Transgender Health

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Female to Male Changes

Females transitioning to males (FTM) may experience the following permanent effects of testosterone:

• Atrophy of the uterus and ovaries, resulting in sterility
• Baldness; hair loss, especially at temples and crown of head
• Beard and mustache growth
• Deepening of the voice
• Enlargement of the clitoris
• Increased growth of body hair
• Sterility

Temporary changes, which are reversible after HT is stopped, include the following:

• Behavioral developments associated with testosterone production during male puberty:
  • Aggression
  • Increased libido
• Development of acne, similar to male puberty
• Increased muscle mass and strength
• Increase in number of red blood cells
• Redistribution of fat from breasts, hips, and thighs to abdominal area

Risks associated with FTM testosterone therapy include the following:

• Breast cancer
• Cancer of endometrium
• Diabetes
• High cholesterol
• Hypertension
• Liver disease

Tobacco increases a person's risk for disease and complications. A general medical checkup is necessary before treatment, as well as a review of patient and family health history.

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