Testosterone works directly on tissues in your body (e. I don’t want to rush it but at the same time I’m sick of being misgendered. Shows how big of a difference that is. i thought the testosterone would contribute to making my period Jul 15, 2019 · False. When I started T, I thought I was a binary trans man. But more and more doctors and nurses are starting For context I'm early 30s and started 0. [1] Depending on the practice setting and juris diction, other providers with prescriptive rights (naturopathic I am due for a blood test to get my T levels checked out, hopefully sometime this week. Jun 17, 2016 · Prescribing gender affirming hormones is well within the scope of a range of medical providers, including primary care physicians, obstetricians-gynecologists, and endocrinologists, advanced practice nurses, and physician assistants. • 6 yr. I started out on 200mg every two weeks, and then moved to 90mg per week because my T levels were consistently high. 25 weekly or 0. i did not take it at the same time everyday and, miraculously, my period had stopped for the entirety of November So I went to the bathroom right away this morning and noticed that I was bleeding. I'm looking forward to trying it out and seeing if it Dec 11, 2014 · It’s great that you’re feeling ready to get started on testosterone. mood changes not as noticeable. The dose is so low and localized that it's not supposed to have much, if any negative effect on guys using T at the same time. Once the T takes over properly and your ovaries go dormant, it'll calm down and you can just deal with the normal mood swings, acne, etc. In this manuscript, we will review the process of gender-affirming hormone therapy for transgender men and what is known about ovarian and uterine consequences Facial hair is a permanent result of testosterone. I felt like when I started T I started leaning more in taste in women and less with men. In FTM testosterone therapy, testosterone (often called r/ftm Support-based discussion place focused on trans men, trans-masc individuals, and other people assigned female at birth who are trans. We calculated the proportion of transmasculine individuals ever experiencing ovulation over the Aug 30, 2023 · Some people choose testosterone-based gender-affirming hormone therapy (GAHT) as part of their gender-affirming care. Award More replies. In most cases this represents changes in the body’s metabolism over time. Apply some to your shot spot an hour before you self-administer. i was told by my endocrinologist that it was due to stress, and that she would give me birth control (progesterone) to control and hopefully seize that bleeding. Advice. qinqov. 2%) bled only with missed T-GAHT doses, and 2 (3. Dec 12, 2023 · Voice masculinization is one of the most important components to individuals who are going through ftm transition. I’ve been bleeding mildly off and on since. Your body can also just adapt. Apr 3, 2023 · Pelvic pain in transgender and gender diverse (herein referred to as trans) people presumed female at birth, who are using testosterone as gender-affirming hormone therapy (GAHT), is poorly understood. 2 months after T-GAHT initiation. A lot of it will depend on things like how long you were on t and just plain genetics. Testosterone therapy is a cornerstone of medical treatment for transgender men who choose to undergo it. Testosterone is an important hormone for transgender men, as it helps to masculinize the body and produce the desired physical changes. Compared to 111 VTE controls not taking TT (VTE-no TT), the 67 and 21 cases were more likely ( p < 0. However, FTM individuals are at risk of cervical cancer. Feb 16, 2024 · Typically, the starting dose of testosterone for FTM individuals is relatively low to monitor the individual's response and minimize the risk of side effects. 25mg of testosterone gel at 1. The American Psychological Association 1 defines it as “a person's deeply-felt, inherent sense of being a boy, man, or male; a girl, woman, or female; or an alternative gender (e. Feb 27, 2020 · Studies show that a subset of transgender men desire children; however, there is a paucity of literature on the effect of gender-affirming testosterone therapy on reproductive function. 4mL of 200mg/mL solution or 0. (Grading: X C M). Common starting doses range from 25 to 50 milligrams (mg) of testosterone applied topically or injected weekly. Genital reconstruction surgeries (also referred to as "lower" or "bottom" surgery or GRS). Uterine cramps are common upon orgasm, but if you didn't have them before and do have noticeable ones now, considering the spotting and the fact that you're on testosterone, I would go in to see the doctor. 24 before the next shot. Some men may experience a return of spotting or heavier bleeding after months or even years of testosterone treatment. These could be symptoms of a serious liver problem. I didn't bleed at all for the first twoish years, I then would have to miss a couple weeks here and there (for money and T availability purposes). For the FTM interesting in transitioning, testosterone hormone replacement therapy (HRT) is commonly the first step of the physical transition process. Dry off your genitals and the pump and apply a small amount of lube to both. This medicine may cause swelling of the breasts (gynecomastia) and breast pain in some patients. 5% of the adult Never had a period or bled past three+ years. Some patients never stop despite method of testosterone/length of time on HRT, and require hormonal suppressants or surgical methods. Massage the area: Gently massaging the injection site after removing the needle can help disperse the testosterone evenly into the muscle, reducing soreness. I would also say apart from the things I mentioned happening quickly, most changes like body hair are slow. Could be an excuse to get a hysto if you've been wanting one. And they won’t have similar effects to HRT. haven’t had my normal anxiety since starting. 12% I have been on testosterone for over a year and I started the injection birth control (depo-provera) as well. If this is the case, pelvic pain may be driven by similar factors as ‘period pain’, including contractions of the uterus, and hormonal changes to the pelvic floor Jun 17, 2016 · Transgender men on testosterone may complain of pain that is associated with cyclical testosterone dosing, pelvic, and/or vaginal pain with penetration (with penis, fingers, dildo, etc. missed dose(s) or lowered dose of testosterone) warrants a full workup for endometrial hyperplasia/cancer. About three weeks ago I increased my testosterone dose from 0. 25 mL for a majority of the time, but for the past few months I’ve lowered my dose… testosterone: • Increased sex drive • Increased muscle mass • Fat may redistribute to abdomen (from hips) • Some may develop acne • Increased growth, coarseness, and thickness of hairs on arms, legs, chest, back, and abdomen • Growth of clitoris (1-3 cm) • Menstrual cycle may end, although there may be some breakthrough bleeding AAmadeus95. , female to male (FTM). But it's more likely to be breakthrough bleeding. Overview For trans men who have been born into "typically female bodies" (i. It is likely that persistent bleeding in people using testosterone is driven by rises and falls in estradiol and progesterone concentrations over the course of a menstrual cycle. FTM surgery is generally divided into three main groups: 1. •. Be careful not to get the EMLA cream on your hands. 3%) had no known cause, 10 (17. 200mg/biweek, you're spike at 22. 5mg/daily for the first 3 months, but when I got my T levels checked just about 3 months ago, they were way too high, so my endocrinologist cut my dosage in half. . I thought maybe I uh teared while having sex, which is still possible-but since then ive been lightly bleeding. 43 before the next shot. You should not use testosterone as birth control because we know that, although it causes a variable combination of ovarian suppression and atrophy of the uterine lining, those things are unreliable. 5mL - 1. It might disrupt your hormones and you’ll bleed but I doubt you will regain a constant cycle if you keep taking the mini pill. i will bring it up again when i go in to get my testosterone shot but i was wondering if anyone else has experienced this. Female-to-male (FTM) testosterone therapy, or T therapy, is a treatment that some people may receive to induce “masculine” physical traits and suppress “feminine” ones. FTM, 19 Having a period is one of my biggest sources of dysphoria, however I’m very early in my transition and won’t be starting T for a while. , 2014; Potter et al. For many transgender men, testosterone replacement therapy (TRT) is an essential part of their transition, i. Reply. Moreover, normal testosterone levels are necessary for Hi there, obviously, I am FTM. Note testosterone is teratogenic so prompt consideration of this is important. Hormone therapy involves taking synthetic testosterone through injection Your cause is the missed dose. I had and still get severe severe cramps and such. This care is particularly important for those who have not had gender-affirming surgery. Those who Feb 12, 2020 · Data on the persistence and intensity of vaginal bleeding and spotting, serum sex steroid levels and body composition were prospectively and cross-sectionally assessed in 267 transgender men during a three-year follow-up period, starting at the initiation of various testosterone preparations. If you do, wash them right away to be sure that your hands don’t become numb. (This is in contrast with puberty blockers, which are reversible. I was on . Apply a cold pack: To reduce initial swelling, apply a cold pack to the injection site for a few minutes after the injection. Average adult male T levels are 270 to 1,070ng/dL , while average adult E levels are less than 40 pg/mL (these numbers will vary a bit depending on the lab). There’s no definitive study of how much T reduces your chances of getting pregnant, but if you don’t want to it’s not worth the risk. Yes it is 100mg/ml. This happened to me probably 5-6 times over the 9ish years I was on T before I had a hysto. ago. 34mg testosterone and go down to 3. Look for a provider who is familiar with transgender health issues, who is respectful of you I've been off of it for a little over a week. To be safe, always discuss any new or changes to bleeding patterns with your doctor. Testosterone HRT will commence a sort of ‘male puberty’ that promotes hair growth, deepens the voice, and Jul 1, 2009 · Testosterone therapy results in amenorrhea for most FtM patients. ), or orgasmic pain. Oct 1, 2017 · Only a few studies in the literature have looked into the response of menstrual cycle to initiation of hormonal therapy. Bleeding while on testosterone I’ve been bleeding since i lowered my testosterone dose (been a few months) not a lot but a bunch of spotting for the past few months and before i started testosterone i wasn’t bleeding at all and also the first few months 😭 Ik this is normal i guess but what helps with stopping the bleeding? Testosterone (sometimes called “T”) is the main hormone responsible for promoting “male” physical traits, and is usually used for hormonal “masculinization” in FTMs. Those who start testosterone gender-affirming hormone therapy (GAHT) usually will experience some changes to their vaginal area or front hole*, particularly with vaginal atrophy. Jan 11, 2023 · Our findings indicate that pelvic pain is more likely in those people whose periods have not stopped on testosterone. But it might be a good idea to get it looked at. IDK how old you are, but it's mostly to rule out things like cervical cancer and stuff like that. I will eventually have a full Hysterectomy done, but I don't have the funds for it right now. , genderqueer, gender nonconforming, gender neutral) that may or may not correspond to a person's sex assigned at birth or to a person's Hi there, obviously, I am FTM. I thought I wanted all the effects of testosterone. Start at a lower pressure that you can gradually build on. But in the past month, ive started lightly bleeding. Testosterone injections are most commonly used. Testosterone levels: - Vaginal bleeding can take six months to settle after commencing testosterone. that come with puberty. There are several different forms of testosterone available for GAHT. I had weird, light, long lasting bleeding after I started t. Testosterone-based HRT can cause acne and scarring if left untreated, while estrogen-based Yes there are adverse affects, I cannot remember the exact list of side effects but I believe they include shortness of breath and dizziness. I know it’s typically from sex/penetration but I haven’t had sex in a few weeks. It didn’t change my sexuality much at all. The bleeding is primarily caused by fluctuation in E, which you can accidentally allow/cause. , 2015). Vaginal atrophy (also known as atrophic vaginitis, genitourinary syndrome of menopause/GSM, or vulvovaginal atrophy) is described as vaginal dryness If you'd like, play around with this grapher. Gender identity is one's sense of being a male or a female. These changes can be very empowering for some trans men Dec 21, 2018 · In our sequential studies of 67 and 21 patients, testosterone therapy (TT) interacted with thrombophilia–hypofibrinolysis, leading to venous thromboembolism (VTE). I know the past year especially ive been experiencing more vaginal atrophy. There is truly nothing to worry about. Testosterone has several desired effects as well as undesired and unknown effects. In one cross-sectional study 20% of respondents had a hysterectomy to week 1: felt great for the first few days. The stuff you described isn't unusual at all. I've been on the testosterone shots (standard 200 mg/biweekly) for about 4 years with a small 6 month patch of using the gel about a year and a half ago. And Testosterone and prog only birth control is fine to take together, it’s the estrogen containing pills that you can’t take with T. 5 months now, and my last shot was a week ago yesterday(my injections are every other week). However they will not actually increase your testosterone and they don’t have a direct relationship to muscle gain. i skipped a bunch mostly bc i wasn Jan 11, 2023 · It is likely that persistent bleeding in people using testosterone is driven by rises and falls in estradiol and progesterone concentrations over the course of a menstrual cycle. You might be considering whether bleeding had caused the loss of injectate? Mar 23, 2017 · by Jen Bell, PhD — March 23, 2017. But realistically, there’s no way you could have lost enough T through the hole to effect anything. Given that you’ve recently switched methods of delivery, it could be a change in your body reacting to the change of a slow release dose vs. The hormones are battling for control of your system right now. pain in the chest, groin, or legs, especially the calves. Secondary outcomes were the (1) proportion of months during which participants ovulated, (2) AMH change from baseline to 12 weeks, and (3) correlation between ovulation and age, duration of testosterone use, BMI, and the presence of vaginal bleeding. Dec 20, 2023 · At a glance Testosterone plays a crucial role in Female-to-Male (FTM) transitions, contributing to the development of male secondary sexual characteristics and addressing social, biological, and psychological aspects of gender dysphoria. A missed dose can allow your body enough of a spike in E to build a ling and then shed it. Jun 18, 2020 · The main role of testosterone during the menstrual cycle is increasing a woman's sex drive. Feb 23, 2022 · MIN READ. Trans Masculine: Exogenous Testosterone Dosing Medication Start/Usual Dose Typical Max Dose Frequency Pros Cons Notes Intramuscular or Subcutaneous1 Injectable Testosterone (Testosterone Cypionate or Testosterone Enanthate) 50mg – 80mg (0. got a little tired as the week went on and was a little moody the days leading up to my 2nd shot. a daily dose. Apr 1, 2024 · fast, pounding, or irregular heartbeat or pulse. 1 The voice is a powerful signifier of gender, and successful transformation can be the key to affirming gender identity. We often hear from people asking us how taking testosterone will affect their cycle. 12% Eventually genital atrophy (soreness, spotting, cramps) is the main side effect to look out for, but that usually takes years and can be treated. The goal of testosterone therapy is usually to achieve serum testosterone concentrations in the male reference range. Where you can go depends on where you live and what services are available in your area. Sep 7, 2023 · When you begin pumping, soak the pump in warm water and use a warm towel on your junk to heat everything up. Depo-testosterone vials are available by prescription in a 10mL and a 1mL size. When I first started T I stopped bleeding in the first couple months. 6ml. 25mL - 0. Breakthrough bleeding just happens sometimes. No penetration since then either. 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. Another fun fact about DHT: it's *much The quickest changes I noticed coming off t was body fat and period returning, and then stuff like body scent and skin texture. So this may be a dumb question, but I’ve been on testosterone for two months at this point and for the first month I haven’t had any problems with injecting, no leaking or bleeding. Birth Control for FtM on Testosterone. :P. However, once sustained menstrual cessation is achieved, any vaginal bleeding without explanation (e. 5mL subq testosterone shots once a week 3 years ago. nausea. Hysterectomy and oophorectomy (removal of the uterus and ovaries, respectively); and 3. Step 3: Monitoring and Adjusting. I've been on the Testosterone HRT Injection for 11 months, and I am sexually active with men. Of those with breakthrough bleeding, 46 (79. Comprehensive health care for transgender men includes gynecological care. So I've been trying to find some answers on what the best form of Birth Control is for me would be. I don't use it for anything precise but it's good for general things. 4%) bled only when withdrawing from concomitant menstrual suppression. There may be some irregular bleeding or spotting in the first few months of treatment. Cover the cream with an air-tight, water-tight (occlusive) dressing. Its effects are more expressed mid-cycle in the days leading up to ovulation, which is designed to encourage sexual intercourse in a woman's most fertile period and, ultimately, promote reproduction. And personally, I don’t think testosterone “changes sexuality”. inability to move the arms, legs, or facial muscles. The gauge on your pump should read no higher than 5 pounds. May 8, 2024 · When people take testosterone to affirm their gender, it can lead to a number of permanent, irreversible changes in the body. The goal of gender-affirming therapy for transgender men is to stop menses and induce masculinizing effects, such as the redistribution of body fat and growth of body hair 34 (Table 4). Weekly at 100mg, spike is 15. While testosterone decreases ovary activity, people can and do get pregnant on T. 0mL of 100mg/mL solution) 100mg 2 Hi guys, So I’ve been on T for almost three years now. reported a longitudinal study of 30 transgender men, 14 of whom were studied for the response of the menstrual cycle to a fixed dose of testosterone cypionate (200 mg every 2 weeks). 05 for all) to have Factor V Leiden (FVL) heterogeneity (24% and 33% vs. week 2: bottom growth!! (some of my pants are uncomfy now). Many trans men are experiencing bleeding after FTM testosterone injections and you should start worrying only when it is followed by severe pain and swelling. I would at least like to go to 0. The most common physical changes include increased facial and body hair growth, a deepening of the voice, increased muscle mass, and increased libido. Aug 6, 2023 · If you take testosterone as part of your gender-affirming care, and you want to get pregnant, you’ll have to stop taking it. That's my biggest fear. 50 biweekly tbh. , stimulating clitoral growth) and also indirectly by suppressing estrogen production. Mild Side Effects from FTM Testosterone HRT. 62% daily- I was on 40. Use GuestPost flair) Dec 21, 2018 · In our sequential studies of 67 and 21 patients, testosterone therapy (TT) interacted with thrombophilia–hypofibrinolysis, leading to venous thromboembolism (VTE). Especially if you missed a few doses or your provider recently changed your dosage. Jan 21, 2022 · Transmasculine individuals on testosterone therapy frequently experience symptoms of vaginal atrophy similar to those of the post-menopausal state, including dryness, irritation, bleeding with vaginal penetration (sex or medical examination), and dyspareunia (Peitzmeier et al. Just a little bit of spotting, most of the time it’s barely noticeable. Trans women and nonbinary people: Some trans women and nonbinary . These last few shots I’ve had some leakage and today when I took my shot I had a stream of blood leak down my leg and got a few drops on my floor. It involves taking testosterone to encourage masculinizing physical changes in the body. Behaviour is hard to predict. Like a previous commenter said, just let the needle sit in your leg for at least 5 seconds after injecting to get everything circulating. Chest reconstruction surgeries (also referred to as "top" surgery or male chest contouring); 2. In this blog post, we’ll focus on people who take testosterone for the purpose of gender transition. I started having vaginal pain about 2 weeks ago after masturbation (just clitoral stimulation, not cool with vaginal penetration). 5%–4. pain or discomfort in the arms, jaw, back, or neck. As with cisgender women, FTM individuals with cervical tissues should be provided with cervical cancer screening tests after age 20. During this time bleeding can be erratic and infrequent but does not need any further investigation unless there is a dramatic change/additional symptoms or concern. Rotate sites: Don't inject into the same Oct 27, 2019 · Numbing cream usually takes an hour to fully kick in. Unexplained vaginal bleeding (in the absence of missed or changed dosing of testosterone) in a patient previously with testosterone-induced amenorrhea should be explored. The etiology of post-testosterone administration cramping is unclear. They will help with exercise because they usually include other things that help with energy and that you can find in most pre workouts. Increased lean mass and muscle growth. 1 Understanding adverse effects of testosterone therapy is important, given that trans people comprise an estimated 0. Breakthrough bleeding began at a mean of 24. It sounds like you know this, but it’s really important to make sure you visit a qualified medical professional for your treatment. It’s also believed to be responsible for hair loss. noisy, rattling breathing. Sep 1, 2021 · Bleeding after testosterone shot: is it normal? The short answer is yes, it is perfectly normal. I’ve been on testosterone for 13. e. This can also just happen, but a missed dose is enough to trigger it. I'm currently on 20. , bodies that have functional ovaries), as well as trans men who were born into intersex bodies, the goal of testosterone therapy is to induce and maintain the presence of masculine secondary sex characteristics. Yeah. in October of 2023, i had somehow gotten my period after not having one for four years due to me being on testosterone. It's an insertable vaginal ring like Nuvaring (a form of birth control), but with a much lower dose of estrogen and designed to treat post-menopausal tissue atrophy. The desired effects include increased facial and body hair, increased lean mass and May 29, 2020 · After the Injection. • 2 hr. In 1986, Meyer et al. Another is high red blood cell count, but he should be getting blood work done regularly to check his hormone levels and general health anyway. It seemed like I was nearly constantly bleeding for like 2-3 months with maybe a week or two off here or there. You would’ve likely felt the negative side effects quickly. 2. Mar 18, 2021 · Summary. pinpoint red spots on the skin. Myth #4: Taking testosterone will make your breasts shrink away completely. Hormone replacement therapy can cause specific skin concerns for trans people. Some trans men have trouble finding a health care provider who understands their needs. Serum testosterone levels are routinely monitored to ensure that they are within the physiologic range for cisgender men. Permanent results of testosterone include deepened voice, bottom growth, facial hair, and body hair (although body hair Check with your doctor right away if you have pain or tenderness in the upper stomach, pale stools, dark urine, loss of appetite, nausea, vomiting, or yellow eyes or skin. 39 down to 6. I made sure to track my bleeding and any other symptoms I was having and let my doc know whenever I saw or talked to her (I even called her and last time when i started getting spotting at 8 weeks we did my bloodwork again and it seems like everything was normal so i'm not sure why this is happening. I didn't want to be in the middle; I convinced myself I had to be one or the other. Going from birth control to testosterone. 4ml to 0. Aside from preventing pregnancy, safer sex protects you from STIs. Long-term testosterone therapy was initially thought to result in an inactive endometrium in FtM patients, similar to Some people seem to still have uterine linings that are “proliferative” (active) when taking testosterone. 3. I have been bleeding constantly ever… Clean_Comfortable679. As such, routine screening for endometrial cancer in transgender men using testosterone is not recommended. Like u/sejhammer, when I finally had it checked out it was because of a buildup of uterine lining. Any facial hair you have will keep growing in regardless of whether or not you’re actively on T (which is why trans women often get permanent hair removal on their faces). " Myth #2: Taking testosterone will give you cancer. Myth #3: Taking testosterone will make you grow taller. Testosterone can be given as: The most common HRT method of delivering testosterone is by intramuscular injection. They are often not included in the screening of cervical cancer such as pap smear. pain, redness, or swelling in the arm or leg. In other words, I felt like T just made me twice as horny for women. DHT, like testosterone, is an androgen and is in part responsible for those much-coveted characteristics: facial hair, muscle mass, and a deeper voice. Jun 17, 2016 · Transgender men on testosterone may complain of pain that is associated with cyclical testosterone dosing, pelvic, and/or vaginal pain with penetration (with penis, fingers, dildo, etc. No breakthrough bleeding management method was found to be superior. It’s much more likely that you just passed through a vein on your way to the muscle, this happens to me occasionally. In one cross-sectional study 20% of respondents had a hysterectomy to Myth #1: Taking testosterone ("T") for transition will make trans men uncontrollably angry and volatile, or cause "'roid rage. Nov 17, 2018 · Finasteride works by blocking your body from converting testosterone to Dihydrotestosterone (DHT). Jun 10, 2021 · ferrantraite/Getty Images. But being gendered male felt wrong too, though less wrong than being gendered female. Testosterone is sometimes used by female athletes to improve performance, and by post-menopausal women to increase sex drive. Dec 23, 2021 · Introduction. For some trans men, voice masculinization will involve testosterone hormone therapy. I have very long, heavy, painful periods so I went to the doctor and they have me starting birth control in order to get the periods under control It totally depends on where you did the shot and how tense you were. FTM HRT (hormone replacement therapy) may be delivered by intramuscular injection, sub-cutaneous injection, testosterone implants, testosterone gels or testosterone patches. Administration of testosterone can be through various techniques including injections, topicals, and patches, with frequency and timing tailored to individual Jan 10, 2023 · When starting testosterone FTM, it’s important to understand both the potential benefits and risks associated with testosterone therapy. So I understand how you feel. 3 ± 17. Bleeding after two years on testosterone??? Advice I've been on injections for two years at this point and have not had a cycle for longer than that (already had them irregular due to having hormonal imbalance) but suddenly i am in a very terrible, excrutiating pain and am lightly bleeding again, have been for 2,5 days, and it's extremely painful. Dec 31, 2022 · Testosterone treatment is not associated with an increase of cervical cancer. Sometimes doctors will prescribe some form of bc to stop bleeding, I I’ve been on testosterone for about 5 months now and at about the 2 month mark, I stopped menstruating all together. (Respectful guests welcome. magicalgirl_mothman. ) Desirable physical changes that can be caused by testosterone include: Increased face and body hair. Testosterone. g. mentally feeling pretty good. vp nv uj vt cd bs fa sz or un