Transgender men (FTM) often take testosterone to affirm their gender identity. While this hormone-affirming treatment can have many positive effects, it is important to understand the potential long-term effects of testosterone FTM. In this article, we will discuss the potential physical and mental changes that may occur with long-term testosterone use, as well as the safety of this treatment. One of the most common physical changes associated with long-term testosterone use is hair loss. Testosterone can cause hair loss on the temples and crown of the head, and in some cases, it can lead to complete baldness.
It is important to note that these changes may not be permanent if you stop taking testosterone. Studies have also found a positive correlation between free testosterone index and cortical thickness in certain areas of the brain. Animal models suggest that supraphysiological doses of testosterone can affect brain volume in adult female rats by increasing water intake and molecular synthesis in astrocytes. This can lead to a decrease in cortical volume. In addition to physical changes, long-term testosterone use can also have mental effects. Studies have found that transgender men feel they are men before receiving testosterone treatment, and that hormone-affirming treatment helps them meet their bodily gender expectations.
This treatment also gives transgender children time to reach legal age and decide for themselves whether or not to continue taking testosterone. When it comes to safety, research has shown that long-term testosterone treatment has a good safety profile. Italian researchers found “no significant serious adverse effects or clinically relevant changes” in 45 patients with FTM who had been taking testosterone for at least 10 years. It is important to note that long-term testosterone use can cause permanent changes in certain areas. For example, changes related to muscle mass, body fat distribution, and menstruation may be permanent if you stop taking testosterone. Therefore, it is important to speak with your doctor about the potential risks and benefits of long-term testosterone use before starting treatment. In conclusion, long-term testosterone use can have both physical and mental effects.
While this hormone-affirming treatment can help transgender men meet their bodily gender expectations, it is important to understand the potential risks associated with long-term use. Speak with your doctor about the potential risks and benefits of long-term testosterone use before starting treatment.
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