When transgenders seek to physically change their bodies, hormone replacement therapy, or HRT, is used. This article will give a brief overview of the HRT process and its effects on the body for trans men.
Definition of Trans Men:
As a matter of first importance to explain, "trans man" or "transman" refers to someone born with female genitalia who is changing themselves physically into a man. Therefore, a trans woman is someone born male transforming themselves into a woman. For the purposes of this article, we are only addressing trans men.
What is HRT used for?
Hormone replacement therapy is used in conjunction with sexual reassignment surgery for trans men. Sexual reassignment surgery is the actual surgery that physically changes the individual's reproductive organs from female to male. HRT is used to change the "secondary" sexual qualities of the person. Secondary sexual characteristics include the outward physical traits that characterize sex. For trans men, that includes the shrinking of the breasts, growth of body hair, and the deepening of the voice.
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Testosterone:
Both males and females produce testosterone normally, however, guys produce higher levels and their masculine qualities are reliant on it. So the major part of HRT for trans men is bringing the levels of testosterone in the individual up to the average amount for someone naturally born male. This makes body hair development that is generally extraordinary for females, and many trans men feel a surge in both their sexual drive and energy levels. When men take testosterone, as some male athletes do when taking steroids to enhance their abilities, it is associated with extremely high levels of aggression. Trans men almost never experience such extremes since their bodies aren't already producing the "normal" amount of testosterone designed for an adult male.
Testosterone will also serve to stop the trans man's menstrual cycle, which usually stops after five months of hormone therapy. Clitoromegaly occurs in response to testosterone as well. This is when the female clitoris enlarges and protrudes outward. Generally, it will be between 2-3 years before this process has peaked. Also, the trans man's voice will begin to deepen and muscle mass will increase.
Affects of Puberty:
Having hormone replacement therapy will not reverse the effects of puberty. How the bones have grown and formed are permanent. For example, women have naturally wider pelvic bones than men to prepare them for childbearing. This won't change. And while the breasts often shrink or soften, usually surgery is still required to remove them entirely. However, by taking testosterone, the voice will deepen and hair growth will occur, giving the trans man his own "puberty."
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