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Masculinizing effects in female-to-male transgender persons

Masculinizing effects in female-to-male transgender persons
Effect Onset Maximum
Skin oiliness/acne 1 to 6 months 1 to 2 years
Facial/body hair growth 6 to 12 months 4 to 5 years
Scalp hair loss 6 to 12 months —*
Increased muscle mass/strength 6 to 12 months 2 to 5 years
Fat redistribution 1 to 6 months 2 to 5 years
Cessation of menses 1 to 6 months
Clitoral enlargement 1 to 6 months 1 to 2 years
Vaginal atrophy 1 to 6 months 1 to 2 years
Deepening of voice 6 to 12 months 1 to 2 years
* Prevention and treatment as recommended for biological men.
¶ Menorrhagia requires diagnosis and treatment by a gynecologist.
Reproduced from: Hembree W, Cohen-Kettenis P, Gooren L. Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab 2017; 102(11):3869-3903. By permission of Oxford University Press on behalf of the Endocrine Society. Copyright © 2017 Oxford University Press. Available at: https://www.endocrine.org/guidelines-and-clinical-practice/clinical-practice-guidelines/gender-dysphoria-gender-incongruence.
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