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Masculinising hormone therapy involves increasing levels of testosterone and may include a reduction in oestrogen. This process aims to bring about physical changes that align more closely with a masculine appearance. However, the impact goes well beyond the physical - resembling a second puberty: influencing emotions, behaviours and other aspects of a person’s internal experience in significant ways.
Physical Changes
- Voice Deepening:
A gradual deepening of the voice, cracking and hoarseness may occur during this process. - Facial Hair Growth:
The development of facial hair, including the emergence of a beard and mustache. The texture and thickness of hair may evolve over time. - Body Hair Growth:
An increase in body hair, particularly on the chest, abdomen, and limbs. - Muscle Mass Increase:
Growth in muscle mass, especially in the arms, shoulders, and chest. - Fat Redistribution:
Changes in fat distribution, with a decrease in hip and buttock fat and a potential increase in abdominal fat. - Genital Growth:
Some individuals may experience growth in the genital region, including an increase in clitoral size. - Skin Changes:
Skin may become oilier, pores may appear larger, and acne may become more prevalent, although acne will typically settle down with time.
Changes in Sensation
- Sense of Touch: Heightened sensations, especially in response to tactile stimuli.
- Sexual Intercourse:
Changes in sexual pleasure may occur, with a potential increase in sensitivity and altered experiences of orgasm. - Sex Drive:
A shift in sex drive may happen, with some reporting an increase, while others may notice a decrease.
Emotional Changes
Masculinising hormone therapy can be a transformative journey both physically and emotionally.
What To Expect
- Increased Confidence:
Many individuals report a surge in self-confidence and a sense of empowerment. - Heightened Assertiveness:
A potential increase in assertiveness and a more decisive approach to challenges. - Mood Stability:
Emotional stability may improve for some, leading to a more consistent mood. - Reduced Emotional Reactivity:
Some individuals may experience a decrease in emotional reactivity. - Evolving Relationships:
Dynamics in relationships may evolve, as individuals become more attuned to their authentic selves.
It’s essential to recognise that emotional changes are highly individual, and the experience may vary widely from person to person. Seeking support from friends, family, or mental health professionals can be helpful in navigating these emotional shifts.