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Can hormone therapy help resize breasts in transgender women?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a married, 46-year-old male. I am on a mild estrogen dosage and have developed almost A cup size breast growth. I have had a decreased male libido for the past 15 years with more feminine desires.

I am not looking forward to SRS, but just breast growth without augmentation surgery. Please explain the procedure.

I currently take Estrogen 2 mg and Aldactone 100 mg. In the blood tests, I have an increase in the estrogen level.

Kindly suggest.

Thanks.

Answered by Dr. Sugreev Singh

Education:

MD

Professional Bio:

Dr. Sugreev Singh is an experienced General Surgeon with expertise in Internal Medicine and General Medicine. He is skilled in performing a wide range of surgical procedures and managing complex medical conditions with a holistic approach. Known for his clinical precision and compassionate care, Dr. Singh is dedicated to delivering effective, patient-centered treatment to promote long-term health and recovery.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

Thank you for writing to me, and I understand your concern.

  • Can you submit your estrogen reports?
  • Were you sexually active as a male before 15?
  • As far as I understand, now you want to increase your breasts with hormone therapy. Earlier in childhood, all your activities are as a male. Am I correct?
  • What are your testosterone levels?
  • Are all secondary sexual characteristics (pubic hair, testis, beard, and armpit hair) adequately developed or not?
  • For how long were you taking estrogen?

Please let me know so I can help you further.

Thank you.

Patient's Query

Hello doctor,

Thank you for your reply.

Please suggest what laboratory test is required for the estrogen test. Though I am a father to a son, my libido has always been on the lower side for many years. Since childhood, I have always felt comfortable wearing female clothes, which I continue to do.

I have male pattern baldness and very minimal body hair growth. I equally have a beard only on my chin and mustache. Kindly let me know how I can have scalp hair growth as well. My testicles are shrunk and, as mentioned, very low libido.

Fortunately, I have a caring wife who had understood my physical condition when I told her about the same approximately five years back.

Many thanks for considering my request.

Regards.

Answered by Dr. Sugreev Singh

Education:

MD

Professional Bio:

Dr. Sugreev Singh is an experienced General Surgeon with expertise in Internal Medicine and General Medicine. He is skilled in performing a wide range of surgical procedures and managing complex medical conditions with a holistic approach. Known for his clinical precision and compassionate care, Dr. Singh is dedicated to delivering effective, patient-centered treatment to promote long-term health and recovery.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

You can check your estrogen and testosterone levels with a blood test. You can give blood for tests and ask them to check testosterone levels and estrogen (as you mentioned, you have increased estrogen levels), and then we can prescribe medicine accordingly.

For hair loss, the main reason is testosterone hormone deficiency, and sometimes due to vitamin deficiencies. And it is very tough to get them back. The best way for the regrowth of hair is plasma therapy.

Similarly, it will not be easy to grow breasts because you were active as a man before. So even with hormone treatment, it will not give those significant results. But as you said, you do not want to go for augmentation. Then you can try hormone therapy.

Kindly check your hormone levels, then you can send me the reports. I will let you know further. You can take a tablet of Vitamin E 400 mg once a day after a meal for seven days for hair fall.

I hope this helps.

Thank you.

Medically reviewed by Dr. Preetha. J
Published At October 9, 2020
Reviewed At April 27, 2026

Education:

MD

Professional Bio:

Dr. Sugreev Singh is an experienced General Surgeon with expertise in Internal Medicine and General Medicine. He is skilled in performing a wide range of surgical procedures and managing complex medical conditions with a holistic approach. Known for his clinical precision and compassionate care, Dr. Singh is dedicated to delivering effective, patient-centered treatment to promote long-term health and recovery.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Preetha J. is a proficient Dental Surgeon with expertise in cosmetic dentistry, restorative procedures, root canal treatments, and oral surgery. She is known for her gentle approach, precision, and commitment to patient comfort. Dr. Preetha combines advanced dental techniques with personalized care to ensure optimal oral health and aesthetic results, helping patients achieve confident, healthy smiles. Currently, she contributes her expertise as a valuable member of the medical reviewer team at iCliniq.com. 

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Sugreev Singh is an experienced General Surgeon with expertise in Internal Medicine and General Medicine. He is skilled in performing a wide range of surgical procedures and managing complex medical conditions with a holistic approach. Known for his clinical precision and compassionate care, Dr. Singh is dedicated to delivering effective, patient-centered treatment to promote long-term health and recovery.

This doctor is not available for online consultations on the platform anymore.

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