Susan's Place Transgender Resources

Its been a while since I've seen this. I'm curious to see it again. Can anyone post the chart/timeline. Yes I know your mileage may vary is the ultimate rule. I would like to compare myself against the averages.

Is this helpful? :)

From The Endocrine Society Guidelines (Hembree et al. 2009), TABLE 14. Feminizing effects in MTF transsexual persons:

Effect	Onseta	Maximuma
Redistribution of body fat	3–6 months	2-3 yr
Decrease in muscle mass and strength	3–6 months	1-2 yr
Softening of skin	3–6 months	Unknown
Decreased libido	1-3 months	3-6 months
Decreased spontaneous erections	1-3 months	3-6 months
Male sexual dysfuntion	Variable	Variable
Breast growth	3-6 months	2-3 yr
Decreased testicular volume	3-6 months	2-3 yr
Decreased sperm production	Unknown	>3 yr
Decreased terminal hair growth	6-12 months	>3 yrb
Scalp hair	No regrowth	c
Voice changes	None	d

^a Estimates represent clinical observations.
^b Complete removal of male sexual hair requires electrolysis, or laser
treatment, or both.
^c Familial scalp hair loss may occur if estrogens are stopped.
^d Treatment by speech pathologists for voice training is most effective.

---

From Endocrine intervention for transsexuals (Levy 2003), "Specific effects of cross-sex hormone treatment":

(I'm just including the noticeable physical effects):

Hair follicles
Androgen treatment in female-to-male transsexuals results in the induction of facial hair growth and increased sebum production that is in many cases evident within 4 months and con- tinues to develop beyond one year (Giltay & Gooren, 2000).  In male-to-female transsexuals, reduction in facial and truncal hair shaft diameter reaches a maximum after 4 months treatment with cross-sex hormones but does not progress further. Skin sebum production falls rapidly to almost undetectable levels but hair growth in length remained largely unaffected or responds only very slowly (Giltay et al., 2000). Thus male-to- female hair reduction is almost invariably inadequate with hormonal treatment alone and depends on physical means. Electrolysis is effective but uncomfortable, potentially scarring (particularly if the pain induces flinching) and often too slow to be practical as a sole treatment. Laser hair removal is more rapid, provided hair colour is dark (and skin colour is not), and becomes more comfortable as successive treatments reduce the density of hair shafts and hence the area of 'burn'.

Adipose tissue
Magnetic resonance imaging (MRI) analysis of regional fat deposition in 20 male-to-female transsexuals before and 1 year after cross-sex hormone treatment demonstrates a significant increase in subcutaneous and visceral fat depots and a decrease in thigh muscle area (Elbers et al., 1999). In 17 female-to-male transsexuals a transient (Elbers et al., 1997b) reduction in sub- cutaneous fat and increase in thigh muscle area with increased visceral fat is seen (Elbers et al., 1999). Adipose tissue changes in male-to-female transsexuals, particularly increased fat around the upper thighs, is often insufficient to confer true female habitus and if the profile remains disturbing, surgical intervention may be required. The sex differences in circulating leptin levels, with women having higher levels than males irrespective of body habitus, are reversed by cross-sex hormone treatment (Elbers et al., 1997a).

Breast
Increase in breast size usually begins 2–3 months after the start of female sex hormone treatment in male-to-female transsexuals and continues for 2 years (Meyer et al., 1986; van Kesteren, 2002). Unfortunately, only one-third of transsexuals achieve more than a B cup and with 45% not advancing beyond an A cup, at least 60% require breast augmentation to achieve the appearance they desire or at least find acceptable. Breast devel- opment seems to be more pronounced in subjects with higher body mass indices and it may be worth suggesting to slender male-to-female transsexuals that they do not make too stenuous efforts to avoid the modest oestrogen-induced gain in weight that is often experienced (van Kesteren, 2002). Various attempts to hasten transition to the preferred gender have been reported (Kay & Saad, 1983; Wylie, 2000), the most common being ingestion of higher quantities of hormones than prescribed. Sudden cessa- tion of oestrogen treatment can be associated with galactorrhoea (van Kesteren, 2002). There are case reports of breast carcinoma in hormonally treated male-to-female transsexuals (Symmers, 1968; Ganly & Taylor, 1995) but none in the van Kesteren et al. (1997) series of 816 hormonally and surgically treated male-to-female transsexuals.
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Yes this is exactly what I was looking for. Thanks!

I seem to be on track except for the libido. Its less than it was, but its still VERY high.

Thanks for the information.  I hope to start HRT in October so it's good to have a time line to look at.

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Libido is just as much about what is going on inside your head as it is about what's going on in your hormones... ::)

Quote from: Ms Grace on July 13, 2015, 01:33:57 AM
Libido is just as much about what is going on inside your head as it is about what's going on in your hormones... ::)

Indeed it is. And it doesn't seem to be related to T level at all. Has my libido changed? Yep, sure has.. But it hasn't diminished at all. ie: I still want, just what I want has changed.

I agree with that. Pre-HRT it was very random and happened all the time. I don't know how I ever got any work done because it was on my mind all the time. Now something needs to turn me on, but it doesn't take much. Probably doesn't help that I've been single for 13 years.

Quote from: Ms Grace on July 13, 2015, 01:33:57 AM
Libido is just as much about what is going on inside your head as it is about what's going on in your hormones... ::)

Quote from: awilliams1701 on July 13, 2015, 10:39:02 AM
Now something needs to turn me on ...

This was the biggest change for me too, I thought my libido had disappeared, but it just changed (as soon as I started HRT).  Now there has to be something to warm me up to the idea, like caressing or foreplay.  It never just pops into my head.

There are some days where it seems like anything even remotely sexual is enough to do it. Other days its not a big deal at all. I guess its still better than wait 10 minutes and get turned on.

Hair regrowth here... I noticed you tagged it as "No regrowth, C"
My hair loss was recent about 3-4 years ago, and I spent a year anti androgens before E(Which didn't halt the hairloss, but slowed it). I'm 8 months on E, and I'm still seeing regrowth. So far it's reversed it to about 2 years ago, but the rest is still missing.

Quote from: Curious on July 15, 2015, 09:18:16 AM
Hair regrowth here... I noticed you tagged it as "No regrowth, C"
My hair loss was recent about 3-4 years ago, and I spent a year anti androgens before E(Which didn't halt the hairloss, but slowed it). I'm 8 months on E, and I'm still seeing regrowth. So far it's reversed it to about 2 years ago, but the rest is still missing.

Hair regrowth was one of my first physical effects. My crown area has already filled in some and the forward area is now starting to catch up. All the fine blonde hairs have started getting longer and are slowly being replaced by stronger darker hair. I recently met a woman who transitioned in the 1990's in her 30's. She had lost much of what I had. She said it never all came back but she was sans wig or even hair dye and looked just lovely. I wouldn't have known if she hadn't said anything. For some reason endos keep this a secret. In researching it I found some boards where men with enlarged prostates on anti androgens (the original use for some of the meds) reported the same regrowth. Only when they had to stop the hair fell out again. I plan on stopping anti androgens at some point too, when I have had SRS, but with my t factory gone I will get to keep my hair!