FtM Hormone Therapy for FtM Transition

Episode 10

Masculinizing Hormone Therapy for FtM Transition

In Episode 10, Erin Everett, NP-C, gives an overview of Masculinizing Hormone Therapy medications for a Female to Male (FtM) Transition. Erin discusses the prescribing guidelines for, and the expected effects of, masculinizing hormones Testosterone Cypionate and Testosterone Enanthate. She also covers the use of Testosterone gels and patches for a FtM transition.

About This Episode

In episode ten of Exclusively Inclusive, Erin Everett, NP-C, provides an in-depth overview of Masculinizing Hormone Therapy for a FtM Transition and the differences between injectable masculinizing hormones Testosterone Cypionate and Testosterone Enanthate.

During the episode, Erin discusses potential risks and side effects of Testosterone HRT for a FtM transition, including:

  • Polycythemia (Blood clot risk increase)
  • Decreasing HDL (good cholesterol) and elevating Triglyceride levels
  • Pelvic pain due to uterine atrophy
  • Ceasing of menstrual cycle
  • Increased risk of sleep apnea

Further on in the episode, Erin covers use of topical Testosterone Gels and Patches, discusses the cost/insurance factors for using them, and some of the recommended guidelines for Gels not coming into contact with others who do not want the effects of Testosterone such as cis females and children.

The topic of the need for FtM transgender patients to protect against pregnancy is also discussed, as receiving Testosterone HRT on its own is not a contraceptive. Rather, she provides options for effective contraception including:

  • Usage of condoms for protection against pregnancy and STIs
  • Prescribing progesterone pills
  • The Depo-Provera progesterone shot
  • Subcutaneous (under the skin) progesterone implant

Erin discusses the timeline that patients should expect to see the benefits/effects of the FtM hormone therapy, including:

  • Deepening of the voice
  • Hair growth
  • Increase in oil excretions from the skin
  • Increased muscle mass
  • Increased sweating
  • Breast/Vaginal atrophy
  • Acne development
  • Scalp hair loss/hair pattern changes

Finishing out the episode, also discusses the use of low-dose Testosterone for subtle masculinizing effects enjoyed by non-binary or gender queer patients, and some of the potential side effects such as hot flashes, mood swings, and depression.

Episode Links:

Masculinizing Hormone Therapy for FtM Transition