There are four areas where you can expect changes to occur as your hormone therapy progresses. I'd like to talk to you about some of the risks, expectations, long term considerations, and medications associated with your transition from male to female. If you have had any scalp balding, hormone therapy should slow or stop it, but how much if it will grow back is unknown. Your sperm should be stored before beginning hormone therapy. You can also expect your muscle mass and strength to decrease significantly. However, there may be a role of progestogens in breast development though controversial and disputed and in regulation of skin and hair,[ citation needed ] and progesterone specifically may have positive effects on sex drive, sleep, and levels of anxiety. However, it is important to be realistic about your body, and expect the changes to be in proportion to how your body looks at the start. Some of the changes from testosterone are permanent and irreversible, while others are maintained only through continuous use. This in turn cause the gonads to produce sex steroids such as androgens and estrogens. Many people are eager for hormonal changes to take place rapidly- I understand that. Overall, you may gain or lose weight once you begin hormone therapy, depending on your diet, lifestyle, genetics and muscle mass. Estrogens act by binding to and activating the estrogen receptor ER , their biological target in the body. Androgens act by binding to and activating the androgen receptor AR , their biological target in the body. A variety of different forms of estrogen are available and used medically. While psychotherapy is not for everyone, most people would benefit from a course of supportive psychotherapy while in transition to help you explore these new thoughts and feelings, and get to know your new body and self. Nevertheless, some transwomen say they experience some or all of these benefits from progesterone.
After that period, dosages can be reduced. Finasteride and dutasteride are medicines which prevent the production of dihydro-testosterone, a specific form of testosterone that has action on the skin, hair, and prostate. These may be slightly painful, especially to the touch and the right and left side may be uneven. The risk of things like blood clots, strokes and cancer are minimal, but may be elevated. Contrary to what many may have heard, you can achieve the maximum effect of your transition with relatively small doses of estrogen. Patches can be very effective and safe, but they need to be worn at all times. It is unclear if there is any added benefit to taking one of these medicines at the same time as spironolactone. How porn addiction can affect your sex life The female to male FTM person will usually seek hormonal treatment as the first step towards their new body. Involve your sexual partner if you have one. The first changes you will probably notice are that your skin will become a bit drier and thinner. Some of the changes from testosterone are permanent and irreversible, while others are maintained only through continuous use. If injections are used, it should be at a low dose and with an understanding that there may be uncomfortable side effects, and that switching off of injections to other forms may cause mood swings or hot flashes. Spironolactone prevents the formation of androgens in the testes though not in the adrenal glands by inhibiting enzymes involved in androgen production. Bicalutamide has improved tolerability and safety profiles relative to cyproterone acetate, as well as to flutamide and nilutamide, and has largely replaced the latter two in clinical practice for this reason. An endocrinologist writes the prescription, and monitors how your organs are coping with the testosterone once treatment has begun. Consider the effects of hormone therapy as a second puberty, and puberty normally takes years for the full effects to be seen. The fourth impact of hormone therapy is on the reproductive system. Enzalutamide is a more recently introduced NSAA with even greater potency and efficacy as an antiandrogen than bicalutamide, but it is still under patent protection and in relation to this is currently and for the foreseeable future extremely expensive. After an initial surge, over a period of weeks, gonadal androgen production is greatly reduced. Taking high doses does not necessarily make changes happen quicker it could, however, endanger your health. You can also expect your muscle mass and strength to decrease significantly. Most testosterone blockers are very safe but they can have side effects. But it's very important to remember that the extent of, and rate at which your changes take place, depend on many factors. Many of the effects of hormone therapy are reversible, if you stop taking them. Estrogens may be administered orally , sublingually , transdermally via patch , topically via gel , by intramuscular or subcutaneous injection , or by an implant. Some people may notice minor changes in shoe size or height.
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