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Healthcare for detransitioners

The effects of gender-affirming HRT may either be reversible or permanent, but alterable through surgery.

For transfeminine (male to female) HRT:

Breast developmentPermanent/Reversible only through surgery
Softening of skin and decreased skin oiliness and acneReversible
Redistribution of body fat in a feminine patternReversible
Decreased muscle mass and strengthReversible
Decreased sex drive and spontaneous erectionsReversible
Erectile dysfunction and decreased ejaculate volumeReversible
Decreased sperm production and infertilityMixed; may require fertility treatments
Decreased testicular volumeUnknown

For transmasculine (female to male) HRT:

Muscle or fat changesReversible
Menstrual cycleReversible if uterus not removed
Skin oils, texture or acneReversible
Body scentMay change
Increased sex driveReversible
Voice deepeningPermanent, reversible only through speech therapy or voice training
Facial and body hairTexture or growth of hair may change, but hair that has developed will not disappear.
Clitoral growthPermanent; clitoral size will not shrink
Hair loss (male pattern baldness)Head hair loss is mostly irreversible, but may see improvements after going off T

Some transition-related processes may be reversed — like surgery to remove breast implants, or reverse phalloplasty — but other transition-related processes, like facial hair removal or breast tissue removal will be permanent.

If a person’s gonads (testes or ovaries) are removed, they will have to take hormones to reverse previous masculinisation or feminisation effects.

For those who wish to detransition

If you have decided to medically detransition either temporarily or permanently, it is important that you consult a medical professional.

Suddenly stopping transfeminine HRT could feel like severe menopause – with anxiety, mood swings, hot flushes, and some degree of masculinisation. You may also experience some degree of osteoporosis due to a hormonal imbalance.

Suddenly stopping transmasculine hormone therapy could lead to headaches, anxiety, muscle loss and depression, as well as weight fluctuation.

Many of these symptoms can be managed through a healthcare provider who will reduce your hormonal dose slowly. It is highly recommended that you do so, even if you have self-managed HRT.

Disclaimer: Information on this site is for general information only. It does not constitute legal or medical advice and is not a substitute for obtaining advice from a qualified professional. We do not represent or warrant that this information is suitable, reliable, complete, accurate or up-to-date.