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Masculinizing Hormone Therapy - Effects and Advantages

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A method of treating transgender patients that aims to increase their testosterone levels (a hormone produced in the testicles). Continue reading to know more.

Written by

Dr. Durga. A. V

Medically reviewed by

Dr. Kaushal Bhavsar

Published At December 22, 2023
Reviewed AtDecember 22, 2023

Introduction

To help people with gender dysphoria (a broad sensation of discomfort, irritation, unease, or frustration that can be a sign of several mental health issues) match their physical attributes with their gender identification, doctors sometimes prescribe masculinizing hormone therapy. Transgender men and women frequently use hormone treatment as part of the transition process. It includes ingesting androgens (male hormones), primarily utilized by persons born male but identified as female. Testosterone, the most popular androgen used for this purpose, can be used topically or intravenously and is available as a patch, gel, cream, or injection. Treatment with masculinizing hormones can result in various physical alterations, including an increase in lean muscle mass, facial and body hair growth, and a reduction in breast size. After one discontinues hormone therapy, the side effects might not go away immediately; they can take many months. The consequences of an orchidectomy, which removes the testicles, are irreversible.

What Is Masculinizing Hormone Therapy?

Transgender males and gender-diverse persons frequently take masculinizing hormone treatment to bring about the physical changes in the body brought on by male hormones throughout puberty. These modifications are referred to as secondary sex features. This hormone treatment helps match the body with a person's gender identification. Hormone treatment that promotes masculinity is also known as hormone therapy that promotes gender equality. Taking testosterone is a part of masculinizing hormone treatment. It ends menstrual periods and reduces the ovaries' capacity to produce estrogen (a hormone that helps maintain and grow the female reproductive system). Male enhancement hormone treatment can be used alone or with male enhancement surgery.

It is important to understand that testosterone therapy is a protracted medical condition that needs regular physician supervision. Changes in blood pressure, cholesterol levels, and liver function, as well as an increased risk of blood clots and stroke, are just a few of the potential negative effects that it may have. Before beginning testosterone therapy, it is crucial to go over the potential dangers and advantages with a medical professional. It is important for anyone thinking about hormone therapy to be informed of all the dangers and negative effects it could have, including the possibility of blood clotting and heart issues. The testosterone levels will gradually increase again if one stops taking hormone treatment, and certain adverse symptoms will go away.

What Are the Advantages of Masculinizing Hormone Therapy?

It is essential to remember that not everyone can benefit from masculinizing hormone therapy, so any choice to use it should be made in collaboration with a licensed healthcare professional. The following are a few possible benefits of masculinizing hormone therapy:

  1. Improvement in Physical Appearance: A deficiency or lack of testosterone can be treated with masculinizing hormone treatment, which encourages the growth of more male physical traits, including facial and body hair, a deeper voice, and bigger muscles.

  2. Improvement in Sexual Function: Male sexual function and desire are maintained by testosterone in males. Therapy with masculinizing hormones may enhance sexual performance in those with low testosterone levels.

  3. Improvement in Mood and Well-Being: Low testosterone levels have been linked to diminished energy, altered moods, and memory and attention problems. Patients with low testosterone levels may benefit from masculinizing hormone treatment in terms of their mood and general well-being.

  4. Improvement in Bone Density: An increased risk of osteoporosis (develops brittle and fragile bones) has been related to low testosterone levels. The health of the bones is influenced by testosterone. Treatment with masculinizing hormones can boost bone density in males with low testosterone levels.

What Are the Disadvantages of Masculinizing Hormone Therapy?

The use of masculinizing hormones sometimes referred to as testosterone replacement treatment or testosterone hormone therapy, has several possible drawbacks. These may include:

  1. Acne: Acne on the face, chest, and back can develop or get worse due to testosterone treatment.

  2. Sleep Apnea: The risk of sleep problems, a disorder that causes disrupted breathing while sleeping, may rise due to testosterone therapy.

  3. Blood Clots: The risk of blood clots, which can be harmful if they reach the brain or the lungs, may rise due to testosterone therapy.

  4. Blood Pressure Changes: Blood pressure may rise or fall due to testosterone treatment.

  5. Decreased Sperm Production: Sperm production may be affected by testosterone therapy, which may be a problem for those who intend to have children in the future.

  6. Increased Risk of Prostate Cancer: Although additional study is required to prove this, several studies have shown that testosterone treatment may increase the risk of the prostate gland (an organ the size of a walnut between the bladder and the penis).

  7. Mood Changes: Testosterone treatment may result in mood swings, including restlessness, hostility, and sadness.

  8. Polycythemia: Polycythemia (a type of blood cancer), a disorder brought on by testosterone treatment, is characterized by the excessive production of red blood cells.

  9. Testicular Shrinkage: The testicles may shrink as a result of testosterone treatment.

  10. Hair Loss: In people genetically susceptible to male pattern baldness, testosterone may play a role in the condition.

  11. Liver Toxicity: Some testosterone fluctuations can harm the liver.

Conclusion

A medical procedure called masculinizing hormone therapy tries to change a person's physical and hormonal traits to resemble those of males more closely. This therapy is widely used on transgender men and other persons with gender dysphoria, a condition in which their gender identity differs from the sex they were assigned at birth. Typically, testosterone is administered as part of masculinizing hormone treatment, which can result in physical changes, including the growth of facial and body hair, adjustments to body composition and fat distribution, and a deepening of the voice. Menstrual hormone therapy should only be used under the guidance of a licensed healthcare professional because it is a complicated and sometimes dangerous medical procedure. Overall, Masculinizing Hormone Therapy is an important part of the journey of transgender and non-binary people who were born female and want to align their physical characteristics with their gender identity. It can cause significant physical and psychological changes, and when combined with comprehensive care, it can contribute to improved quality of life and well-being.

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Dr. Kaushal Bhavsar
Dr. Kaushal Bhavsar

Pulmonology (Asthma Doctors)

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