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** This article is offered for informational purposes. It is NOT medical advice. **

The The Journal of Clinical Endocrinology & Metabolism and the American Academy of Pediatrics do not generally recommend sex hormone treatment for transgender youth before the age of 16. The target age of 16 has more to do with a teen's ability to completely understand some of the irreversible effects of hormone treatment rather than ensuring the young person has passed some type of physiological threshhold.

Once a team of family, medical, and mental health workers agree that sex hormone treatment is an appropriate next step for a transgender teen or tween, certain physical changes will take place over the next couple of years. A summary of those changes, as documented in medical literature, are listed in the 2 tables below.

Transgender Males (FtM) Physical Changes
Change Begins Lasts
Skin oiliness/acne 1-6 months 1-2 years
Facial/body hair growth 6-12 months 4-5 years
Scalp hair loss 6-12 months ongoing
Increased muscle mass/strength 6-12 months 2-5 years
Fat redistribution 1-6 months 2-5 years
Cessation of menses 1-6 months - -
Clitoral enlargement 1-6 months 1-2 y
Vaginal atrophy 1-6 months 1-2 years
Deepening of voice 6-12 months 1-2 years

Transgender Females (MtF) Physical Changes
Change Begins Lasts
Redistribution of body fat 3-6 months 2-3 years
Decrease in muscle mass and strength 3-6 months 1-2 years
Softening of skin/decreased oiliness 3-6 months
Unknown Decreased sexual desire 1-3 months 3-6 months
Decreased spontaneous erections 1-3 months 3-6 months
Male sexual dysfunction Variable Variable
Breast growth 3-6 months 2-3 years
Decreased testicular volume 3-6 months 2-3 years
Decreased sperm production Unknown .3 years
Decreased terminal hair growth 6-12 months 3 years
Scalp hair Variable - -
Voice changes None - -

More Resources to Support Your Transgender Child

                 

 
Saturday
December 16, 2017

 

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