TABLE 4.
Feminizing effects in transgender females.
| Effect | Onset | Maximum |
|---|---|---|
| Redistribution of body fat | 3–6 mo | 2–3 y |
| Decrease i n muscle mass and strength | 3–6 mo | 1–2 y |
| Softening of skin/decreased oiliness | 3–6 mo | Unknown |
| Decreased sexualde5ire | 1–3 mo | 3–6 mo |
| Decreased spontaneous erections | 1–3 mo | 3–6 mo |
| Male sexual dysfunction | Variable | Variable |
| Breast growth | 3–6 mo | 2–3 y |
| Decreased testicular volume | 3–6 mo | 2–3 y |
| Decreased sperm production | Unknown | >3 y |
| Decreased terminal hair growth | 6–12 mo | >3 ya |
| Scalp hair | Variable | b |
| Voice changes | None | c |
Estimates represent clinical observations: Toorians et al. (149). Asscheman et al. (156). Gooren et al. (157).
a
Complete removal of male sexual hair requires electrolysis or laser treatment or both.
b
Familial scalp hair loss may occur if estrogens are stopped.
c
Treatment by speech pathologists for voice training is most effective.