The Impact of Halting Hormone Replacement Therapy on Transgender Men

Throughout the online discourse on gender identity and hormone replacement therapy (HRT), there persists a pervasive amount of misinformation and misunderstanding. I, a transgender man who has lived as one for twenty years and is now sixty-one, can shed some light on what often happens when a trans male stops using male hormones.

Personal Experiences and Observations

I have undergone HRT for many years, and most of the original plumbing below the waist has been gone for quite some time. I have no regrets regarding the decision to pursue gender-affirming care, although I wished I had started earlier.

My access to HRT has been inconsistent over the past twelve years. Currently, I use bootleg HRT, which requires less of a dosage since the original plumbing is no longer present. At my age, I value the peace of mind that comes from having no concerns about pelvic issues.

Permanent Changes and Their Impact

I have a beard and a tenor voice, both of which are permanent changes that I intend to keep. The consent to treatment forms emphasize the permanent nature of these changes, including voice and hair growth. These changes are irreversible regardless of hormonal status.

The idea that a trans male might revert to female puberty or regrow breasts or lose his beard and strength is a common misconception. Most importantly, I do not experience this; instead, I have less sex but continue to engage in physical activities and maintain my muscle mass and bone density.

Evolving Circumstances and Future Outlook

I have been off HRT since April, waiting to see what the future holds. My source, a medical professional, believes that the current stance on transgender rights is misguided. If Biden wins the election, I might be able to obtain a prescription for HRT and live comfortably. If Trump wins, I plan to continue using bootleg HRT, showing defiance in the face of discrimination.

One aspect of transitioning that some might find bothersome is ear hair, a persistent issue that I wish had not been part of my journey.

Changes in Hormonality and Well-being

When a transgender man stops taking male hormones, several changes are observed. The levels of testosterone (T) will decrease, along with the suppression of puberty blockers, estrogen, and progesterone. These changes can lead to a slowdown in body hair growth and the return of feminine feelings and skin changes.

Psychologically, many transgender men report that stopping HRT can lead to a significant return of dysphoria. This is often described as a challenging experience that one might not wish to undergo.

While there is a certain level of loss of bone density, for me, this does not outweigh the benefits of continued physical activity. Hematocrit levels might drop, which, in some cases, can be beneficial as it can prevent sludgy circulation.

Conclusion and Future Prospects

The decision to stop HRT is a deeply personal choice that comes with its own set of challenges and benefits. It is important for individuals to seek guidance from medical professionals and understand the potential outcomes before making any changes.

As the political landscape continues to evolve, the rights and access to healthcare for transgender individuals are crucial factors to consider. Whether one chooses to receive medical treatment or use bootleg hormones, the goal remains the same: to live a fulfilling life without the constant pressure of societal norms and expectations.

For those following or involved in this conversation, it is essential to engage in open dialogue and aim for a more inclusive and supportive environment for all gender identities.