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Testosterone

  • Started taking Testosterone at 25 years old.
  • I take testosterone to develop & maintain secondary male sex characteristics, e.g. deep voice, increased body hair, masculine body shape.
  • The end result of taking testosterone for me is it enables me to live as a man without having to explain that I am ftm - Improves my self-image, I am much happier with my body than I was before testosterone - I feel that I don't need to act really macho just to pass, now that it is very hard to mistake me as female due to my physical appearance. I don't have to worry "am I being manly enough?" when out in public like I used to.

Habits & Health

  • Used to smoke
  • Drink socially - perhaps up to 10 drinks/week
  • Participate in occasional vigorous exercise (i.e., work or recreation, less than 4x/week for 30 min.)
  • Use drugs socially and regularly smoke marijuana

Mental Health

  • Yes, I have depression.
  • Stress is a major problem for me and I panic when stressed.
  • I have some problems with eating or my appetite.
  • I have seriously thought about hurting myself - I have trouble sleeping.
  • Yes, I have noticed some changes prior to taking testosterone compared to after taking it. I believe that testosterone has lessened my depression. Before, it was rare for me to go through a day without feeling "flat", apathetic, or self-critical, and happiness/inner peace was an unusual emotion. Now, I believe my self-esteem is much improved, although I am still prone to episodes of depression (probably because it is mostly unrelated to being transsexual).

Life prior to Treatment

Life before transition - Very difficult - Having others perceive me as female, & being expected to behave as female, was something that confronted me on a daily basis & was an extremely unpleasant experience. Also, looking back, I see that I made life difficult not just for myself but for my friends & family too (not just because they had to adjust to my being ftm, but a result of me taking out my frustration on others). I had a good childhood but once puberty hit, it's almost as if my ability to be happy disappeared.

I can recall identifying as a boy for most of my childhood. As a teenager I found out about transsexuals & thought "this is me." However, most of the time I found it too difficult to attempt to live as male, preferring androgyny. I did go through a phase of attempting to live as a woman but after a couple of years I found myself more determined than ever to live as the man I knew I was deep down, & in my mid-twenties I was finally ready to commit to physical & social transition.

As noted above, most of the time I felt a range of negative emotions from sheer apathy to downright misery. Being ftm was a torture that I would have done anything to be free from, I hated myself & my body.

Although I have never gone through with them, I would often spend a lot of time fantasising in great detail various ways to kill myself and the consequences.

Treatment & Effects

What medical process/hormone regime

  • I was referred to a GP known to help transsexual people by a doctor. My GP (whom I still see) referred me to psychiatrists for assessment, and once I had been diagnosed as transsexual, she referred me to an endocrinologist.
  • I started out on patches but these had little effect & I had an allergic reaction to the adhesive, so my endo prescribed me oral T (Andriol).
  • After taking a low dose for 3 months or so, my GP decided to switch me to shots (Sustanol 250) every 2 weeks, as I was experiencing fatigue & moodiness & blood tests revealed my T levels were low.
  • I am now getting shots from my GP every 3 weeks.

What changes occured that you wanted?

  • Deepened voice. My voice broke about 8 months after I started T & settled down into its new range over a few months. I think it is still in the process of deepening, but thankfully it has stopped embarrassing me with unexpected squeakiness. This was my #1 priority in starting T as I often found I could pass prior to T - until I actually spoke.
  • Increased body hair - Although my upper body has remained sparsely haired, my legs, stomach, & bum have all become very hirsute.
  • Muscle growth & body shape - I never "work out", walking is my major form of exercise, however muscles in my arms & legs have become much more obvious. Also, I now have broad shoulders & a less curvaceous body shape.
  • Clitoral growth - this wasn't something I really thought about before starting T, however now that it's happened it is a change I definitely enjoy.

What changes occured that you didn't want?

  • Increased appetite & weight gain. It seems a lot harder to lose weight now I am on T.
  • Increased acne. In addition to having the most acne on my face since my "first" puberty, I also have acne on my body which I never had before T.
  • Increased sex drive. This is not so much a problem as a minor annoyance, however I do notice I am a lot more easily distracted by thoughts of sex & see people as "sex objects" first.

body type before

endomorph

body type after

same

weight before

60-65 kg

weight after

80-85 kg

height before

167 cm

height after

167 cm

Did testosterone or transition change your sexuality (who you are attracted to)?

No change

Attitudes of HealthCare Providers

Positive aspects of healthcare provider treatment

Being treated as a human being, not just a case study or set of symptoms - recognising that being transsexual is not the 'be all & end all' of my life. Doctors who demonstrated care, attention, & sensitivity, made me feel confident about the treatment I was receiving & comfortable with returning to them again.

Negative aspects of healthcare provider treatment

Feeling as if I was on a conveyer belt in the tranny factory - part of a standardised process with no consideration for my particular circumstances or any other problems I might be facing (medical or otherwise). Fortunately, this was largely the result of a very small number of doctors willing to see transsexual people at the time & since these negative experiences, many of these doctors have moved on & more professionals (both GPs and specialists) are willing to see transsexual people.

Other Comments

No answer

Laurence (2004). Testosterone Transition Survey.

The information contained on this page is not medical advice. Medical advice is dependent upon the specific circumstances of each individual. Please consult with qualified medical professionals for your personal situation.

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