Ftm where to get testosterone

J Sex Med ; — Lesbian, gay, bisexual, and transgender-related content in undergraduate medical education. J Am Med Assoc ; — Safer JD, Tangpricha V.

Out of the shadows: it is time to mainstream treatment for transgender patients. Endocrine Pract ; — Discordant sexual identity in some genetic males with cloacal exstrophy assigned to female sex at birth. N Engl J Med ; — Meyer-Bahlburg HFL. Gender identity outcome in female-raised 46,XY per- sons with penile agenesis, cloacal exstrophy of the bladder, or penile ablation.

Arch Sex Behav ; — A sex difference in the human brain and its relation to transsexuality. Nature ; — Male-to-female transsexuals have female neuron numbers in a limbic nucleus. J Clin Endocrinol Metab ; — z. Male-to-female transsex- uals show sex-atypical hypothalamus activation when smelling odorous steroids. Intramuscular injections have historically been the most easily available, but can be more painful than subcutaneous under the skin injections.

In addition, they may need to be administered by a medical provider or family member. Intramuscular testosterone injections are commonly used every one to two weeks.

Testosterone can also be injected under the skin subcutaneous or sub-q injection. Subcutaneous injections are easier for people to give themselves, but they may not be a good option for those with needle anxiety.

However, they are less painful and easier to manage, due to less frequent medical visits, and are only used every one to two weeks. This is a way to deliver long-lasting pellets of testosterone under the skin, reducing the frequency of treatment to once every three to six months.

Sold under the brand name Testopel, the subcutaneous pellets allow for easy, long-term dosing without the need for repeated doctor visits or self-injection. However, the dose is fixed after implantation. This can be a problem if dose changes are needed to either raise or lower the amount of testosterone in the body. Testosterone can be delivered topically through gels, creams, and patches.

Testosterone gels and creams are easy to use. However, they generally must be used daily. In addition, it is important to keep other people from touching the gel or skin after gel application. Otherwise, they may also get a dose of testosterone. There is a risk for a local skin reaction or rash with topical testosterone. Oral testosterone formulations were a less common option in the past and ones that were associated with liver toxicity. The release of Jatenzo, a softgel oral capsule, allayed those fears significantly.

Although not formally indicated for testosterone replacement therapy in transgender men, it has become an increasingly popular option for some. Approved for use in , Jatenzo is taken twice daily by mouth. The treatment is monitored closely to avoid side effects and adjust the daily dose based on blood testosterone levels. Testosterone treatment is not without side effects. Some are mild to acceptable. Others may become intolerable and require the adjustment or even discontinuation of treatment.

Possible side effects of testosterone replacement therapy in transgender men include:. It is unclear whether these risks in transgender men are any higher than in cisgender men. However, they are known to be higher than in cisgender women and appear to be higher in transgender women as well. Testosterone is generally considered to be a safe and effective way for transmasculine people to affirm their gender identity.

It is much easier to undergo any desired fertility preservation before hormonal gender affirmation than after. Although testosterone is somewhat effective at stopping menstruation , it should not be used as the sole form of contraception for transmasculine people who have penetrative sex with partners with penises.

Implants - testosterone pellets that are inserted into the body and can last for several months. Implants are not covered on the PBS and can only be manufactured by a compounding chemist. A topical estrogen applied directly can help solve this problem, without estrogen finding its way into the rest of the body.

Using a topical estrogen has no effect on masculinising. Progesterone - sometimes taken to assist in stopping menstruation. Depending on when masculinising hormones are started, they can promote a shift in the size of muscles and bones in the body, including but not limited to an increase in hand or shoe size, or growing slightly taller.

The effectiveness of masculinising hormones can decrease with age. Masculinising hormones will redistribute fat around the body. This can also result in an increase in acne or pimples, on the face and the body. If this becomes a problem or a frustration for you, you can talk with your doctor about how to help. Anti-bacterial body and face wash, used daily, can be helpful, as can a cleanse, tone and moisturising routine. You may also find your body odour and sweat patterns change.

Masculinising hormones will stimulate hair growth on the face eg. This might also cause existing hair to darken or thicken. Many people report an increase in sex drive on masculinising hormones, whether a slight increase or a dramatic uptick.

If unwanted, this can be shifted by adjusting testosterone levels with your doctor. One of the common and often wanted effects of testosterone therapy is that it can lower your voice, especially with longer-term use. This change is permanent. Researchers have found that testosterone is an effective way of lowering the voice, with a significant vocal decrease by months after initiating testosterone therapy 1.

This research also found that most participants were satisfied with their voices after 12 months. Some people experience vocal fatigue, difficulties with projection, singing, or other voice-related concerns. Vocal training in conjunction with masculinising hormone therapy is a great option to treat this.

There is no evidence that testosterone contributes to worse mental health outcomes. Many people find their mood, mental health and energy levels improve dramatically when starting gender affirming hormones.

This method is less effective, more expensive and less likely to be prescribed. Finding the right dose for you is dependent on what your goals are. If your goal was to pass as male then the doctor would know to put you on a high dose. Your doctor could start you on a lower dose if you have chronic health problems or have had your ovaries removed. As far as the frequency of your dose goes ask your doctor about the different between weekly injections v.

Some folks opt for weekly injections as to not experience as intense peaks and troughs. Some folks have very intense peaks and troughs and others not.

For folks who experience dramatic peaks and troughs while on T you may want to speak to your doctor to see if a weekly shot v. There are 2 types of changes that will occur while on T; reversible and irreversible.

The irreversible changes after going off of T are: Male-pattern baldness, voice drop, facial and body hair, and genital growth. Your primary care physician will also go over the risk and benefits of T prior to giving you a prescription where you are also obliged to sign that you have been read and understand the changes that can take place.