Here's something you should know about hormones before you dive right in. For many guys, the biggest attraction to taking testosterone is a) the potential for facial hair growth and/or b) increased muscle mass. The thing is, each person's body has a certain amount of hormone receptors which actually absorb and process testosterone [or estrogen]. It doesn't matter how much T you're taking, because your body can only process so much at a time [depending on the amount of receptors in your body].
So, before you demand the top dose from your doctor, consider the fact that excess testosterone in your body that can't be absorbed can potentially turn into estrogen. My advice to anyone considering testosterone therapy is to start slowly. Give your body a chance to adapt to this very powerful chemcical you're putting into it.
I've been able to compile some really good resources on testosterone therapy for FTMs. If you're considering T, this should be your first stop:
http://www.ftmaustralia.org/category/hormones.html
and particularly this section:
Effects of testosterone1
Reversible effects:
- acne (especially in the first few years of therapy)
- alterations in your blood lipids (cholesterol and triglycerides)
- estrogen production (reversible in early stages)
- fertility cycle (reversible in early stages)
- mild breast atrophy (due to loss of fat)
- increased upper body strength and over-all muscle density
- male-pattern fat distribution throughout your body
- prominence of veins and coarser skin (depending on genetic traits)
Irreversible Effects (Permanent):
- body hair development
- cessation of menstrual activity within three months for over 90% of individuals
- clitoral enlargement to varying degrees
- deepening of your voice
- fertility cycle (irreversible over time)
- increased facial hair, after the same pattern observed in pubertal boys
- male pattern baldness (if it runs in your family)
- muscle development and conditioning (especially your upper body)
- estrogen production ceases over time
Risks associated with testosterone
It's important to be aware of the risks associated with increased levels of testosterone in your body. The good news is that an FTM on testosterone is not prone to any health risks that a cisgendered male is not, with the exception of [some] increased risk of cervical cancer. Most endocrinologists will recommended that, if reproduction is not an issue for you, consider having a hysterectomy. Have a look at this page for some wise words on risks associated with testosterone treatment.
Talk to your physician
Once you're certain that hormone therapy is right for you, your next step should be to find a good doctor. Having a physician who is supportive and open to your needs as a trans* patient will be crucial in your transistion. Not all doctors have extensive experience dealing with transgender health, but a good doctor is willing to learn along with you. I suggest contacting your local LGBT centre to see if they have any information for doctors dealing in transgender primary care. I have a few resources you can print off and give to your GP.
1© 2009, FTMAustralia. All rights reserved. URL: www.ftmaustralia.org