Hormonal transition: what changes to expect?

Introduction

Hormonal transition is a milestone for many transgender people looking to align their physical appearance with their perceived gender. Whether it’s testosterone (HRT FTM) or estrogen (HRT MTF) treatment, the effects of hormones come on gradually. But what changes can you expect month by month? Here’s a step-by-step guide to help you understand how your body changes over the months.

The effects of hormones: a gradual process

Each individual responds differently to hormones depending on their metabolism, age, and the dosage prescribed by a healthcare professional. However, there are some steps that are common to most hormonal journeys.

FTM (Testosterone) Transition

Months 1 to 3: First changes

Increase in libido
Appearance of mild to moderate acne
First voice changes (hoarseness, slight drop)
Increased energy and mood swings
Start of fat redistribution (less storage on the hips and thighs)

Months 3 to 6: Visible changes

Voice that gradually thickens
Appearance of facial hair (moustache, growing beard)
Faster muscle development
Hair loss is possible for some genetically predisposed people
Menstrual cycle that stops or becomes irregular

Months 6 to 12: Significant changes

Thicker hair on body and face
Stabilized and deeper voice
More masculine morphology (increased muscle mass, broader shoulders)
Oilier skin and skin thickening
Significant reduction of the hips

Beyond 12 months

Hair growth continues to increase over several years
Muscle distribution becomes more pronounced
Facial features become more refined and take on a more masculine appearance.

FAQ

1. When are hormonal effects irreversible?

Some changes become permanent after several months. For people on testosterone, deep voices and facial hair are irreversible. For people on estrogen, breast growth is usually permanent after about a year.

2. Can the effects of hormones be accelerated?

Hormonal effects depend mainly on the dosage prescribed by a doctor and the individual response of the body. A balanced diet and appropriate physical exercise can help optimize fat redistribution and muscle gain.

3. Are the effects the same for everyone?

No, each body reacts differently. Some changes may appear earlier or later depending on the individual.

Conclusion

Hormonal transition is a gradual process that requires patience and medical monitoring. Each person experiences this experience differently, and it is essential to listen to your body and consult a health professional regularly.

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