When should a transgender person start HRT

Transsexuality: Hormonal Treatment

With hormone therapy in trans women (male to female), estrogens are supplied to the male body. This greatly reduces testosterone production in the testes and has a feminizing effect (feminization).

NoteIn some cases, antiandrogens are started to suppress sexual desire and reduce male hair.

Physical changes:

  • Decrease in sexual desire (loss of libido)
  • Breast growth (Important: an increased dose of hormones does not result in larger breasts! The final breast size depends primarily on the disposition)
  • Feminization of the body with redistribution of adipose tissue
  • Skin softening
  • Decrease in body and facial hair
  • Decrease in testicle size, sexual desire and erections (Since hormonal treatment has no effect on the male voice, speech therapy is often required to make the speaking voice more feminine)
  • Increased risk of thromboembolic diseases
  • Weight gain

NoteThe effect of the hormones is individual and depends on the respective disposition and age. It is not possible to eliminate the masculine characteristics through estrogen treatment alone. The removal of the whiskers, e.g. using laser epilation, is often unavoidable.