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Going on T pros & cons - Any advice?

Started by PurpleWolf, November 14, 2017, 01:54:32 AM

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PurpleWolf

I'm pre-everything & don't have access to treatment at this moment. But I'm contemplating whether to go on T or not.

This is my pros & cons list:

Pros:
- Being read as male, always
- Fat distribution (I'd love to have male legs etc.)
- Broader shoulders, more muscle mass etc.
- Genital growth
- Cessation of you-know-what (obviously!)
- Facial hair (I'd like to be able to grow a soul patch or similar. Or more than that.)
- More masculine facial features (I like my face but it does seem a bit feminine at times "of course")
(- Voice drop: I actually like my voice but sometimes I wish it would be lower.)

Cons:
- Acne (I suffered some severe acne last time I went through puberty, so....! I know it's temporary, but still... I really, really would NOT like to experience that again!)
- Getting bald (Unfortunately, my hair is my life, so... Getting bald would be pretty much devastating... and I have baldness in my family on both sides... This is a real concern.)
- Possible medical problems:
- high blood pressure, cholesterol etc. (runs in the family!)
- having (possibly) to get a hysto eventually (I HATE HATE HATE operations of all kinds), though I know it's not necessarily required (though many want it)
- having to do regular blood work and everything through the rest of my life
(This pretty much sums my medical concerns: http://fenwayhealth.org/documents/medical/transgender-resources/Informed_Consent_-_Testosterone_Therapy.pdf)
- Voice drop: Believe it or not, I like my voice unlike many guys! It's because years ago I consciously lowered it - and now I think I really sound "guyish". (I've been called sir on the phone.) Plus I sing, so I'm actually concerned about my range and voice dropping too low.

Some pros have some cons in them:
- Facial hair: I'd like to be able to grow a soul patch or something, I think. On the other hand I'm not a huge fan of beards, so... Before I used to think that I'd probably shave it anyway, and without T I wouldn't have to... (Though now I've changed my mind a bit about that soul patch thing, meaning I think I would like to be able to grow something after all.)
- Genital growth: Clit getting so big it loses sensation and rubs nastily against underwear all the time as I've heard... or something. Like "what if I don't like it after all"
- Sex life: I've heard that T can cause "drying" in that area... That wouldn't be very nice. (Though I've also heard that some guys actually get more wet on it - but nevertheless I've heard it impacts the "lubrication system" whatever you like to call it... and it usually dries out?)
- Again the voice: This is a huge one for me because I'm a singer! I'm generally happy how my voice is right now. It's not hugely deep - but I do think it sounds like a guy's voice. Actually sometimes I panic and consciously speak higher to "pass" as a female! But sometimes I'm a little bit self-conscious about it and wonder whether I sound guy enough... But overall I'm ok with it now.
-  Body hair: Here is the thing. I don't have any visible body hair as of now. (I don't shave at all and do have armpit hair etc. of course.) And of course I do have hairs on my arms and legs - but they are so light that they barely show. And I've "accepted" myself like this: that I happen to be a pretty hairless guy. That I can't grow a beard (though I'd like that soul patch or something) and don't have any body hair - and I actually kinda like it! So, I'm really not looking forward to have huge bushes on my legs... I'm not a huge fan of chest hair either, so...! Overall, though, I don't have a problem with body hair, so it's not a huge con either. Like, whatever. But I wouldn't like to grow A LOT of hair, either!

And then there are those general "fears" of "what if I don't like if after all" or "what if I don't like the feel of it", including: facial hair growth, clitoris growth, body hair growth, the voice drop, changing facial features...

I know I can always stop T anytime - but things like the voice drop, facial hair, masculinized facial features and clitoris growth are of course irreversible!


----
If I didn't forget something obvious, there was it!  Like my girlfriend put it: I either wanna pass as a man and take T - or come to terms with being always read as a woman/non-binary/whatnot.

I've always wanted to operate my chest of course. So these concerns are strictly about whether to get on T or not.

The biggest concerns are definitely the balding, acne (though temporary, I know, but still), not liking the voice drop and it being irreversible, and those general medical concerns. It sucks having to shoot yourself for the rest of your life and regularly monitoring your body. I read somewhere that without hysto you need to even check your insides with an ultrasound regularly :/!

But, if I DON'T get on T: I will have the monthly **** forever! I'm not automatically read as a guy... (Being always read as a male would definitely be a perk!) I would never grow a beard... I would never have a proper "guy frame"...

I've been contemplating this a LOT... so I hope you guys could give me some insight, :)! Thanks!

I've heard that many people had those same concerns and fears before T... Does it really come to the point that whether I wanna be read as a male or not? Did any of your fears come true? Is it stupid to concentrate on few facts (voice, balding)?

Is it possible that my voice doesn't drop that much after all? (But because I sing, I'm concerned even about the voice dropping process itself and the time it takes...) Or will it drop dramatically lower because I already have a low, male-sounding, voice?

PLEASE help me, :DDD!
!!!REBIRTH=legal name change on Feb 16th 2018!!!
This is where life begins for me. It's a miracle I finally got it done.


My body is the home of my soul; not the other way around.

I'm more than anything an individual; I'm too complex to be put in any box.

- A social butterfly not living in social isolation anymore  ;D -
(Highly approachable but difficult to grasp)


The past is overrated - why stick with it when you are able to recreate yourself every day
  •  

Elis

I had the same concerns you did and the points you've made still bother me to a degree. Like you've mentioned it comes down to simply needing to be read as male. For me I simply couldn't stand it any longer. I think every trans person at some point finally reaches that point of desperation. I'd rather look like an ugly male rather than an attractive female. And the cons I just have to live with same as any cis person.

The changes are different for everyone but here are my observations-

The clit  growth thing- I sort of got used to it rubbing and now I don't notice it anymore

Acne- a 3 month course of antibiotics and reguarly using prescription acne cream has sorted that out

Body hair- it's really becoming a pain in the arse to get rid off but the mental benefits of T make up for it. Reguarly using a razor to shave it off sorts out the problem although time consuming. And thankfully lazer or professional waxing is an option

Baldness- this is starting to annoy me too but again at least I have a male hairline now and am read as male. Minoxidil is a possibility if it gets worse. Or saving up for a hair transplant.

Drying- initially that happened but now I get as wet as before. Me having a dick has improved the sex life anyhow.

Blood work- I hate this part the most. But now I've been on T a while its only a yearly chore. And luckily it means I'm more likely to know of any health problems sooner than cis people. As for having an ultrasound it's only yearly or possibly longer until you need to get one done.

Facial features- as I've taken T after my bone growth plates have fused (I took T at 21) the male fat redistribution is reversible if I stop taking it. Which I had in the back of my mind when deciding too

Voice drop- within the first 6 months ish the drop was quite a quick process but I still had the odd day where it would sound as it did pre T then the next it'd sound subtly deeper. After that time the drop is very gradual and subtle. I barely notice much if my voice sounds deeper than it did a few weeks ago

The first year is a pain to go through due to the effects seeming slow, taking a while to pass, water retention and all the rest of it but you'll know within a few months if taking T feels right for you.
They/them pronouns preferred.



  •  

Kylo

Well... you can't cherry pick - you either take the T and all that comes with or you don't. Cis guys have to as well.

Some things you heard don't apply to everyone. Rubbing and dryness did not happen to me. Things work better than before in that department. But there was no way to tell until you take the T.

I haven't had any bad experiences so far after 1 year. Just the mental effects (reduced neuroticism level, increased relaxation and confidence, better sleep, clearer thinking) are well worth all of it on their own in my opinion, even before we get to the physical masculinization.
"If the freedom of speech is taken away, then dumb and silent we may be led, like sheep to the slaughter."
  •  

Dani

I have been under the effects of Testosterone for the past 50 years. Think of this that is half a century!  :o

From my experience, the only major item you missed is the aggressive behavior of males, which sometimes gets men in trouble with the law. You must be able to control yourself in a socially acceptable manner.
  •  

PurpleWolf


Thank you guys SO much - that alleviated my fears by some 80%, :D!

It's so relieving to hear that others did have same concerns as I... I've been fearing that I'm some weirdo or "not really trans" if I'm not 100% keen on getting on T or have all these weird fears...

Even some major points seem now a bit less scary:
acne - alright, probably I can deal with that... and luckily there are medications and everything if needed. And, after all, it goes away... eventually, ;). Does anyone know how long (ie how many years or so) does it normally take?

balding - right, you can't really control that, so... and it's somewhat treatable of course. Luckily I like to wear hats, ;)!

voice - well, as I consciously try to speak as low as possible and sometimes wonder if I sound "guy enough" while singing - then, a little drop would actually be preferable, right, ;)?

I'm so glad to hear that drying doesn't happen to everyone etc.!

Facial features- as I've taken T after my bone growth plates have fused (I took T at 21) the male fat redistribution is reversible if I stop taking it. Which I had in the back of my mind when deciding too

I was surprised to hear this - I of course knew that T wouldn't make you grow taller or affect hand/feet size - but for some reason I didn't realize that this applies to facial structure as well! Call me stupid if you like, ;)! All I know I've been seeing all those pre/after pics, and some seem so different (clear bone structure change) and some nearly identical... So, after you have stopped growing, there is only some fat redistribution in the face? Interesting to know.

Like you've mentioned it comes down to simply needing to be read as male. I think every trans person at some point finally reaches that point of desperation.

Yeah, I think I'm nearing that point right now, :). I think I've heard that "Are you two sisters?" question a few too many times with my spouse. And, to be able to grow your own dick, like I always wanted as a kid, is almost too good to be imaginable!

Thank you so much for answering! And if others have some input, everything is welcomed!
!!!REBIRTH=legal name change on Feb 16th 2018!!!
This is where life begins for me. It's a miracle I finally got it done.


My body is the home of my soul; not the other way around.

I'm more than anything an individual; I'm too complex to be put in any box.

- A social butterfly not living in social isolation anymore  ;D -
(Highly approachable but difficult to grasp)


The past is overrated - why stick with it when you are able to recreate yourself every day
  •  

Ryuichi13

Quote from: PurpleWolf on November 14, 2017, 01:54:32 AM
I'm pre-everything & don't have access to treatment at this moment. But I'm contemplating whether to go on T or not.

This is my pros & cons list:

Pros:
- Being read as male, always
- Fat distribution (I'd love to have male legs etc.)
- Broader shoulders, more muscle mass etc.
- Genital growth
- Cessation of you-know-what (obviously!)
- Facial hair (I'd like to be able to grow a soul patch or similar. Or more than that.)
- More masculine facial features (I like my face but it does seem a bit feminine at times "of course")
(- Voice drop: I actually like my voice but sometimes I wish it would be lower.)

Cons:
- Acne (I suffered some severe acne last time I went through puberty, so....! I know it's temporary, but still... I really, really would NOT like to experience that again!)
- Getting bald (Unfortunately, my hair is my life, so... Getting bald would be pretty much devastating... and I have baldness in my family on both sides... This is a real concern.)
- Possible medical problems:
- high blood pressure, cholesterol etc. (runs in the family!)
- having (possibly) to get a hysto eventually (I HATE HATE HATE operations of all kinds), though I know it's not necessarily required (though many want it)
- having to do regular blood work and everything through the rest of my life
(This pretty much sums my medical concerns: http://fenwayhealth.org/documents/medical/transgender-resources/Informed_Consent_-_Testosterone_Therapy.pdf)
- Voice drop: Believe it or not, I like my voice unlike many guys! It's because years ago I consciously lowered it - and now I think I really sound "guyish". (I've been called sir on the phone.) Plus I sing, so I'm actually concerned about my range and voice dropping too low.

Some pros have some cons in them:
- Facial hair: I'd like to be able to grow a soul patch or something, I think. On the other hand I'm not a huge fan of beards, so... Before I used to think that I'd probably shave it anyway, and without T I wouldn't have to... (Though now I've changed my mind a bit about that soul patch thing, meaning I think I would like to be able to grow something after all.)
- Genital growth: Clit getting so big it loses sensation and rubs nastily against underwear all the time as I've heard... or something. Like "what if I don't like it after all"
- Sex life: I've heard that T can cause "drying" in that area... That wouldn't be very nice. (Though I've also heard that some guys actually get more wet on it - but nevertheless I've heard it impacts the "lubrication system" whatever you like to call it... and it usually dries out?)
- Again the voice: This is a huge one for me because I'm a singer! I'm generally happy how my voice is right now. It's not hugely deep - but I do think it sounds like a guy's voice. Actually sometimes I panic and consciously speak higher to "pass" as a female! But sometimes I'm a little bit self-conscious about it and wonder whether I sound guy enough... But overall I'm ok with it now.
-  Body hair: Here is the thing. I don't have any visible body hair as of now. (I don't shave at all and do have armpit hair etc. of course.) And of course I do have hairs on my arms and legs - but they are so light that they barely show. And I've "accepted" myself like this: that I happen to be a pretty hairless guy. That I can't grow a beard (though I'd like that soul patch or something) and don't have any body hair - and I actually kinda like it! So, I'm really not looking forward to have huge bushes on my legs... I'm not a huge fan of chest hair either, so...! Overall, though, I don't have a problem with body hair, so it's not a huge con either. Like, whatever. But I wouldn't like to grow A LOT of hair, either!

And then there are those general "fears" of "what if I don't like if after all" or "what if I don't like the feel of it", including: facial hair growth, clitoris growth, body hair growth, the voice drop, changing facial features...

I know I can always stop T anytime - but things like the voice drop, facial hair, masculinized facial features and clitoris growth are of course irreversible!


----
If I didn't forget something obvious, there was it!  Like my girlfriend put it: I either wanna pass as a man and take T - or come to terms with being always read as a woman/non-binary/whatnot.

I've always wanted to operate my chest of course. So these concerns are strictly about whether to get on T or not.

The biggest concerns are definitely the balding, acne (though temporary, I know, but still), not liking the voice drop and it being irreversible, and those general medical concerns. It sucks having to shoot yourself for the rest of your life and regularly monitoring your body. I read somewhere that without hysto you need to even check your insides with an ultrasound regularly :/!

But, if I DON'T get on T: I will have the monthly **** forever! I'm not automatically read as a guy... (Being always read as a male would definitely be a perk!) I would never grow a beard... I would never have a proper "guy frame"...

I've been contemplating this a LOT... so I hope you guys could give me some insight, :)! Thanks!

I've heard that many people had those same concerns and fears before T... Does it really come to the point that whether I wanna be read as a male or not? Did any of your fears come true? Is it stupid to concentrate on few facts (voice, balding)?

Is it possible that my voice doesn't drop that much after all? (But because I sing, I'm concerned even about the voice dropping process itself and the time it takes...) Or will it drop dramatically lower because I already have a low, male-sounding, voice?

PLEASE help me, :DDD!

Before you read this, I'm going to tell you that I have NOT read anyone else's responses.  I wanted to tell you of my experiences before I do so, so I can give you an unbiased view.

Your Pros:

-Being on T for just shy of 11 months, I'm read as male 85%-90% of the time. 
-My fat distribution has definitely changed for the better.  Sure, my moobs droop some now, but I've also lost thigh fat and some facial fat as well.  My spare tire, while not bad to begin with, seems to be staying.  Oh well.
-I'm a disabled Paramedic, so due to my lifting people for most of my life, I had broad shoulders even before going on T.  They're definitely broader now, and I seem to be developing a bit of a more masculine body, despite being over 50 years old.
-I hear tale of genital growth rubbing against underwear.  I've not had that problem, despite having the average growth occur.  Maybe its because I wear boxer briefs for the most part.  Either way, I have NOT lost any sensation, if anything I"m even MORE sensitive than before!  I"ve not heard of anyone actually losing sensation, but the underwear rubbing could possibly be the reason that happens.  Maybe they should go up or down a size.  Idunno.
-Like I said before, I'm over 50, so I'm postmenopausal.  No shark week to worry about any more.  :)
-I started out with a slight mustache and sideburn growth once the T really started my facial hair growing.  I now have the beard of a typical 14 year old boy, sparse, but definitely a beard.  I'd like to grow a goatee someday.
-My face is definitely more masculine, but unfortunately for me, everyone in my family has a very oval-shaped head.  I see differences, and I definitely look more masculine compared to what I looked like a year ago.  I look more like my brothers now, vs looking like my sisters.     
-My musically trained bf said I've dropped from a female alto (similar to a male counter tenor) to a male baritone (similar to a female contralto).  He says its "more complicated than that," but I don't know enough about music to understand what the complications are.  To me, it sounds like I went from a middle-range female voice to a relatively deep male voice.  I figured that since you sing, you would understand what these terms mean more than I do.  :D

Your Cons:
-I'm not getting much acne, but even when I went through puberty the first time, I didn't really have a lot of trouble with it.  What I AM noticing is being (mostly) African-American, I seem to get a few ingrown beard hairs every now and then.  It sucks to have to dig them out, not to mention painful, but I"d rather have to do so than have all kinds of bumps all over my face and neck.   
-Right now, I have nipple-length dreadlocks.  I'm hoping that I don't end up with male pattern baldness, but if I do, I"ll either grow out what I can, or end up getting minoxidil to keep my hair.
-I already have high blood pressure, and I"m on medication for it.  I DID have a bit of a scare for a bit when my blood pressure went up and made me dizzy.  I simply went to my regular doctor, who increased one of my two blood pressure meds, and saw a cardiologist.  I"m fine now, but it was kind scary sitting in a movie theater and feeling like the room was spinning!  I'm also on high cholesterol meds, (both are genetic) no changes there.
-Being post menopausal, I don't have too much concern about a hysto right away, but I might get one so I don't have to worry about any complications nor having to see a gyno ever again.
-The blood work isn't a big thing.  I go every four or so months, and even though I hate getting stuck with needles, I do it.  All of my bloodwork gets sent to my regular doctor and my cardiologist as well as my endo.  I"m probably healthier now than ever before!
-I didn't care one way or the other about my voice until I decided I wanted to transition, then it became a point of dysphoria to me.  When it finally dropped, I was really happy!  But, I also had to relearn how to sing so that I can sing in the car again!  I"m no professional singer, but I like singing in tune, even if I'm not very good. 

Your Pros with Cons in them:
-My sex life is just fine!  Jerking off, sex with my bf, its all good!  I'm definitely hornier than before, so now not only do I want to have sex more, but I jerk off quite often as well.  I had to learn to scale myself back, Id jerk off so much I would rub myself raw!  I don't have drying issues, but even if I did, I use lube anyway, so its not a problem for me.
-I'd advise you to re-learn how to sing in your new voice once it starts settling down into whatever range you end up in.  Since you're a singer, I"m sure you have people you know who can help you re-learn your new range.
-I don't mind my new body hair.  My arms are definitely more hairy, which I love!  My legs have never been very hairy, and what new hair I have is mostly on my lower legs.  I don't care, I like it.  I have new hair in "other places" too, but as long as I don't have hair growing out of my nose or ears, I really don't care. 

Honestly, by the time most of these changes began, I was so happy to have proof that I was transitioning, I didn't really care!  And like you said, you can always stop taking T.  I was prescribed Androgel, so I don't have to worry about needles.  The irreversible stuff is fine, I HATE being seen as female, so being read as male is wonderful! 

I plan on having top surgery someday.  I'm currently doing my research as to what will be best for me, with the hopes that maybe in a year or so I'll be having it.  Bottom surgery I'm not so sure I'll have, but it doesn't stop me from doing a bit of research in it anyways.

Either way you decide, realize that NO ONE is pressing you to do what you don't want to do!  Take your time, do the research, ask questions, ask opinions, and do what's best for YOU, and no one else!

Good luck!

Ryuichi       


  •  

Kylo

One of the biggest drawbacks of T is making sure you can get a continuous supply. If you do go ahead and remove uterus/ovaries at some point, you're generally going to need HRT for life if you want some degree of quality of life. Not having enough sex hormone will make a person sick. In the shorter term being on T and not taking it on a proper regimen will also make you feel lousy.

So that does mean dealing with getting hold of T whether its in gel form or injection. This can be expensive if you're using private healthcare and if you're using some sort of public healthcare there can sometimes be supply/prescription problems. I know how debilitating it can be on long-term hormone withdrawal so I always keep 5+ months worth of it stored up in case there's some issue with getting it. The longest I've had to wait for someone to get it in stock was 3 weeks and that would have been unpleasant if I hadn't had a back-up supply.

It does make me wonder about the future and the state of the NHS in my country, and for how long it will be able to continue to function and offer subsidized medications. Because one can of T here (one month's worth roughly speaking) is under £9 currently but unsubsidized costs closer to £90. Injections are cheaper but still by no means all that cheap. Things only get more expensive as well.
"If the freedom of speech is taken away, then dumb and silent we may be led, like sheep to the slaughter."
  •  

Ryuichi13

Quote from: Viktor on November 24, 2017, 06:52:47 AM
One of the biggest drawbacks of T is making sure you can get a continuous supply. If you do go ahead and remove uterus/ovaries at some point, you're generally going to need HRT for life if you want some degree of quality of life. Not having enough sex hormone will make a person sick. In the shorter term being on T and not taking it on a proper regimen will also make you feel lousy.

So that does mean dealing with getting hold of T whether its in gel form or injection. This can be expensive if you're using private healthcare and if you're using some sort of public healthcare there can sometimes be supply/prescription problems. I know how debilitating it can be on long-term hormone withdrawal so I always keep 5+ months worth of it stored up in case there's some issue with getting it. The longest I've had to wait for someone to get it in stock was 3 weeks and that would have been unpleasant if I hadn't had a back-up supply.

It does make me wonder about the future and the state of the NHS in my country, and for how long it will be able to continue to function and offer subsidized medications. Because one can of T here (one month's worth roughly speaking) is under £9 currently but unsubsidized costs closer to £90. Injections are cheaper but still by no means all that cheap. Things only get more expensive as well.

It sounds like things are pretty rough there in the UK when it comes to getting your T!

I'm here in the US, and I get my T at CVS.  I have it set up so that I get a three month supply and text messages well before my next three month supply is due.  When they have to backorder, I get a text telling me they're backordering, and another when it comes in.

Because I'm on Medicare AND my meds are subsidized by a second program, I only pay $3.60 for all three months' worth.  I also know that my surgeries will be paid for as well by Medicare.

Ryuichi

Sent from my SM-G930P using Tapatalk


  •  

Kylo

Yeah it can be difficult getting hold of T here given its controlled status and requiring a prescription every time you do. I'm not sure how it works for other FTM here, but every prescription I get is supposed to be a month's supply only. I was able to get my doctor to sign off on 2 cans for each month since my first dosage was much higher and takes up just over more than one, but she wasn't thrilled about that. But on a slightly reduced dose that now means 2 cans is closer to covering 2 months for the price of one.

$3.60 for three months!? Man, that's fantastic. And I thought I was getting a good deal here on the NHS compared to some places, lol. It would be the same for me whether I used gel or shots - same prescription price but likely it would last differently.

"If the freedom of speech is taken away, then dumb and silent we may be led, like sheep to the slaughter."
  •  

Dena

Medicare is a bit complicated. Medicare is provide free from the government but I pay $133 a month to the government for additional coverage. I then pay just over $2,000 a year for supplemental insurance to a private company and then about $20 a month to another company for drug coverage. Because the office doesn't accept medicare, I pay the doctors office $100 a visit and because my pills are only $20 for 6 months, I don't bother with insurance. Fortunately the labs are covered by medicare as well as most other medical services.
Rebirth Date 1982 - PMs are welcome - Use [email]dena@susans.org[/email] or Discord if your unable to PM - Skype is available - My Transition
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  •  

Ellement_of_Freedom

Unless your mother's father was/is bald then you don't need to worry about that.


FFS: Dr Noorman van der Dussen, August 2018 (Belgium)
SRS: Dr Suporn, January 2019 (Thailand)
VFS: Dr Thomas, May 2019 (USA)
  •  

PurpleWolf

Quote from: Ellement_of_Freedom on November 25, 2017, 05:02:48 AM
Unless your mother's father was/is bald then you don't need to worry about that.

Oh, shoot  :D! He was extremely bald and my uncles on both sides are bald too......
!!!REBIRTH=legal name change on Feb 16th 2018!!!
This is where life begins for me. It's a miracle I finally got it done.


My body is the home of my soul; not the other way around.

I'm more than anything an individual; I'm too complex to be put in any box.

- A social butterfly not living in social isolation anymore  ;D -
(Highly approachable but difficult to grasp)


The past is overrated - why stick with it when you are able to recreate yourself every day
  •