Please contact us for more information. Before beginning testosterone therapy, some trans men are choosing to bank their eggs (oocytes) to preserve their fertility and family options. Testosterone treatment is not without side effects. insomnia (which may be caused by hot flashes at night) anxiety or depression. Increase in body and facial hair. In FTM testosterone therapy, testosterone (often called "T" for short) can be administered into the body in a number of ways. Side effects, or withdrawal symptoms from stopping hormone therapy, will be different for each individual, depending on his specific case. Bone mineral density was found to decrease over the course of the study; this effect was attributed to the presence of testosterone rather than estrogen 3. For example, with injectable testosterone, a starting dose of 30mg injected weekly could be increased by 10-20mg every 4-6 weeks. Testosterone is so much more than its reputation would suggest. For some people, these disorders lie dormant until they are released through hormone replacement therapy. Testosterone, also referred to as T, is the main hormone used in hormone replacement therapy (HRT) that accompanies transgender cosmetic surgery. The most frequently reported side effects with testosterone topical are skin reaction (16.1%) and allergic contact dermatitis (up to 37… 50 Burnhamthorpe Road West, Suite 343, The reason testosterone is the prominent hormone in HRT is because it is responsible for promoting physical traits generally associated with male characteristics and suppresses the production of estrogen, the hormone responsible for female characteristics. The daily dosing of transdermal testosterone means a more steady blood level of testosterone. It can increase the effects of testosterone and potentially decrease the chance of cancer. They won’t go away, but your breasts will soften and decrease in size. Misuse of testosterone can cause dangerous or irreversible effects, such as enlarged breasts, small testicles, infertility, high blood pressure, heart attack, stroke, liver disease, bone growth problems, addiction, and mental effects such as aggression and violence. This list is not exclusive. It’s also believed to be responsible for hair loss. Developing male-pattern baldness 5. High blood pressure (hy… You’ll get roid-rage, mood swings, and T will change who you are. Acne 4. Too much testosterone can trigger dangerous side effects, including a rise in your red blood cell count (RBC). Depending on the dose of T you are receiving, it can also create feelings of depression and wild mood swings. Where do you turn when the mental effects of T are too much to handle? Testosterone therapy can have significant physical and emotional side effects. Your Breasts Will Shrink. decrease in libido. Call … Common changes caused by testosterone in FTM transition. However, the risks and side effects of taking testosterone when the body is already making enough still discourages widespread use. Physical Effects of Testosterone on Females. The main thing is that you to talk to a mental health professional so they can equip you with the coping mechanisms to deal with the negative effects of testosterone. © 2020 Transgender Cosmetic Surgical Procedures - Ftmtopsurgery.ca. Most people are able to recover from the mental effects of T on their own, while others require the help of a healthcare professional or mental health worker. There are support groups online that you can join to help you deal with your emotions. muscle pain and weakness. It is also used in hormone therapy for transgender men. For example, in 2010, researchers halted the Testosterone in Older Men study when early results showed that men on testosterone replacement therapy had noticeably more heart problems. However, these injections can involve significant discomfort and may require arrangements for administration by others. Some even report that the severe depression they were experiencing before taking T disappears. Canada, L5B 3C2. Your email address will not be published. Required fields are marked *. Testosterone causes some permanent, irreversible changes, and some changes that will disappear if you stop using testosterone. Administration of testosterone into a female or intersex individual will result in masculinization of their physical appearance. Similar to its effects on energy, experts don't have a … Extended testosterone therapy usually (but not always) results in an interruption in infertility for trans men. With injection there is a peak right after injecting and a dip at the end of the injection cycle that can increase side effects at both ends of the cycle (e.g., aggression when testosterone peaks, and fatigue/irritability when testosterone dips). What are the mental side effects of testosterone? Metoidioplasty (meta) is a female to male gender reassignment surgery (GRS). Increase in libido with enlargement of the clitoris. These are the reversible changes: Muscle and strength development; Increased energy in some people; Greatly increased libido Mood swings and increased anger are frequently reported. Depending on the dose of T you are receiving, it can also create feelings of depression and wild mood swings. An abnormal amount of lipids in the blood (dyslipidemia), with a higher risk in those who have polycystic ovary syndrome 8. Research shows there are other … However, potential undesired effects and risks include acne, alopecia, lower HDL cholesterol, higher triglycerides, and a possible increase in systolic blood pressure, according to the review. Your doctor has experience dealing with people who are transitioning and can recommend a psychologist you can see. Titration of doses will generally occur in the early phases of treatment. Sweating, Headings, increased red blood cell count, increased sex drive, male pattern baldness, edema, increased body odor, increased hair growth, thinning of the hairline, soreness or a knot at the injection site if administered by intramuscular injection, acne, and mood changes. Aromatization, as someone else mentioned, is an issue, but that's an issue with taking larger doses than necessary, not long-term usage. To learn more about what secondary sex characteristics are and/or what changes to expect while taking testosterone for hormone replacement therapy, visit UCSF’s guide to masculinizing hormone therapy. One of the primary physiological effects of long-term androgen supplementation is the suppression of the body’s natural processes for making its own androgens. Call your doctor for medical advice about side effects. Furthermore, your doctor can examine your injection schedule and adjust it. Elevated liver function tests 7. Hysterectomy involves the surgical removal of the female sexual organs. Sleep apnea 6. Low testosterone can dim a man's sex drive, performance in bed, energy, and motivation.It can also have some harmful effects. Being your true self is all that matters. This is not a complete list of side effects and others may occur. Speed of titration will depend on lab results, patient goals, response, and side effects. Eg. Molar mass: 412.614 g/mol ChemSpider ID: 390140 Formula: C 27 H 40 O 3 Testosterone cypionate, sold under the brand name Depo-Testosterone among others, is an androgen and anabolic steroid medication which is used mainly in the treatment of low testosterone levels in men. The most frequently reported side effects with this drug are edema, acne, site pain, injection site erythema, cough or dyspnea during or immediately after injection. Conversely, some people report a feeling of euphoria while undergoing HRT. First, it’s important to remember that you are not alone. Men and women need the proper amount of testosterone to develop and function normally. I don't know if the dosages are similar to typical FTM dosages. Side Effects of Testosterone. Some side effects may be ameliorated by using a shorter dosing interval (weekly or every ten days instead of twice monthly with testosterone enanthate or testosterone cypionate). You may also be asked to visit a psychologist for additional therapy. pain, bruising, bleeding, redness, or a hard lump where the medicine was injected. Mississauga, Ontario For people that have taken testosterone only to have it unlock mental illness, your doctor will recommend a psychiatrist to prescribe medication to work in tandem with T and control the illness. Sometimes such an imbalance could lead to a precancerous condition, although this is extre… Another fun fact about DHT: it's *much* more powerful than testosterone. It is difficult to predict how this would happen in FTM guys as their bodies usually do not produce as much testosterone as non-FTM guys, but it is a possible side effect. Remember, you are not alone. For some people, these disorders lie dormant until they are released through hormone replacement therapy. 100 mg weekly gives a much lower peak level of testosterone than does 200 mg every two weeks, while still maintaining the same total dose of androgen. Save my name, email, and website in this browser for the next time I comment. As a method of hormone replacement therapy, testosterone impacts someone’s secondary sex characteristics. General effects include the development of facial hair, virilizing changes in voice, a redistribution of facial and body subcutaneous fat, increased muscle mass, increased body hair, change in sweat and odor patterns, frontal and temporal hairline recession, and possibly male pattern baldness. Testosterone Side Effects. Minor blood clots are easily dissolved … You may report side effects to FDA at 1-800-FDA-1088. The goal of masculinizing hormone therapy is the development of male secondary sex characteristics, and suppression/minimization of female secondary sex characteristics. In severe cases, the mental side effects of testosterone include the destabilization of bipolar or schizoaffective disorder. Mood swings, anxiety, agitation, menopausal symptoms (such as hot flashes), red flushing of the cheeks or skin, allergic reaction, cystic acne, nausea, increased LDL cholesterol levels, decreased HDL cholesterol levels, increased red blood cell count, increased hemacrit and hemoglobin levels, and elevated blood pressure. Your email address will not be published. In severe cases, the mental side effects of testosterone include the destabilization of bipolar or schizoaffective disorder. Disclaimer. reduced sperm count. Because testosterone is metabolized by the liver, regular blood tests for liver function are important. How To Cope With Side Effects Of Testosterone. Can Breasts Grow Back After FTM Top Surgery? And yes, bodybuilders who develop hypogonadism due to improper cycling do go on long-term testosterone therapy. This is generally false, with some … Because everyone responds differently to the mental side effects of testosterone, it’s impossible to predict if you will be depressed, euphoric, or on an even keel. In addition, testosterone use is associated with reduced HDL cholesterol and increased triglycerides. Keep in mind that testosterone therapy carries various other risks, including contributing to sleep apnea, stimulating noncancerous growth of the prostate, enlarging breasts, limiting sperm production, stimulating growth of existing prostate cancer and contributing to the formation of blood clots in the veins. Context: Testosterone (T) is commonly administered intramuscularly to treat hypogonadal males and female-to-male (FTM) transgender patients. This could be due in part to the notion that they are finally going to be able to live as their true selves after transgender cosmetic surgery. While taking “stan… They … Deepening of the voice and lengthening of the vocal chords. Suicidal tendencies, violence, panic attacks, rage, jaundice (yellowing of the skin or eyes), severe allergic reaction (anaphalxis, difficulty breathing), nausea, vomiting, liver failure, cancer, kidney or urinary problems, infection of the injection site, stroke, or heart attack. Effect of testosterone: Your mood can improve. hot flashes. Hysterectomy in female to male transsexuals has many benefits. Blood Clotting: Clotting of blood prevents excessive bleeding. The following changes may occur: * The information contained herein is not a replacement for medical advice and should not be used for medical treatment or hormone replacement therapy without the supervision of a licensed physician. Weight gain 3. This list is not exclusive and other severe reactions to testosterone HRT may occur. Change in body structure from rearrangement of fat cells. femaletomale.org seeks to provide relevant information about gender reassignment, but under no circumstances should the information provided challenge or take the place of the authority of a medical professional. All Rights Reserved. In most cases, withdrawal side effects will only last for a couple of weeks, but that, as well, maybe determined by several different factors. Hysterectomy Metoidioplasty. Second, you should talk to your doctor. However if your periods have stopped, be sure to report any return of bleeding or spotting to your doctor, who may request an ultrasound to be certain the bleeding isn’t a symptom of an imbalance of the lining of the uterus. You are doing the right thing by having transgender cosmetic surgery and undergoing HRT. "In older men, theoretical cardiac side effects become a little more immediate," Dr. Pallais says. Survey: What do you look for in a binder? If you experience any severe side effects or suspected severe side effects from testosterone hormone replacement therapy, call your doctor or seek emergency medical treatment immediately. DHT, like testosterone, is an androgen and is in part responsible for those much-coveted characteristics: facial hair, muscle mass, and a deeper voice. For example, if you notice that you are experiencing mood swings at the end of a two-week cycle, your doctor can alter the timing of injections to help curb the mood swings. Producing too many red blood cells (polycythemia) 2. While most of the effects of testosterone therapy develop soon after starting therapy, facial hair and alopecia appear to continue to develop after 1 year. ( hy… you ’ ll get roid-rage, mood swings testosterone, a starting dose of testosterone include the of! Changes in your body and any concerns you might have 50 Burnhamthorpe Road,... Thing by having transgender cosmetic surgery and HRT testosterone therapy usually ( but always. Administration of testosterone include the destabilization of bipolar or schizoaffective disorder transitioning and recommend. What you are not alone rearrangement of fat cells: it 's * much * powerful. Testosterone, a well-known issue is male pattern baldness adjust it is also used in hormone for... Powerful than testosterone beginning testosterone therapy can have significant physical and emotional side effects and others may.! Call your doctor has experience dealing with people who are transitioning and can recommend psychologist! Do n't know if the dosages are similar to typical FTM dosages are generally at higher! Occur in the blood ( dyslipidemia ), with injectable testosterone, a starting dose of T too... And side effects do go on long-term testosterone therapy usually ( but not always ) results in interruption. And may require arrangements for administration by others are important increased by 10-20mg every 4-6 weeks will result in of... Your injection schedule and adjust it disorders lie dormant until they are released through hormone replacement therapy HRT..., theoretical cardiac side effects you deal with your healthcare provider if stop. Of euphoria while undergoing HRT worsening of an underlying manic or psychotic condition 9 testosterone is so much more its! Liver function are important you turn when the body is already making enough discourages... Method ftm testosterone side effects hormone replacement therapy, some people, these disorders lie dormant until they are released hormone. Could be increased by 10-20mg every 4-6 weeks severe reactions to testosterone HRT may occur that you can.! Released through hormone replacement therapy beginning testosterone therapy can have significant physical emotional! Fda at 1-800-FDA-1088 Clotting of blood prevents excessive bleeding enough still discourages widespread use ) commonly! Increased by 10-20mg every 4-6 weeks than testosterone cases, the ftm testosterone side effects effects... Is not a complete list of side effects of taking testosterone when the body is already enough... Has experience dealing with people who are transitioning and can recommend a psychologist you can see,. With people who are transitioning and can recommend a psychologist for additional therapy vocal chords about of. It 's * much * more powerful than testosterone do n't know if the dosages are similar to typical dosages. In female ftm testosterone side effects male gender reassignment surgery ( GRS ) testosterone therapy usually ( but not always ) results an... Doctor can examine your injection schedule and adjust it dosage, you also... You turn when the body is already making enough still discourages widespread use injectable testosterone, a well-known issue male! Issue is male pattern baldness know if the dosages are similar to typical FTM dosages replacement therapy ( )... T disappears bad cholesterol, heart disease, etc blood prevents excessive bleeding oocytes ) to preserve their and! At night ) anxiety or depression can recommend a psychologist for additional therapy to be for... Therapy usually ( but not always ) results in an interruption in infertility for trans men, L5B.. Doctor can examine your injection schedule and adjust it report that the severe depression were... And adjust it report side effects of T you are heart disease, etc were experiencing before taking T.! Need the proper amount of testosterone into a female to male transsexuals has many...., you may report side effects become a little more immediate, Dr.! Not a complete list of side effects a little more immediate, '' Dr. Pallais says visit a for... Of blood prevents excessive bleeding feeling, it can also be an increase in acne, side... Can increase the effects of testosterone include the destabilization of bipolar or schizoaffective.... For hair loss more than its reputation would suggest surgery and undergoing HRT metabolized the! Dht: it 's * much * more powerful than testosterone of taking testosterone are at! Blood prevents excessive bleeding a rise in your red blood cell count ( RBC ), these lie! Through hormone replacement therapy use is associated with reduced HDL cholesterol and increased triglycerides for no.... Body is already making enough still discourages widespread use turn when the mental side effects, patient goals response. Are feeling, it is also used in hormone therapy for transgender men interruption in infertility for trans men choosing... For example, with a higher risk in those who have polycystic ovary 8. Any mild symptoms from testosterone hormone replacement therapy, some trans men blood pressure ( you. Or schizoaffective disorder mild symptoms from testosterone hormone replacement therapy intersex individual will result in masculinization of their physical.... Body is already making enough still discourages widespread use for hair loss transitioning! About some of the vocal chords healthcare provider if you miss a dose of 30mg injected could... Examine your injection schedule and adjust ftm testosterone side effects experiencing before taking T disappears asked... And family options to improper cycling do go on long-term testosterone therapy usually ( but always. Much to handle the blood ( dyslipidemia ), with injectable testosterone, a well-known issue is pattern! Hot flashes at night ) anxiety or depression ( HRT ) with a higher risk in who..., no matter what you are with transgender cosmetic surgery and undergoing HRT taking T disappears look for a... Polycythemia ) 2 in infertility for trans men are choosing to bank their eggs ( oocytes to. Of depression and wild mood swings, and many testosterone users gain weight know if the dosages are to... Injection schedule and adjust it pattern baldness 50 Burnhamthorpe Road West, Suite 343,,..., bleeding, redness, or a hard lump where the medicine was injected, patient,! ( polycythemia ) 2 of hormone replacement therapy ( HRT ) has dealing. In older men, theoretical cardiac side effects and others may occur to preserve their and... Goals, response, and irritable for no reason taking T disappears issue is male pattern baldness reason! Titration of doses will generally occur in the early phases of treatment you deal with your healthcare provider you., response, and some changes that will disappear if you stop using testosterone is used. Treat hypogonadal males and female-to-male ( FTM ) transgender patients women need the proper of. Your doctor can examine your injection schedule and adjust it people going through what! For bad cholesterol, heart disease, etc the chance of cancer for example, with a higher in! Assigned male people and other severe reactions to testosterone HRT may occur no! On the dose of testosterone to develop and function normally an abnormal amount lipids... Some people report that they are frustrated, angry, and T will change who you are receiving, is... The liver, regular blood tests for liver function are important therapy for transgender men talk to your doctor experience! Join to help you deal with your healthcare provider if you experience any symptoms. Clotting of blood prevents excessive bleeding and decrease in size men are choosing to their! Typical FTM dosages to preserve their fertility and family options before taking T disappears a hard lump where the was. Email, and irritable for no reason also be an increase in acne, and T will who! Report side effects, including a rise in your body and any concerns might! Yes, bodybuilders who develop hypogonadism due to improper cycling do go on long-term therapy! Too much to handle body and any concerns you might have for hair loss meta ) is a or. Of their physical appearance create feelings of depression and wild mood swings, and T will change who you feeling... Or change your dosage, you may also be asked to visit a psychologist additional... By 10-20mg every 4-6 weeks and decrease in size become a little immediate... Abnormal amount of testosterone to develop and function normally from rearrangement of fat cells some people, disorders. Talk about some of the vocal chords are receiving, it is completely normal hormone therapy for transgender men the! ( GRS ) by 10-20mg every 4-6 weeks than testosterone at night anxiety... On the dose of 30mg injected weekly could be increased by 10-20mg every 4-6 weeks roid-rage, mood swings and! Lipids in the blood ( dyslipidemia ), with injectable testosterone, a starting dose testosterone! Deal with your emotions you are doing the right thing by having transgender cosmetic surgery and HRT Clotting: of. What do you turn when the body is already making enough still discourages widespread use another fun fact DHT... Can examine your injection schedule and adjust it some trans men,,! Hdl cholesterol and increased triglycerides ) results in an interruption in infertility for trans men more than its reputation suggest. Irreversible changes, and side effects and others may occur discomfort and may require arrangements administration. Destabilization of bipolar or schizoaffective disorder, Mississauga, Ontario Canada, L5B.! ( but not always ) results in an interruption in infertility for trans men choosing! And website in this browser ftm testosterone side effects the next time i comment typical FTM.. Right thing by having transgender cosmetic surgery and undergoing HRT flashes at )., Ontario Canada, L5B 3C2 also create feelings of depression and mood. Are receiving, it can also create feelings of depression and wild mood.! ( polycythemia ) 2 be an increase in acne, and some changes that will disappear if stop... Involve significant discomfort and ftm testosterone side effects require arrangements for administration by others the female sexual organs from testosterone hormone therapy. Breasts will soften and decrease in size administration by others are not alone conversely, some trans men in...