Transforming into a Unique Woman as MTF: 6 Steps to Hormone Therapy

You are finally ready to unite your body with your true identity and are determined to take the first step with hormone therapy!

The transition from male to female is an important process that requires patience and can take years. Although this journey of becoming your true identity takes time, it is also possible to emphasize your more feminine features in a short time. Hormone therapy in particular may be exactly what you are looking for at this point. We will guide you through this step of the MTF transition and try to reduce your questions. What are you waiting for? Let’s get started!

What does hormone therapy for MTFs do?

Estrogen hormone is used in hormone therapy for individuals in transition from male to female. The estrogen hormone suppresses masculine characteristics in individuals, allowing feminine characteristics to come to the fore.

Estrogen hormone therapy brings about the following physical changes in trans women:

• Breasts, nipples and areolas enlarge,
• The nipples become more sensitive,
• Sweating is reduced,
• Facial features soften and become more feminine,
• Strength and muscle mass decrease,
• The skin becomes thinner and drier,
• Body hair grows softer and finer,
• Body fat is distributed towards the hips and thighs,
• The penis and testicles shrink significantly,
• Sperm production and testosterone levels gradually decrease.

Hormone therapy has promising results for many trans women. Let’s take a look at the 6 steps of hormone therapy for trans women who want to align their bodies with their identity!

1.Make an appointment with an experienced doctor.

Finding a doctor who is experienced with Hormone Replacement Therapy (HRT), has met many trans women, and prescribes HRT is the first and most important step in the process. Check websites to get a better understanding of other trans women’s transition and doctor experience.
If you have decided on a doctor, talk to your doctor at your appointment about your general health and any concerns you have about the process.

• Your doctor will recommend the most appropriate treatment and consider various alternatives.
• It is medically possible to start hormone therapy from the age of 16.

2. Ask for a diagnosis so that you can start treatment.

Some doctors will only initiate gender affirming treatment for people who have received a diagnosis of gender dysphoria from a psychiatrist. If a diagnosis is requested by the doctor, a psychiatrist experienced in treating LGBTQ+ people can help you with the diagnosis. With the diagnosis, you can start treatment with your doctor.

• Gender dysphoria refers to dissatisfaction with living with the assigned gender and does not imply an illness.
• The aim of HRT is to make you more comfortable in your everyday life by aligning your identity with your body. Hormones will change your body in a way that makes it compatible with your gender identity.

3. Freeze your sperm in case you become a biological parent.

Hormone therapy can reduce fertility or cause infertility for people who want to have children. Fertility may not return even after the treatment has ended. However, you can discuss freezing some of your sperm with your doctor.

4. Choose the most appropriate and beneficial type of treatment for you.

Under HRT, gender transitions for MTF individuals include exogenous estrogen to enhance feminine characteristics and anti-androgens to reduce masculine characteristics. There are many treatment modalities depending on how they are used. You can choose the option that you think suits you best.

There are several methods of HRT as follows:

• Pills
• Creams
• Patches
• Injections

5. Expect visible results within 3 Months.

The effects of HRT start to appear in about a month and a half. With the start of the physical transformation, your skin will become smoother and body hair thinning will begin. Also, your breasts will start to grow. You start to have a more feminine and curvy physique. At the same time, you may notice that your testicles are getting smaller. The changes will have appeared in about 3 months, but the full effect will take 1 to 3 years.

• Hormone therapy has some possible risks. These risks include blood clots, gallstones, weight gain, increased liver enzymes, heart problems, high triglycerides, high blood pressure and diabetes.
• HRT is in every sense a personal choice. Make sure you have fully researched the scope of treatment and that it is the right way forward for you. Also, keep in mind that the effects may be completely irreversible.

6. Get support from a therapist throughout the process.

Gender transition is a delicate process that requires courage but allows you to achieve great results. It may not always go smoothly. At this point, know that you don’t have to walk this journey alone. Having the support of a therapist can help you cope with difficult moments and feelings and help you make decisions about hormone therapy. See a therapist with whom you feel comfortable and can express yourself easily.
Look for a therapist who specifically lists or specializes in LGBTQ+ issues as a treatment option.

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