would no longer produce estrogen. However, testosterone would still be needed to maintain masculine characteristics.

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What Can I Do To Raise My Testosterone Im A Women What Are The Benefits Of Testosterone Injections And Your Penis

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How To Make Voice Deeper For Ftm

FTM What I Didn

Wondering how to make your voice deeper? Go here and learn more on voice exercises, hormones, voice modification surgery, and voice therapy for FTM.

Voice is a significant part of ones personality and gender affirmation process. Many trans guys feel insecure about their voices being too feminine. Even though thats normal, you should be able to feel completely comfortable with yourself. So, if youre wondering how to make your voice deeper, youve come to the right place. In this article, well discuss how to lower your voice FTM, FTM testosterone voice change, voice modification surgery, and other relevant topics related to FTM voice change.

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Accessing Hormones In Nsw

To assist you in connecting with your doctor, weve prepared a number of templates you can print, complete and take with you. Below you will find a template to let an existing or new doctor know that you want to start or continue hormones, and to update your name, gender marker and pronoun, if required.

Weve also included an example of an informed consent form for initiating masculinising hormones, as well as a GP Management Plan template. Your doctor may have a similar forms of their own, or you can print these out to work through together.

You are able to access hormones from your regular GP or Sexual Health Doctor. Hormonal affirmation and advice is not a specialist field, and does not require an expensive or difficult process, or access to a specialist to prescribe.

Accessing PBS-listed testosterone does currently require an additional step where either you, or your doctor will need to consult with an Endocrinologist, Sexual Health Doctor or Urologist. This only needs to happen once.

Your prescribing doctor will use the authority indication androgen deficiency due to an established testicular disorder, which is accurate since our bodies dont naturally produce enough testosterone on their own. You dont need to be listed with Medicare as male in order to access PBS-listed testosterone.

For a list of doctors who support and understand trans people and our needs, check out ACONs Gender Affirming Doctor List, available here.

Testosterone Is Usually Taken In One Of The Following Forms:

Injections – an intramuscular injection administered regularly, either by a medical practitioner, or by you or a friend who has been shown how to do injections. Check out this handy injection guide .

This could be either Reandron , Primoteston , or Sustanon. Some forms of testosterone injection are covered on the PBS.

Gels and creams – a cream or gel that is applied to the skin daily as directed. Some testosterone gels and creams are covered on the PBS.

Implants – testosterone pellets that are inserted into the body and can last for several months. Implants are not covered on the PBS and can only be manufactured by a compounding chemist.

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Myths About Being On Testosterone

Unfortunately, there are a ton of harmful misconceptions about testosterone treatment. Here, we dispel four of the most commonly held myths about masculinizing hormones:

Testosterone Changes Your Personality

Many people believe that testosterone can make you more aggressive and violent. But in most cases, people who believe in these kinds of effects are confusing T for steroids, which do induce a kind of “roid rage” in those who abuse it.

If you stick to a plan with a health care practitioner that specializes in transgender hormone therapy, you won’t ever go beyond reasonable and healthy testosterone levels. Yes, taking T can induce irritability and mood swings, but this can also be because your body is adjusting to the change in hormone levels. In fact, a study found that cisgender men with low testosterone reported better mental health after starting hormone therapy.

Testosterone Stops You From Getting Pregnant

Being on masculinizing hormone treatment does not prevent pregnancy. While long-term use can stop you from ovulating, and thus stop your period from coming every month, it doesn’t make you completely sterile. If you still have your ovaries, your body will still produce estrogen, the hormone that aids in fertility. As long as you still have eggs in your ovaries and a healthy level of estrogen, you’re still at risk of getting pregnant.

Kids Can Start Using Hormones If They Want To

If You Identify As Trans, You Need To Be On Testosterone

Ftm Testosterone Therapy Basics


DISCLAIMER The information contained herein is to be used for educational purposes only. The author is not a medical professional, and this information should not be considered medical advice. This information should NOT be used to replace consultation with or treatment by a trained medical professional. The listing of a medication herein does not imply endorsement by the author.

Also check out the page “Myths and Misconceptions about Testosterone, Transition, and Trans Men” for additional information.

Overview For trans men who have been born into “typically female bodies” , as well as trans men who were born into intersex bodies, the goal of testosterone therapy is to induce and maintain the presence of masculine secondary sex characteristics.

In FTM testosterone therapy, testosterone can be administered into the body in a number of ways. The most common method is injection with a syringe. Other delivery methods include transdermal application through gel, cream, or patch applied to the skin orally by swallowing tablets sublingually/buccally by dissolving a tablet under the tongue or against the gums or by a pellet inserted under the skin. The T-delivery method used will depend on the type of medication available in the country of treatment, the health risks/benefits for the patient, personal preference, and cost.

For more on T dosing, click here to go to the section “Testosterone Types and Delivery.”

Skin oils and acne may lessen.

Body scent may change.

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Other Hormonal Health Concerns

Topical estrogen – sometimes taken for atrophy of the vagina/front hole. Being on testosterone can decrease the natural lubrication of the vagina/front hole, which can make that part of the body uncomfortable not only during sex, but everyday activities and other important things like cervical screens and sexual health testing.

A topical estrogen applied directly can help solve this problem, without estrogen finding its way into the rest of the body. Using a topical estrogen has no effect on masculinising.

Progesterone – sometimes taken to assist in stopping menstruation. A small amount of progesterone in combination with testosterone can help make sure you dont get a period.

So How Do I Change My Voice Ftm

We listed many possible solutions, but the most important point when changing your voice into more masculine is… Not to give up. Yes, sounds cliché, we know, but once youll start the process of changing your voice you will face many challenges. You must have in mind, that even if you dont see results for months, and other FTMs are already passing, each FTM journey is different. Maybe youll have to wait a little longer until youll find your real sound, but once youll reach the point when youll feel happy with your masculine FTM voice, you wont think about the struggle.

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Whats It Like To Start Taking Testosterone At Age 15

There are things Isaac loves about being on testosterone.

Its a super fun drug in some ways, says Isaac, who is now 20 years old.

Isaac was among the first wave of kids in the U.S. to medically transition from one gender to another. In middle school, he cut his hair and started dressing in boys clothes. By 15, he was taking testosterone.

Without doing anything, you just grow like more muscle. It gives you this sort of deep booming voice, and all this extra hair you can play with, he tells FRONTLINE. It is really exciting because its this form that I wanted, and now I have it and I can play with it.

But there are downsides, too and Isaac discusses them candidly in Isaacs Story, the third in a series of Facebook first mini-documentaries released ahead of the new FRONTLINE film, Growing Up Trans.

For Isaac, one unexpected complication not being able to cry.

If I feel something now that at one point would make me very sad, it almost like translates into anger, explains Isaac. And maybe some of that is because its really frustrating not to be able to cry, but, its very, very, very clear the emotional effect that testosterone has.

Cross-sex hormones like estrogen and testosterone used to be given only to adults. But treatment guidelines, established in 2009, now include children though they do not recommend starting before age 16. Unlike puberty blockers, which are reversible, many of the physical effects of cross-sex hormones are permanent.


Does My Patient Need Cervical Cancer Screening


Keep in mind the following:

  • Gauge your patientâs comfort with the exam. Some, but not all, transmasculine patients may feel uncomfortable with the idea of penetration and may feel their gender is undermined by the function of the speculum. It may be helpful to explain why a speculum is needed.
  • Ask if the patient has had a Pap test before, or whether they have had vaginally penetrative/frontal sex. If the patient has no experience with penetration, it may be helpful to know this in advance and to suggest that they try penetration at home first using a small toy, fingers or a speculum. This may help make the screening process less confusing or disturbing. Some transmasculine patients may be willing to try this, while others will not.
  • Some transmasculine patients who are taking testosterone will have fewer secretions, so using lubrication and warm water can be helpful in speculum insertion. Barring contraindications, topical 2% lidocaine jelly may be applied vaginally 5-10 min prior to the procedure in those who find speculum examination painful due to atrophic changes.
  • Testosterone can cause cervical cell changes that may make the sample more difficult to read. If the patient is on testosterone, note this on the requisition.
  • Inadequate samples are common in patients on testosterone.1 The use of both brush and broom may increase yield in patients with atrophic changes.2
  • HPV vaccine should be offered to patients under age 45.

Ovarian cancer

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The Benefits And Results Of Testosterone Hormone Replacement Therapy For Transsexuals Who Are Undergoing The Gender Reassignment Transition Process

Depo-testosterone vials are available by prescription in a 10mL and a 1mL size.

  • Letter from therapist to begin hormones
  • Blood work and testosterone levels

Blood work will be taken more frequently just after beginning hormone therapy. It is important to monitor your testosterone and CBC results after introducing the new hormone into the body. Testosterone intake may need to be increased if it is too low, or decreased if it is too high. Testosterone can increase red blood cell count, thereby increasing the probability of side effects.Testosterone can be given as:

  • An intramuscular injection, usually the glutes or thigh
  • A transdermal implant placed under the skin, usually the abdomen or buttocks or
  • An oral tablet, not recommended because of liver toxicity

In biological men, testosterone is a hormone produced by the endocrine system though the testes. It is responsible for:

  • Libido
  • Energy
  • Development of male secondary sex characteristics, such as body hair growth, penile growth, and deepening of the voice

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How Do I Take Testosterone Replacement Therapy

TRT comes in several different forms. Each has pros and cons.

Patches. These are easy to apply. But patches can cause skin rashes and may have to be applied more than once a day.

Gels. You rub gels into the skin daily. They are convenient to use. But you have to be careful that no one comes into contact with the treated area for several hours after you’ve applied it. Otherwise they could get testosterone in their system. A nasal gel is now available that eliminates the risk of exposure to others.

Buccal patch. You put this on your upper gum twice a day. These patches are convenient but can cause irritation or gum disease.

Injections. Injections are given anywhere from 2 to 10 weeks apart. They are inexpensive compared to other treatments. But injections may not provide steady benefits. Your testosterone levels will go back down between doses.

Subcutaneous pellets. Your doctor inserts these under your skin every 3 to 6 months. They are very convenient once they’re put in, but they require minor surgery for each dose.

Make An Appointment With A Doctor Or Endocrinologist


Take your therapist letter to either a Primary Care Physician or Endocrinologist. If youre unsure what doctor in your area will prescribe T, your local planned parenthood or gender clinic should be able to assist with a referral . Once you have your doctors appointment youll get a physical and blood drawn to test your hematocrit and lipid profile. Blood tests can take 1 day or a week if the labs are done offsite. These same blood tests will be run at follow up appointments to see how your body is responding to T. Once they review your labs theyll be able to tell you if youre a good candidate for T, then youll get your prescription for. If youve been prescribed liquid T that will be injected either intramuscularly or subcutaneously, its possible that the provider wont give your own supply until youve been taught how to safely inject.

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What Are Some Risks Of Testosterone

The first point well discuss is related to testosterone increased hemoglobin/hematocrit . H/H is a number youd find on a blood test and tells healthcare providers about the amount of red blood cells you have in your body. For example, in anemia, H/H is low. But, if H/H were to get too high, there may be a theoretical risk of blood clots and stroke because of the blood being too thick.

There have been no reports of this happening with GAHT. It is only a theoretical risk based on people that have genetic conditions leading to very high H/H levels much higher than the levels that testosterone causes. Your provider will check your H/H every 3 months, along with your T levels to make sure you are staying in healthy ranges.

Additionally, testosterone is a teratogen, a substance which is known to cause severe birth defects. So, if someone taking T were to become pregnant, there would be a high risk of birth defects. Therefore, contraception is strongly encouraged for people on T who could possibly become pregnant based on ones body parts and those of their partner. All forms of birth control are fine to use with testosterone and will not interfere with Ts effectiveness.

If you are on testosterone therapy and want to become pregnant or collect genetic material, youd generally have to stop T for 6 to 9 months to complete the necessary processes.

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