“I stared far back into my past and remembered the child who couldn’t be catalogued by Sears. I saw her standing in front of her own mirror, in her father’s suit, asking me if I was the person she would grow up and become. Yes, I answered her. And I thought how brave she was to have begun this journey, to have withstood the towering judgements” –Leslie Feinberg
In our last post we discussed MTF transgender people, people born male who feel and desire to appear female, and hormone treatment they can receive as teenagers that moves them closer to this goal. This post discusses FTM transgender people, and the hormone treatment available to them.
As we discussed, the key hormone for MTF patients is estrogen, and for FTM patients it is testosterone. Testosterone is what gives a biologically male adolescent his deep voice, body and facial hair, and body shape. Biologically female patients who want to transition towards a traditionally masculine appearance can be prescribed testosterone, either after a course of pubertal suppression or after they have gone through a female puberty.
Testosterone comes in many forms, but usually FTM patients are prescribed injections or a patch. Let’s look at some of the effects of testosterone:
- Skin: An FTM patient’s skin will get more oily, and acne may develop or worsen.
- Body fat: Body fat will redistribute to a more traditionally “masculine pattern”, with extra weight around the abdomen instead of the thighs and buttocks.
- Facial & body hair: Eventually thicker and darker hair will begin to grow on the patient’s face and body; it can take a few years to get a full beard. Some patients are never able to to grow a one, but most will need to shave (unless they want their facial hair to grow.)
- Menstruation: For FTM patients, menstruation can be a frustrating ordeal and a monthly reminder that their body remains female despite their inner identity being male. Within the first six months of hormone treatment, they will stop getting their periods, which is often a huge relief.
- Clitoral and vaginal changes: The clitoris will enlarge and eventually measure up to an inch long. It can become erect, but will not have an erection like a penis would. The vagina will become dry and lack lubrication.
- Voice: Within a year, an FTM on hormones will develop a deeper, more traditionally masculine voice. They may go through a voice “cracking” period similar to a young biologically male adolescent.
- Fertility: Testosterone may make patients unable to become pregnant, but not always. As some FTM people will have sex that could lead to pregnancy, it’s vital that they have access to birth control.
- Emotions: Testosterone may cause patients to feel irritable, aggressive, or unbalanced. There are ways to help address this without going off testosterone; talk to your provider if this occurs.
Many of these changes may be irreversible. It’s very important that a patient starting FTM therapy be sure this is the course they want to follow. In addition, taking testosterone long-term may cause an increase in the likelihood of developing certain cancers. Unfortunately, we don’t have enough research on transgender health to have good information on this.
Next week we’ll discuss safety measures for transgender teens, as in our society transgender teens do need to take some additional steps to try and ensure their safety.
I have a question. At what age is it appropriate for some to start this therapy? Is 15 years old to young?
Unfortunately, I can’t give you a firm answer, as it depends on the teen! Some teens do undergo hormone therapy at this age, and some wait until they are older. In our clinic, we require an in-depth evaluation with a psychologist or psychiatrist who specializes in working with transgender youth, as well as medical clearance from a primary care provider, endocrinologist, or other pediatric care provider. Then, after a few visits with the provider who would be prescribing hormonal therapy, it can be initiated if everyone is in agreement.
Many teens who are waiting to decide on this step choose to undergo pubertal suppression, a medical treatment which stops the development of secondary sex characteristics like breasts or facial hair. This gives them time to “put off” puberty until they have made their final decision about whether or not they want to transition, and their care team has been able to assess everything as well.
I hope that helps!
Hi I’m trying to find a doctor in Michigan so I can start testosterone but don’t know where to start
Blake,
I’m not sure if you’re still in need of a prescribing doctor or where you live in Michigan. I have seen a few different physicians but have landed with a doctor that works with the University of Michigan Gender comprehensive services. I’m have been happy with their services. I have been on testosterone for a few years and had “top surgery” almost two years ago.
Hi. If you wouldn’t mind, can I get some advice from you? My 15 year old daughter wants to start transitioning to a male.. I live in North Branch, mi. So U of M would probably be the place to go. I’m just starting to check into all this, and dont really know where to begin. How does this work? How much does testosterone therapy cost, and does insurance pay for it? How Safe is this? Any info would be very helpful. Thank you
Hello,
I live in Michigan, and i go to a psychiatrist in East Lansing. I was told the hormones will not be received, until 3-5 months prior of therapy. So, what i get with this information,there is 1 doctor who DOES prescribe underage hormones. they are all the way in ann arbor, but you will only need to drive out there once,maybe twice. This therapist is really nice,and very confident. However, if you live far away from the lansing area, it may be a litle bit difficult.
I was wondering if you could give me the name of that doctor? I live in the Taylor area and need to find a good place to start for testosterone therapy
Hi my 14old son just started hormones this summer. We live in Michigan and go to U of M hospital for ours Gender Services. Hope this helps
That’s awesome! Do you know if the age of 11 is too young to start testosterone????
At age 11 you should probably just use blockers for a bit and then move on but I’m no expert
I live in a small Kentucky town called Murray.. I am trying to get started on testosterone and I have no idea where to start.. I have been told that you don’t have to have a therapist letter anymore.. What do I do from here??
I don’t know any where in Kentucky that provides hormone therapy without the letter but I know in Louisville and Lexington,plenty of treatment centers are available, but I do think you need a letter from a psychatrist but if not I suggest go email a psychatrist and see if they can give you a list.
I don’t know any where in Kentucky that provides hormone therapy without the letter but I know in Louisville and Lexington,plenty of treatment centers are available, but I do think you need a letter from a psychatrist but if not I suggest go email a psychatrist and see if they can give you a list.
Hey Dr. Evans,
I’m a 16 year old ftm and my parents are semi-supportive. We’ve found a gender therapist who said at the start that she would be happy to provide the letter necessary to start T, but it’s been 4 months of meetings, and she has not talked about the T letter at all. She keeps wanting to talk about me “social transition” even though I have already transitioned at both school and home, and I’m currently stealth. The question is, should I keep with this lady? Or should I try and find another therapist who might write me a T letter faster? I live in California. Thanks
How comfortable are you with this therapist? I’d suggest being very straightforward with her if you haven’t had a direct conversation yet. State your interest in moving forward with medical therapy. Ask if she is willing to provide the letter of support at this time. If she is not willing to write the letter, ask what needs to happen to have her feel ready to do so.
If you are uncomfortable with this provider or feel like it’s not a good fit, then I would try to find someone you trust and be up front about your needs when you meet them (or talk to them on the phone).
No im 15 and I can start. You just need an adult 18 or older to give you consent.
Sway,
Do you need parent consent that you LIVE with? Because my parents were divorced around the age of 9, and my stepdad told me that he doesn’t believe that my mom will consent, I live with her,but I was wondering if my dad can consent instead? Because I wasat work,and my mom sent me home early because I told her I wasn’t a male.
No you can be any age perhaps to be In this therapy c:
I’m twelve and I want to get a testosterone shot. Is that possible??
Hello, Christy. I am 14 years old, and I’m fairly sure that it’s ok to take testosterone at the age 15. However, I’d still reccommend talking to your doctor to see if your health is good enough to be taking horomones. Have a nice day!
Hey! So I’m 15 right now and just because of my situation and my personal journey, my psychologist is giving the go-ahead to testosterone at 15. But usually they wait until the patient is 16.
I was 9 when I started, I was considered slightly early, so 15 would be about normal.
Hello!
I was wondering about getting testosterone from Seattle Children’s. I already have an appointment set up, however I am worried that they will only be judging my “manlyness.” Do you have any advice of what to expect at my appointments?
Hello Zac, if your appointment is through the Adolescent Clinic, the provider you see will first meet you and hear what you’re hoping to achieve with the visit. You definitely won’t be judged, but the provider will likely do a general physical exam (listening to your heart and lungs) and may obtain blood work (to check your liver, kidneys, electrolytes, cholesterol, and possibly screen for diabetes). If you’re hoping to transition genders, the provider will also make sure you’re set up with a team of people to help with the process (this includes a psychologist or behavioral health professional).
Hi, I have a question. Is parental consent required for a teen to get testosterone? I’ve been identifying as a male for about a year now and I know that while my family is “supportive” (I say it in quotes because they seem to firmly believe it’s a phase) they don’t want me to make any permanent changes unless a therapist or doctor would agree that it’s the right thing for me. Would a doctor even see me to talk about it without their consent?
Hi Kyle!
My understanding is that parental consent is required for testosterone until the age of 18. However, for both minors and adults, there’s an assessment period by medical personnel, and often psychiatric providers, before hormone therapy is started.
I think it’s a great idea to see someone who works with trans youth and talk about transitioning medically, even if it’s not something your family is prepared to support at the moment. It gives you a better idea of the preparation you need, as well as bringing your parents in on (at least part of) the discussion and allowing them to ask questions and get information from somebody knowledgeable. Seeing a trans-friendly mental health provider is also a good idea, not only to talk about preparing to transition, but also because it sounds like communicating with your family about this has been stressful and frustrating for you- and it helps to be able to talk openly about that stress and frustration with somebody who is knowledgeable and supportive.
As to whether you could see and speak with a provider without your parents’ consent or knowledge, that depends on what state you live in, and partly on your insurance situation. But hopefully your parents would be okay with you having a discussion with someone.
The World Professional Association for Transgender Health (WPATH) has a searchable list of providers, and hopefully there are options in your area.
Good luck on your journey!
Hey so, I’ve got a bit of a question. Do you know how much it would cost to go through the therapy leading up to the surgery if you don’t have insurance? I come from a family that’s not really all that accepting of the process or the results, so I was hoping I could save up enough to go through with it when I’m older now that im saving up. It’s only minimum wage, and I most definitely would need to find an alternative place to stay during and after the process. Thanks in advance, even if you don’t reply.
Hi Dez,
Unfortunately, the cost is highly dependent on what therapies you are choosing, what assessments are necessary before starting treatment, etc. I’m glad to hear you’re saving! I would start research community health centers and other agencies that take a sliding scale fee, and whether they offer gender transition services. Also, in Washington State Medicaid will pay for gender transition, so it’s good to find out what your home state offers in terms of benefits.
Good luck!
This response is late, but not because it was ignored! The cost really varies. Most people going through the transition process see quite a few providers, including a medical provider, mental health provider, and possibly others. Each provider charges a different amount and insurance plans vary. That being said, you should look into your state Medicaid health coverage. Most plans will cover mental health and even the medical visits, however the hormones themselves may not be included.
If my family isn’t supportive that I’m trans male ( 15 years old) what other options do I have
I’m sorry your family isn’t supportive Lerato, I hope you’ve been able to turn to friends for help. Some resources include reaching out to your primary care provider (if you feel comfortable) and looking into your local PFLAG chapter. https://community.pflag.org/transgender
There may be local private support groups as well. In Seattle, these are often run by private psychology practices.
hai im 16 and my parents aren’t supportive do i need parental sign off on testosterone or may i take it apon my own accord also where would one go to do this or acquire it?
This is a good question Alex. The answer is a little bit complicated. In all the US states and Washington, DC there are laws that protect teen confidentiality. For certain things teens can access care without a parent. In Washington State, teens can seek mental health (like depression or anxiety) and substance use treatment at age 13 and up. They can access birth control options from a provider at any age. However, for transgender hormone therapy or puberty blockers, teens need parent/legal guardian consent. The exception would be if the teen has been deemed a mature minor by their medical provider. Examples of mature minors are teens who are parents or those who are married. It’s up to the medical provider to determine mature minor status.
You could ask your primary care provider (if you feel comfortable), local PFLAG or American Civil Liberties Union for resources close to you for more information. https://www.aclu.org/issues/lgbt-rights
Hey! Im 17, I turn 18 in about 6 months. I want to start HRT, but im unsure how to go about it. Should I talk to my doctor and see what he recommends? I know that there is an assessment before you can begin hrt, should i get started now? I want to be able to start as soon as I turn 18 if possible.
Happy birthday! Yes, you should schedule an appointment with your medical provider to get started. It’s recommended that before a person begin hormone therapy, they meet with a mental health professional, have an evaluation, and then meet with the medical provider who will start treatment. The person who prescribes the treatment is usually an Endocrinologist or Adolescent Medicine specialist. If your doctor is unaware of resources, you may want to ask one of these specialists in your city about HRT.
Hi! I’m Aimee(Aiden) and i have a question.. I’m 14 and i was wondering if i’m old enough to start taking testosterone. Also, if the injections are more useful than the pills.. if you can get back to me asap that would be great!! Thank you so much!!
Thank you for your question Aiden. The Endocrine Society has guidelines for hormorne treatment that your provider will use. They recommend starting hormone therapy around age 16, but it’s still a good idea to meet with a medical provider early! Your medical provider will work with you to determine if the testosterone injection, patch, or oral pills are the best route for you…which method you choose depends on a few things: 1) how comfortable you are using the method 2) what your body’s level of testosterone is with monitoring 3) how comfortable your medical provider is with prescribing the method.
I’m 14 and my doctor said I may be able to start it soon, and since I’m young, my period and female growth may halt. Is that true? When do you recommend starting T, because I’m really impatient and worried…?
I’m glad you’ve connected with a doctor to help. It is true that starting hormone treatment can potentially stop your period and change hair growth. I encourage you to keep asking questions about the risks and benefits of treatment as you work with your doctor and health care team.
I have no idea how old this ask is, but I’m FTM also (age 17), and I’ve looked into different forms of T. The pills have been known to cause liver problems. The injections can cause mood swings towards the end of the cycle, meaning when you inject it every week or every other week. There are patches and gels you can take, but those can be easily transferable to someone else who might come into contact with it, but they give you a steady dose, wince they’re applied every single day. There are also implants. These are kind of like the birth control injections, in a sense, and get replaced every 3 or 6 months, i think. But talking to your medical advisor or counselor is the best option, but I want you to be aware of the connection between pills and liver problems.
I have no idea how old this ask is, but I’m FTM also (age 17), and I’ve looked into different forms of T. The pills have been known to cause liver problems. The injections can cause mood swings towards the end of the cycle, meaning when you inject it every week or every other week. There are patches and gels you can take, but those can be easily transferable to someone else who might come into contact with it, but they give you a steady dose, wince they’re applied every single day. There are also implants. These are kind of like the birth control injections, in a sense, and get replaced every 3 or 6 months, i think. But talking to your medical advisor or counselor is the best option, but I want you to be aware of the possible connection between pills and liver problems.
I’m currently 13 and I was wondering if I could take T shots at this age, I’m already sick of breasts and I’ve only had them for 3 years, something really clicked in me when I started to develop breasts, I got depression and anxiety and I still have it today, I’m so glad I’m only a 34 B at the moment so if I could start now then it would be the perfect time, I was originally gender fluid but I’ve just been “stuck” on male for the past 8 months, when I was little little I never liked dolls or princesses I wanted to be a ninja or astronaut, right now I’m a full on gamer, people say I’m just a tomboy but I don’t think I’d get suicidal about boobs if I were so if you could please help me…. help me
This is a great question. Providers who prescribe testosterone, in general, follow guidelines established by the Endocrine Society. They may use pubertal blockers to postpone puberty (such as developing breasts) until a person reaches the age and developmental stage of puberty and then start transgender hormone therapy. I would recommend you reach out to a medical provider with expertise in transgender care in your community. To help finding a provider, reach out to your local PFLAG or primary care provider.
I was just like you, starting puberty and highschool can be extremely depressing and it has nothing to do with gender. It’s the same angst we all go through. This clinic and others are profiting off your pain and make money on transition. Back in early 00s it was enough to be goth and listen to s***** metal music. Nowadays they convince you to start taking drugs for life and pay insane fees for surgery. I never liked dolls or dresses either and babies made me uncomfortable. Now I have two children and I embrace my femininity. I am so lucky to not be growing up in this decade when any discomfort with puberty is considered a reason to pump you full of hormones and cut up your body. I’m curious how quickly this site will remove this comment. Good luck. You are perfect how you are, you can address suicidal thoughts without permanently damaging your body.
Thank you for sharing your story. We agree that medical intervention is not the solution for everyone.
Hey, I’m a 17 year old transgender male. My family doesn’t agree with my decision causing me with a tremendous amount of depression and self loathing. Is there a way that I can still start my process without their consent, being 17 and all.
Thank you for your question Jeremiyah. I’m not sure which state you live in, but all 50 states and the District of Columbia have confidentiality laws in place that allow minors (under age 18) to consent for certain services without their parents. These include meeting with mental health professionals, accessing reproductive health care, and sexually transmitted infection screening. You can seek care for depression, self-esteem, and mood related to gender without parental consent,but receiving transgender hormone therapy is considered medical and a minor would need parental consent for this until they are 18. The exceptions would be if the minor is emancipated. If you do seek services without your parents knowing, they may receive something in the mail called an Explanation of Benefits from your insurance carrier. This letter explains to the insurance holder that services are being covered and outlines the patient responsibility for the medical bill. Be sure to ask your provider about this.
hi im 15 and ftm with very unsupportive parents. and its constantly making my depression worse when they always say im a ‘girl’.. this has been about 6 or 7 years were i just didnt feel like another girl and when i started to get breasts is when my original depression started about a year ago i got binder and my mom found it recently and threw it away which sent me into a relapse phase. she keeps telling me she will take me to a therapists but yet im still waiting i think she is scared that this is true and they will give me the letter for T. please help, im running out of patience and ive thought about running away or emancipating but i just dont know
I’m sorry you’re going through this. Are you able to schedule the appointment with a therapist on your own? Do you have a pediatrician or primary care provider who can help advocate for you? Please do turn to adults in your life who are supportive to see if they can help.
Hey, my name is jasper and I am transgender 15 year old who would like to start testosterone. I am in foster care, though, and want to know how I would go about the whole “parental permission” bit..any advice?
HI Jasper – it is possible to start HRT while in foster care but you need to be in a supportive home and with a supportive team. If you’re in Florida there is a statewide task force that can assist you. Reach out and I can connect you.
Hey, I’m Andi. I’m 16 years old ftm transgender and I’m very self conscious about my body as a whole, but I’m in foster care. My mother’s parental rights have been terminated and i dont have a father, so how would I go about starting HRT?
Thanks for your question Andi! Unless you’re an emancipated minor, your legal guardian will need to go with you to a visit with a medical provider who is knowledgeable about transgender health care.
Hi, I’m a 17 year old turnimg 18 next year female and wanting Female to male, with an unsupportive family, they say “God made you this gender, you stay this gender.” But I’m not comfortable with the gender, after I’m an adult can I legally get ftm without my parents permission?
18 is the age of consent in the US. After age 18, you can consent to all aspects of your medical care unless you have a legal guardian in place (through the courts). However, if you are still on your parent’s insurance policy, they may chose not to cover the costs of care.
Hey Andi – I am a foster parent in Florida and also work at a social service agency. It is possible to have this happen while in foster care but its important to have a good team of people to help you. If you’d like I can help you find a life coach in your area who is knowledgeable and can assist you.
Hello! I’m about to turn 13, and will likely get blockers. Is there a certain age requirement for testosterone? Obviously, I won’t jump into it without serious consideration. but I’m still curious. Also, what doctors in the Bay Area(California)can prescribe testosterone? -LJ
Hi! There’s not a set age for starting testosterone, it depends on the plan you work out with your prescribing provider. WPATH has a link to finding a provider and offers a good amount of information. http://www.wpath.org/
I know im young but im 13 and ive always wanted to be a guy i used to make a fake penis for my pants how old do you have to be for hormone treatment?
… it really depends. If you’re under 18, you’ll need parent/legal guardian consent to start and the specific timing will depend on the medical provider you meet. You will need to meet with a therapist as well. http://www.wpath.org is a great source of information.
If you’re 18 can you start on t without a therapist?
Great question. The World Professional Association for Transgender Health (WPATH) recommends that a person seeking hormone care does meet with a therapist. While you aren’t required to meet with a therapist if you’re age 18 or older, there are a lot of things to navigate that a therapist can be useful in helping.
So, i turn 18 in 2 months. i’m currently attending a therapist right now, not sure if she specializes in transgenders but i know she’s worked with many before. if she doesn’t write a letter for me before i’m 18 am i allowed to start testosterone without her letter/approval?
At age 18, an individual does not necessarily need a letter from a therapist if they do not have any ongoing mental health concerns. However, if an individual has unresolved mood concerns, they may need a letter from their therapist.
Hello. My name is Eren. I’m 14 and I am gender fluid but I mostly identify with a male identity. Am I too young to start T even with parental consent?
Hello Eren, thanks for your question. In order to receive any medically based care (such as hormones, pubertal blockers, surgery) you need a parent or legal guardian’s consent if you’re under age 18.
hey im 13 and called noah hkw old do you have to be to get on t
Hello Noah, this is a good question. In order to receive any medically based care (that includes testosterone, pubertal blockers, estrogen, etc) you need parental (or legal guardian) consent if you’re under age 18.
Hello my name is Axel and I’m a 17 year old (almost 18) in a month. My parents seem to think that I am too young or immature to make the decision to take hormones and that I should wait till I’m at least 25. However my dysphoria has been on a rise lately. So do you think that once I turn 18 it would be a good idea just to not tell my parents and go ahead and get testosterone.
Axel, it sounds like you’re in a tough spot. I don’t recommend deception, however once you turn 18, you do have the right to seek and receive medical treatment without the consent of your parents. It is recommended that anyone seeking hormones also receive therapy. One benefit of a therapist includes using them as a resource for how to navigate family dynamics and communication. All the best to you in whatever decision you make! I hope your family is supportive
Hi. I am a transgender male. I live in Las Vegas, Nevada and I am looking for a doctor to begin taking T. Do you know of any?
Hi Nick, I personally don’t know of any providers in Nevada, but I did find a Northern Nevada Transgender Resource Guide 2015 online that had a number or resources in your area. I don’t know the providers personally and cannot provide endorsement for their work or reliability but here are some of the websites the resource guide listed:
http://www.drchristinemcginn.com/
http://www.cfmilazzo.com/
I hope this helps to get you started on your search for a provider!
Nick- We live in Las Vegas. I’m the Mom of a trans FTM 16 year old. We belong to the Southern Nevada Parents of Transgender Children community. (It’s on FB) Jane Heenan, spear heads this cause. Both know every doctor that works with the trans community. I suggest you check it out.
Thank you for the resource!
Hi! I’m a 19 year old FTM and am really wanting to start testosterone therapy soon. I am covered as a dependant under HMA and don’t know if that covers anything. Where would I start with this? Does my insurance cover testosterone therapy? How would I start the process so I can start injections as soon as possible? Thanks!
Thank you for your questions… the first step is to talk with your healthcare provider. They’ll either help get you started or refer to someone with expertise in transgender care. You can contact your insurance company to ask for a preferred provider (a provider in network) for transgender services and also ask if the form of testosterone prescribed is covered. Your pharmacy can also tell you if a medication is covered by insurance.
Hello, I have questions that I couldn’t find anywhere I look. If I’m correct, this article mentioned that you are able to take testosterone even after experiencing female puberty? I just want to make sure. After 20, am I still able to have the same effects?
Yes, this is correct. A medical provider can prescribe testosterone for Female to Male transition.
Is there a certain age I have to be to take testosterone and how do I get started? I heard I would have to be 16 but I’m not sure if it’s true.
Great question… the age depends on your medical provider, but typically 16 years is the minimum age providers will start testosterone.
How much does it cost for the process to get on T and what are the steps?
I’m 18, ftm pre everything.
This is a great question… I’m not sure of the cost without insurance, but we haven’t had any troubles getting insurance authorization for our patients. The first step is to meet with your primary care provider. If they aren’t knowledgeable about transgender care, they can refer you to someone who is (usually an endocrinologist). I’d also recommend contacting your insurance carrier to ask for a list of transgender health providers (including doctors and therapists). You’ll be required to establish a relationship with a behavioral health provider (like a therapist) before getting started with any hormone treatment.
Hi, I was wondering if there were any places in Arkansas that could do the SRS and also how old do you have to be to be able to take testosterone without parent consent, I’m 16 and my mum doesn’t approve of me being transgendered but I know this is what I want/need.
I’d check out http://www.wpath.org/ to see if they have any providers listed in Arkansas who you can talk with. All states have some special circumstances where teens can consent to care without a parent or legal guardian (like mental health, birth control, and drug treatment), but hormone treatment falls under medical care and you have to be 18+ in order to get medical care without parental consent. If you feel comfortable, ask your mom to come with you to visit a transgender health provider. They can answer your questions and hers. They might be able to help alleviate any concerns/fears/reservations she has about you starting hormone treatment.
Hai! I’m an 11 year old transguy and my family knows, I’m gonna talk to a doctor, And I’m sure I’ll be getting. Therapist soon!! But I wonder, how old do I have to be to start on T? I’m sick of my boobs, and I mostly put something in my pants for it look look like I have a penis somehow, and… Its hard, every single time I take a shower, and when I look down, I realise I’m not what I am.inside, and that’s horrible for me. That’s why I wonder how old I have to be to take T! And my boobs annoy me too. ALLOT! I feel uncomfortable when I don’t wear something that will kinda make my chest flat whitout boobs… Hopefully you have a answer, Bai
Hai! I’m an 11 year old transguy and my family knows, I’m gonna talk to a doctor, And I’m sure I’ll be getting. Therapist soon!! But I wonder, how old do I have to be to start on T? and I mostly put something in my pants for it look look like I have a penis somehow, and… Its hard, every single time I take a shower, and when I look down, I realise I’m not what I am.inside, and that’s horrible for me. That’s why I wonder how old I have to be to take T! And my boobs annoy me too. ALLOT! I feel uncomfortable when I don’t wear something that will kinda make my chest flat whitout boobs… Hopefully you have a answer, Bai
Hi Connor, I definitely support you consulting with your doctor. The short answer is 16 years old. Your doctor will be able to help you form a game plan for starting hormones, monitoring your blood work, and proceeding with any other options to help your body feel comfortable. All the best!
Hello! So I’m hoping to start testosterone in a couple years, but my family isn’t very financially stable and we live in South Dakota. I’ve come out to my parents, and my mom has consulted my doctor. I’m wondering whether or not there are any insurance providers in my state that can cover (at least some) of the expenses that it will take for me to go through my transition. And how much can puberty stoppers cost? Also, can there be any dangers in going through with this? I’m quite scared about my body not turning out the way I want it to be… Anyway, thank you.
also, i should add that my mom is starting to accept it, but i’m scared of what my dad will say when the time comes that i ask him about the hormone therapy. I don’t know how to ask him about it and what to say, any suggestions?
If you feel comfortable bringing your Dad to a medical visit, it might be a good idea. Your provider can answer his questions and hopefully provide some teaching to him. I’d talk with your provider about a game plan for the visit before you bring your Dad in so s/he is aware of the purpose for your Dad coming with you.
Hi Sage, good luck with your transition! Our providers have not had any difficulty with getting insurance to cover the costs of medications for transition. I’d recommend calling your insurance carrier (whether that’s state insurance or private insurance) to verify that they will cover at least a portion of the costs.
I also recommend writing down your questions to talk with your medical provider about any potential side effects of medications. The pubertal blockers are generally very safe. Hormone treatment does have some common side effects (like elevated cholesterol/triglycerides for example) so your medical provider will likely obtain screening labs and follow up. I hope this helps!
Hey, I’m 18 and am moving from Utah to North Carolina in a few months. I’m going to wait to find a therapist until I get there, but do you know of a way to find a therapist that isn’t transphobic? I read an article from a trans guy who’s therapist was transphobic. She still wrote him his hrt letter, but it took him 5 months to get it and seemed like an all around awful experience. Is there a way to avoid getting a therapist that isn’t supportive of you?
Good luck with your move! Finding a therapist or health care provider you trust can be challenging. I would start with your insurance coverage. Call or check out your insurance company’s website to see who is in network and listed as having exertise in transgender health. Once you find the names of some providers, look at their websites, call their office, or google search to see what others say about them. You can also look at resources from organizations like WPATH.org
Hi, I am 13 my name is Jarayah(Karsten)and I have recently been wanting to be a guy. Well I felt like this for a long time now, but I have recently been really understanding. I have read some of the questions and some of the people say we get some kind of pill to stop puberty and Well I am already in puberty. My mom say you cant get testosterone until your 18 because it could hurt your health(or something like that), but I really want to get on T. Is there any way I could be on T now and not wait 5 years?
Hello Karsten, I would encourage you and your mom to have a consultation with a provider with comfort/expertise in transgender health. You may be able to start pubertal blockers. These medications are reversible and halt the progression through puberty. This allows you and your provider to determine the appropriate timeline and plan for transition to male gender. Pubertal blockers also allow you to have less development of opposite gender features (such as complete female breast development).
The lower age limit for testosterone is around 16 if your parents provide consent; but at age 18 you legally can consent to medical care without parents permission.
Hello Dr. Evans,
My question is a bit complicated. I have a 15 year old Type 1 Diabetic child. My child is presenting FTM since July. Do you happen to know of any Type 1 Diabetic teens that are either on blockers or Testosteron? My concern is side effects obviously. I have read several articles saying how grown men have had heart attacks due to T. Heart problems run on my husbands side of the family so this is of great concern to me over the long haul of course.
At the moment I am trying to just find out as much information as possible regarding these issues. My husband is completely against allowing anything. I am thinking Blockers may be useful to give my child time to figure out what she/he really wants. Please help if you can.
Sincerely,
Amy J Rendace (ATL)
Hello! I’ve reached out to a colleague in pediatric endocrinology to ask your question…but while we wait, I would recommend asking your child’s Endocrinologist if they know the answer. If they don’t provide health care for transgender persons, ask if they have a colleague you could meet with for a consultation.
An update – after speaking with a pediatric Endocrine colleague, they informed me that there is not any increased risk with taking testosterone and having type 1 diabetes
Can you Testosterone without your parents permission??? I’m 17 and my parents aren’t okay with me being trans I’m FtM
At this time, since testosterone is a medical treatment, you won’t be able to consent to taking it without a legal guardian. The exceptions would be if you’re an emancipated minor.
I am a transgender girl who knows mentally and physically I’m a boy so I’m on testosterone
I mean I am thinking about taking testerone
Dr.Evans
Plz I’m 15 and I don’t know if I should take testosterone
Hello Aliza,
Who do you have that can support you in your health decisions? Transition is going to be a process that will take some time. First, I’d highly recommend finding an adult you trust who can help you with setting up appointments. One option would be to find your local PFLAG chapter and find support through them if you don’t have anyone in your life right now. Then next will be to establish care with a therapist and then a medical provider who can help with discussing your options and the best plan for you as an individual.
Hey. I’m a 14 year old with EXTREME gender dysphoria. I’m looking for a way to get help and/or start testosterone soon. I have a therapist but they won’t do anything to help me and my entire family is unsupportive. The only person that knows about me and my identity is one of my older friends that I won’t be able to make contact with after this July. I have mild suicidal ideation and dysthymia as well. I need someone to help me, do you have any suggestions.
Hi, my son is a transgender male, he is 13 years old, we support him with everything, he is in therapy, always has been a boy, in a woman body. We live in Orlando FL, I would like to know if there is here any doctor to start the Hormone Therapy T, and our insurance cover the treatment for transgender. We just want to see him happy and in peace, and we would like to know about all support here in Orlando. Thank you very much, any information will be so much appreciated
Hi Dr. Evans,
I’m FTM and am going to a counselor right now on gender identity for my moms sake but I am just wondering how I go about starting T. I would like to start as soon as I can but I’m not sure where I go to ask for it or how I go about starting it. Thank you.
Hello. I’m 12 years old and have begun researching my options regarding FTM hormone therapy, and hormone blockers. My question is, what are the options for me in, or around the Seattle area?
Unrelated, but I’m 13 in that area as well! :>
I am 16 years old and have an intense phobia of therapists. I’ve been seeing psychiatrists and therapists for 3 years for depression and anxiety. But honestly, therapists make me more anxious than anything. Is there a way for me to somehow get testosterone at the age I am now without seeing a therapist? Also, If I decided to go on T at age 18, would the effects be not as noticeable as if I did go on T at 16? I hit puberty at 8, so I really don’t have much more physical maturing to do.
So I’m 15 almost 16 and mentally I have felt female for at least the last 4 years. However I have beat around the bush with this topic with my family and they don’t seem to think I am trans, and they believe being trans is an unnatural mental disorder. If I came out I seriously doubt I would recieve their support, do you think that it is worth the alienation?
Thank you for your comment. It sounds like you’re in a really tough position. I would recommend trusting your gut instinct. If you don’t feel like your immediate family will be supportive, do you have any adults in your life you feel you can trust? This is also a topic that an individual counselor can help with too. They can help with giving advice on how/when to talk with your family and advice for options in your area for medical care. All states and the District of Columbia have confidentiality laws that protect teens, so your counselor would legally need to keep the discussion between you and them unless you gave permission for them to tell someone and unless you were at risk for serious harm.
Hi, I’m a 14 year old transguy. My mother doesn’t support me yet my father does. Do I need both parent’s consent in order to see a gender therapist?
This is a great question. You need to have one consenting guardian for medical care. Depending on your state, you may be able to seek care with a therapist without a parent’s consent (though having a parent help is strongly recommended). Hope this helps!
Hey I live in the Orlando fl area and I am 16, I came out to my dad and he is supportive for the most part but I really need/want to be on T. Do you know any places around the Orlando/Altamonte area where I can start hormone therapy?
Unfortunately, I don’t know of anyone in the Orlando area. Do you feel comfortable reaching out to your regular doctor to ask them for resources? I’d start there. All the best
Hi! My name is Jason, and I’ve gotten a referral to have an appointment with the adolescent clinic here!
I was wondering, is there any approximate or mandatory wait time before I can be prescribed Testosterone, or is it solely based upon evaluation and clearance from my Endocrinologist/Primary Care doctors?
Hi Jason! There is not a mandated waiting time. The timing of starting testosterone will depend on your provider’s assessment (after discussion, physical exam, review of your laboratory studies) and your readiness after the intial visit.
Hey my name is sage, I go by Sebastian. I am 14 years old and I was wondering what is the process for getting testosterone? I’ve been in councilling for a while and I just need help
Hi Sebastian, the process varies a bit based on who your team includes. A team includes you, a parent/guardian/trusted adult, a therapist with expertise in transgender care, and a medical provider to help with guidance and prescribing any appropriate medications. Have you asked your counselor about their knowledge or comfort with transgender health? If they aren’t comfortable, ask for references of someone who is. This is the first step. Then ask your primary care provider to help find a medical provider with the expertise (if they don’t have it). The decision to start testosterone depends on a variety of things (including pubertal development, your readiness, stable laboratory values, etc).
Hello! I am 14, a female that has realized in the past few months that I feel better and more confident and such as a male. I talked to my mom and she isn’t sure when I can start taking testosterone and stuff like that. I would love to as soon as possible so am I too young right now?
Hello, have you and your mom met with your primary care provider to talk about a plan? I’d start there. If your pediatrician or regular medical provider isn’t comfortable providing advice, they’ll know or be able to help you find local resources to get you started.
Hi! I am Lu and I am 14 and this year I will be 15 in Nov. I was wondering if I could already take testosterone at this age ?..thank you.
Hi Lu, the short answer is yes, but the longer answer is it really depends. The decision to start hormone treatment will be one you’ll make with your health care team (including you, possibly your parents, your medical provider, and your therapist). Your team will work with you on managing the emotional and physical changes that go along with transition. You all may decide to wait on hormone treatment, or you may decide to start soon. The guidelines most providers follow recommended starting hormone treatment around age 16, but it really depends on the plan you and your team make.
Hey, I am also 14 and really want to start hormone therapy. But i need to know, are there any health risks of going on hormones during puberty, wherein the body is still growing?
Hello! Every treatment has risks and benefits. I strongly recommend you have an honest, open discussion with your medical provider about what the risks and benefits are and make sure the benefits are greater than the risks for you. There are generally 2 categories of medication used: puberty blockers and gender affirming hormones. Puberty blockers block something called GnRH. This is a chemical that is responsible for triggering our reproductive organs to start making testosterone or estrogen. To start puberty blockers a person needs to have started puberty, but the blockers prevent a person from completing puberty. They buy time, but also prevent undesired characteristics (like breast development or deepening voice). This allows a person to start gender affirming hormones and have better results. Puberty blockers are completely reversible. As soon as you stop them, you enter puberty. It’s like pressing pause on DVD, then pressing play when you’re ready to keep watching. Gender affirming hormones can have side effects (even if you’ve finished growing). For example, estrogen can increase the risk of having a deep vein blood clot. Talk with the doctor who will be prescribing the hormones. They’ll monitor changes in your body like a testosterone level if transitioning from FTM or cholesterol and liver function if transitioning from MTF.
Hello,
I am FTM. I just recently started gender therapy here in Nampa ID. I dont know much about the state laws on transgender people here and Ive been searching for hours, honestly. I hear you have to take therapy for at least 6 months to a year to get a referral for HRT. Is that true?
Hi, you ask a really good question. I’m not sure if there is a state law in ID that mandates how transgender people are treated medically. The idea of 6 months of therapy is a guideline offered by the Endocrine Society for providers of gender affirming treatments. It is a good idea to have a counselor to help with life transitions. You, your medical provider, and therapist can determine the plan that fits your needs best (this may include 6 months of therapy or not). Your medical provider can also walk you through the process of treatment that is tailored just for you.
I’m 18, I go by Ezra. I have not started testosterone yet but I want to. I was wondering do I have to go through therapy first or can I get on testosterone right away if I consult my doctor about it.
This is a great question. It will really depend on your medical provider. But the Endocrine Society (which has published guidelines that many doctors follow to provide gender affirming therapy) recommends having a team which includes a therapist. In general, going through puberty and adolescence is hard! A therapist can help anyone going through change with managing it, so I highly recommend finding a counselor you trust and feel is beneficial for helping with this transition and any other things that come along.
Hello, im a 16 year old transman and am trying to convince my dad to let me start T, he is skeptical because he is afraid and thinks its going to effect my brains development. Do you know anything about this? will testosterone effect my brains development in anh way?
I would strongly recommend bringing your dad with you to a medical visit with the provider who will be prescribing the testosterone. They can answer his questions and tell both of you about the risks and benefits of medication treatment. They’ll also let you know the plan for monitoring your testosterone level and other labs to make sure your body is safe.
To my knowledge, testosterone is not going to affect your brain development in a negative way (it is not going to lower your IQ).
Hello, I just wanted to know how to find a tharepist in my area. Where do I even start to look around?
I’d start by contacting your insurance company. Either call or check their website for therapists who are in their network. The next step would be to call those therapists recommended. Most of the time you can find your insurance company’s number on the back of your insurance card.
Other options include your local PFLAG chapter, WPATH.org, and asking your primary care provider for recommendations.
I hope this helps get you started!
Hello, I’ve got an appointment with you guys here at Seattle children’s pretty soon and I was just wondering how you guys go about your “diagnostic process”. Do you have patients live fully as their desired sex for 6 months or do you do informed consent?
Thank you for reaching out! Your first visit will be an opportunity to get to know you and what your hopes and expectations are. Every person has a different goal outcome. The team will work with you to develop a plan that works best for you as an individual. We’ll expect you to be engaged with a therapist to help move forward with your plan. The timing will really be up to you, your therapist, and medical provider. If you’re under the age of 18, we will need parental consent to start any medications.
Hi, I have troubles talking to my therapist (Recently assigned due to depression, anxiety, etc. Hospitalised last November) about anything gender related because she’s doesn’t understand it at all. I’m reluctant to bring my problems to my parent because they’re not really accepting. Is there any advice to this situation?
I am so sorry you’re having trouble talking with your therapist. Finding someone who fits your individual needs can be extremely challenging. I usually say therapists are like shoes, it often takes trying on a few pairs before you get one that fits. My advice would be to start with your insurance carrier. Call and ask if they can recommend someone in network with the expertise for your concerns. If they don’t have anyone in network, ask about their out of network coverage. Sometimes the difference between in and out of network coverage (or the amount you’ll have to pay out of pocket) is as low as a 10% difference. If the insurance company doesn’t provide out of network coverage or the cost is too much, I’d search resources such as the WPATH.org website or PsychologyToday. Then call any providers who look promising and ask if they offer a sliding scale for private payments (or a lower cost if you’re paying out of pocket).
If your primary care provider’s office has a social worker or case manager, they may be able to help you navigate our complicated health system.
Hi, I’m a 16-year-old trans guy who plans to come out to my parents by the end of the month. I know they’ll be supportive but my issue is that I want to start fully transitioning. My question is, what’s the usual process to start hormones and is there anyone you can recommend in the north Florida region?
I hope the conversation goes well with your family! Unfortunately, I don’t know of any resources in Florida, but I’d encourage you to ask your primary care provider for referral information or look on the WPATH.org website for resource information. The usual process is to find a team of providers including a therapist and medical provider, who will help you through the process. Most people start with establishing care with a therapist who has knowledge and expertise in transgender care. Then you’ll meet the medical provider. They will talk to you about your goals for transition and work with you to achieve those goals (this might be anything from helping find a binder for the chest, to starting hormones). They will also obtain blood work to check a variety of things (cholesterol, hormone levels, liver function) if you decide to start hormones.
All the best!
Hi, I’m a 15 year old transgender boy and I was wondering if it was possible to receive physical, hormonal, mental, or emotional therapy with parental knowledge? My parents keep saying that I’m just confused and this “phase” will pass. They say they’ll get therapy for me, but they never do. They are clearly not very accepting of it, so I just wanted to know if parental consent was required.
Hi, I’m sorry it sounds like you’re not getting support from your parents. The laws on parental consent vary based on where you live. All 50 states and the District of Columbia have confidentially laws that protect minors in certain situations. In Washington State, a person over age 13 can receive mental health and substance abuse treatment without a parent’s consent. They can receive reproductive health care (such as birth control) at any age, and testing for sexually transmitted infections if 14 or older. However, anyone under 18 does need parental consent for medical care (including gender affirming hormone treatment) unless they’re an emancipated minor (this is rare and occurs if someone is married, has had a child, or had a court grant them emancipation).
hi there, i’m Alec.
i’m twelve years old and i’m out to my parents about being a trans guy, and they don’t seem to have problems with it, but i’m not sure if they really support me. my mom says she’ll get me a therapist to help with my depression & dysphoria but she doesn’t seem to be trying to find one at all. i really would like to start testosterone sometime in the next year or two, but i need to convince my parents to consent to it and get them to really see that i’m trans. the only problem is, i’m not really close with either of my parents and it’s awkward for me to talk to them about things like this.
do you have any advice for me to try talking to them?
Hey I’m a transgender male, I’m 15 going on 16 in about a month. I was wondering about the effects of taking testosterone, as in would it increase my height? Would it also sharpen my jawline? Also where would I go for information on bottom and top surgeries? Thank you if you take the time to reply, very much appreciated.
Hello, these are great questions. A website that has useful information is the Transgender Health Information Program through British Columbia. http://transhealth.phsa.ca/medical-options/hormones/masculinizing-hormones
This site has an expected timeline for many of the physical changes that accompany hormone therapy. There is also a link to information about gender affirming surgeries. Please let us know if this provides the answers to your questions!
Thank you so much. I’ll be sure to let you know.
The website helped me a lot. And answered more of my questions than needed. Thank you!
I’m so glad we have been able to provide useful information. Thank you for reading!
Hi. I’m 15 and I was wondering if taking testosterone will affect my growth in height? For example will it make me stop growing?
Excellent question. Using extra testosterone can have negative affects on growth in people who are already making normal amounts of testosterone to go through puberty as a male (such as cis-gender males taking testosterone to increase muscle mass). For someone who is not making a sufficient amount of testosterone on their own, taking testosterone that is monitored by a medical professional should not make you stop growing sooner than you would after finishing puberty.
Hey there. My name is Bellamy. I am a 16 yr old genderfluid person who mostly identifies with male. I live in PA, and am wondering, how does one get onto the process of being on T? My thought was next time i am due for a doctors check up, i would ask about getting on HRT. I already have a therapist as well. If my doctor knows nothing or is unwilling to help me, what do i do? How does one go about getting BR surgery? Any help is VERY appreciated. Thank you! <3
This is a great set of questions. I hope your doctor is able to support you, but if they aren’t comfortable with managing gender affirming hormones, ask for a referral to someone who is (this may be a specialist). The World Professional Association for Transgender Health (WPATH.org) has a search tool for resources as well.
How old do i have to be to start testosterone? (ohio)
The answer is a little complicated. In order to consent to testosterone without parents or legal guardian, you’ll need to be 18 years old or an emancipated minor. If your parents or legal guardians consent, you can start once you and your providers determine you’re ready (usually around the same age that your peers are going through puberty).
That depends on where you live and which clinic you go to. You will just have to ask your therapist or do some research for your area.
hello, my names samuel and i have some questions abut testosterone because i would like to become a man but i have to wait til i can make my own medical dicisions and ud like to know what age, how much of a dose you have to take, when it starts to work, and how long can you stay on until surgery. I would like some help please. thank you!
Hi Samuel,
You ask good questions. To make your own medical decisions without a parent or legal guardian for this type of care you’ll need to be 18. The age a person starts hormone treatment and dose of medication will depend on a few things. Your medical provider will work with your therapist and you to determine if it’s a good time to start hormone therapy. Then your medical provider will check hormone levels in order to adjust the dose to keep your blood level in a certain range. Surgery is something you and your healthcare team can discuss together.
Hey. I’m a 15 year old trans guy and is how would I get started on T? Is it true that I would have to see a therapist before I actually get prescribed hormones? Can my doctor just prescribe the hormones to me? If I do need a therapist, do you know of any in the North Florida area, or how I could find one? I’m confused about the whole journey to starting on T and would be grateful for more info and insight about it.
Hello, good luck on starting this journey! Most providers who prescribe hormone therapy work together with a therapist as a team. The journey takes time, can have emotional ups and downs, and you’ll have to navigate your changing body, social dynamics, etc. One first step is meeting with your doctor to talk about your needs. They should help you with finding the appropriate team. Often your insurance carrier will also be able to provide a list of people (therapist, medical provider) with listed expertise in transgender health.
My name is Jay and I am a 15 year old ftm. My question is if I would need both parent’s consent in order to start testosterone. I ask this because my parents are divorced but both have custody and my mom is completely supportive but I’m not sure if I can get my dad on board. Thanks!
Hi Jay, for medical care, we typically obtain medical consent to treat minors from whichever legal guardian brings the patient in for their appointments. Hope this helps
Hi, I’m 12 and FtM.
I have sort of begun female puberty. I’m growing a lot, I’m starting to get boobs but I haven’t started a menstrual cycle yet. Is it bad if I take blockers and eventually Testosterone if my puberty has already started?
Hi Alex, pubertal blockers are like hitting pause on a movie. They just keep your body from continuing to go through puberty so it’s not bad.
is there is any major side effect. i’m 25 year is that possible to me to trans me ftm
All medical treatments have risks and benefits. It’s not too late to transition, but you’ll need to work closely with a health care team to move forward safely with the process. A local medical provider (often an Endocrinologist) with expertise in transgender health as well as a therapist with experience in the transition journey can guide you. Try looking on the WPATH.org website for providers or meeting with your primary care provider to talk about a referral.
I am 13 years old I really want to be a boy and start testosterone I live in Portland Oregon and this is all I want
If you feel comfortable talking with one of your parents, I’d recommend starting with a visit to your primary care provider. There is an adolescent medicine clinic at OHSU/Dorenbecher. The providers there may also have local resources they can share with you and your family.
The first step in transition may not be testosterone. It might be a medicine to push the ‘pause’ on puberty until you’re a little older, and then start testosterone so you go through puberty at the same age and timing as male peers. A local medical provider with experience in transgender health can talk with you and your family in more detail about options.
Here are is another Portland option:
Dr. Karin Selva at Legacy – Pediatric Endocrinologist
I was wondering if you need both parents’ consent when starting testosterone because I have a supportive dad but not a supportive mom.
This is a good question. You’ll need a parent or legal guardian who can consent to medical care. This is standard for any type of medical care (such as going in if you have the flu). We don’t typically have both parents signing medical consent forms. It’s often just whichever parent brings the minor in for an appointment.
I have a very important question . is it too late to start taking testosterone at 17 ? or can you still transition . hELP !
Hello, not it is not too late to start at 17. Your health care provider will work with you to determine the appropriate timing for hormone therapy, but we often have teens coming at a variety of ages (16-21) who start.
Hi I’m Lee and I was wondering do you have to be under 18 in order to get a deeper voice while using testosterone? Well basically does the age of the person undergoing transition have to be under 18?
No you don’t have to be under a certain age to notice changes to your body (including voice deepening, facial hair growth, etc) when being treated with testosterone. So no, a person doesn’t have to be under 18 in order to transition.
Hello! My birth name is very feminine and I hate it so please call me Kim.
I am 13, about to turn 14.
I am mentally 20 (people tell me that a lot)
And I think I’m a transgender male.
But the idea of the transition makes me really nervous. I use binders, and I pack. But I dont really feel like doing the full transition. Honestly im comfortable how I currently am.
But It’s very hard to talk about it with my parents since i feel like they dont take me seriously when I say “I’m not a female” i want to be considered male, i want to get boy clothing, but my parents wont let me. I want them to use the male pronouns, at least in public, but they probably wont either. I’m also starting school and I dont want to take gym class because of the changing rooms. If I go w/ females I’ll make them uncomfortable. Same with the guys.
So I will ask my mom to write a note to the principal to let me skip gym class. I have a few arguments, not mentioning the actual reason, which is because of changing rooms.
Also my Birth name, is Rose.
Yes.
Its freaking Rose.
And I dont want teachers or anyone to call me “Rose” at school. Is there a way I can make teachers refer to me as “Kim”? Like, can I send an email to the principal, asking the teachers to call me “Kim”?
I really hope you’ll answer this, i really beed help and I have no one to talk to. Thank you so much!
Hello Kim,
It sounds like you’re facing a lot of challenges! To respond to you first comments, no you don’t have to completely transition if you don’t feel comfortable. Gender identity is personal, it is the individual’s perception of their gender and not defined by anyone but you. If an individual chooses to transition gender, it is a process. It doesn’t happen all at once and there is no one solution that fits everyone. Some people are comfortable with a different style of clothing and hair cut. Others proceed with hormone treatment to have more physical changes. Some ultimately have surgery as adults. But the right answer is the one that You are comfortable with.
Do you have any adults in your life that you feel comfortable asking for help? Is there a teacher at school that you think would be trustworthy and understanding? A doctor? Neighbor? At school, if you don’t feel like people are respecting your request to call you a preferred name and use preferred pronouns, do you have a counselor, nurse, principal, or teacher you trust that you could ask to help you? When a teacher calls you by your birth name, what is your response? One thing you could try is a quick, but firm response of “Please call me Kim.”
With your parents, I wonder about a similar approach of using a trusted adult to help start the conversation about gender preference, especially if it doesn’t feel like your family is listening to your requests. Do you trust your doctor? Could that trusted adult start the conversation with your family about the importance of supporting you.
Keep pushing for what you need!
Thank you for your response! First of all, I am going to a new school this year, so there isnt really anything I can do. I also dont have a doctor, because well I just moved across the country. Although there is only 1 adult that I really trust, and I think I might ask her for help.
I also really wish I could do gender therapy, but its too expensive..
Thanks again for your response^^
Kim honestly, same. I’m 13 turning 13 and my mom believes my transness is a “phase” I want to go all the way through. I need to know how old you have to be to get T. I cant even get a binder I’ve ordered free ones from multiple sites. I have to use the stupid girls’ locker room. My mom actually said last night “I went through some of the things you went through–” and blah blah BLAH. I’m sorry that your parents are like and I understand. No one should go unaccepted like that and that’s why I fight for LGBTQ+ rights, forever and always!
Hi, I’d like to start taking testosterone, but I am only 15 years old, am I allowed to start taking it? and also do I have to see a therapist to start taking T ?
Hello, there are guidelines from the Endocrine Society and WPATH.org that most health care providers follow when prescribing hormone therapy. The guidelines suggest starting hormones around age 16 or older and recommend people have an assessment with a mental health professional. Ongoing work with a therapist is highly recommended because the transition is a major change. Your therapist can help navigate these changes.
Hi!
I’ve identified as male for a few years now. I wonder if I have to have parent’s consent to make an appointment?
Thanks in advance
Great question, the need for parental consent depends on a few things. If you’re making a medical appointment, parental consent will be needed unless you’re age 18 or older OR are an emancipated minor. If you’d like to make an appointment with a therapist, the age of consent depends on the laws in your state. Certain topics are protected by confidentiality laws (reproductive health, mental health, substance use, birth control) and the age of consent varies by state. If you do go to a medical appointment with a parent, ask for some time to speak with the provider by yourself.
Hi, my name is Aevin, and I know you’ve answered this before regarding legalities, but what do you think, medically, is the minimum age to start taking T?
I’m asexual, so I am planning on taking low dose T, possibly 1/4 of a normal dose. I just want to make myself less feminine and more androgynous. I was thinking of starting on a cream first, maybe Axiron, but every T cream website has “WARNING. DO NOT TAKE IF YOU ARE FEMALE OR UNDER 18” at the top.
I was hoping to gain your input on this. I am currently 14, how old do you think I would have to be to take T safely? Thank you!
Hi, my name is Aevin, and I know you’ve answered this before regarding legalities, but what do you think, medically, is the minimum age to start taking T?
I’m agender, so I am planning on taking low dose T, possibly 1/4 of a normal dose. I just want to make myself less feminine and more androgynous. I was thinking of starting on a cream first, maybe Axiron, but every T cream website has “WARNING. DO NOT TAKE IF YOU ARE FEMALE OR UNDER 18” at the top.
I was hoping to gain your input on this. I am currently 14, how old do you think I would have to be to take T safely? Thank you!
Hello, I would highly recommend using testosterone that is prescribed by a medical provider and not buying and using on your own. All medications can have side effects and testosterone is a medication that takes monitoring.
The recommended age of around 16 is not set in stone, but it will be up to you and your health care provider together to determine what’s right for you.
A lot of transgenders going through hormones now are telling me to wait till after im 22 because of something in the brain that stops developing then. Do you know what that is?
Hello, I’m not sure why. Brain development isn’t complete until our mid 20’s, but I recommend working with your health care provider on the best decision for you. Good luck!
Do you have to do the pubertal suppression before hitting puberty?
No, but starting blockers earlier in puberty allows a person to avoid all of the changes (such as developing facial hair for a male to female transition or avoiding full breast development for a female to male transition) that go along with puberty.
Hello, you do have to start puberty before it’s safe to use the pubertal blockers. The medical provider managing your gender transition can determine if a person has started puberty in a few ways: a physical exam, looking for specific signs of puberty (like hair growth, genital development, breast development) or a series of laboratory tests. Pubertal blockers are used to put a pause on puberty, so they work by pausing the hormone changes before puberty is completed.
What age do you have to start getting testosterone, I’m 14 and don’t want to go through puberty again!
In general, starting cross-sex hormones is recommended around age 16, but this can vary based on your exam and a discussion with your medical provider. For people who have started puberty, but haven’t completed it, they may recommend a pubertal blocker. These are medications that can halt puberty until you’re old enough to start cross-sex hormones.
My child is FTM transgender. While I am supportive and as open as I can be (I have a ways to go, but I am trying to learn and understand).
If my child wants to explore testosterone, what would you suggest as a good first step?
I think counseling is in order, and probably required, but I also want to find a counselor with my child’s best interests at heart, and no agenda for or against this decision.
I don’t want someone who will sway my child, but rather let him make his own decisions and help me to KNOW he is ready and it is right for him.
Can you suggest local resources? We are in Michigan.
Your child is fortunate to have you as a supportive and loving parent! I agree that a first step is find a counselor your child feels comfortable with and trusts. They will need support in determining what will best suit their needs in the future. I don’t have any contacts in Michigan, but one place to start is psychology today. The website lists different therapists with a bio and picture. Sit down with your child and look through the profiles for someone who seems approachable (and takes your insurance) then check out their website. Here’s what I found in Michigan: https://therapists.psychologytoday.com/rms/prof_results.php?state=MI&spec=187
so im 16 and want to get on the male to female hormone pills but i live on my own what can i do to start, and seance i live on my own do i have to have parent consent.
Hello, if you have a primary care provider or access to a clinic that offers expertise in transgender care, I would start with making an appointment there. Different states have differing laws on the legal age of consent as well as what counts as an emancipated minor (if you were an emancipated minor, you can consent to medical treatment without a parent) for certain types of care, so your doctor’s office can help navigate this. Best of luck!!
Hello! My parents have agreed to letting me get hrt, but we have no idea how to approach the subject. None of us go to Seattle Children’s Hospital, and we want to know how to access hrt. Thank you so much!
Hello to you! If you have a primary care provider, have your parents call to ask for a referral to the adolescent medicine clinic to discuss gender. The referral will get you set up with the appropriate providers.
How old do I have to be to get this? Would 14 years old be too young, even if I had parental consent? We were thinking about getting hrt at a Planned Parenthood clinic instead of the normal doctor’s to avoid the cost of the therapist, but would my parents have to be there with me, or could I go in on my own with their signatures?
The decision to start hormone therapy is based on a number of things: age of medical consent, engagement and readiness to start, and some physical things such as stable labs and progression through puberty. In general, most people have just about completed the majority of pubertal development around age 16, but some are earlier and others are later. The final decision will be made by you, your legal guardian if under 18, and your provider.
I’m seventeen & want to begin hormone therapy, my mothers says that when we talk to our doctor that she’ll give her consent so I can take testosterone without a letter from a therapist. Can the doctor still say no if my mother gives her consent?
If your mom provides consent and you talk with the doctor about starting hormone therapy, the decision to start will be up to you and your doctor. Some providers ask for a letter from your therapist, others ask that you be engaged in therapy. I’d encourage you to ask your provider what they require.
Hi,
I’m fifteen, and turn 16 in March— I want to go to an “Informed Consent” HRT clinic soon after my birthday. I have no idea how to introduce this topic to my Mother, and the only clinic that I’ve found is in Manhattan, a near half hour from me by car. My Mom’s insurance doesn’t everything, and she has the belief that I have to pay everything off myself, get my own transportation (Even though she’s really iffy about me travelling by myself).
How exactly do I go about this?
Hello, if you feel comfortable talking with your mom about the clinic, I’d encourage you to do so. If not, consider contacting the clinic to ask what the initial visit will consist of (how long will it be, will you meet a doctor or nurse, can they give an estimate of the charges or co-pay). Then call your insurance company to ask a similar set of questions and ask how much they’ll cover. Do all of this research before you go to the clinic. The number for your insurance is typically on the back on your (or your mom’s) insurance card.
All the best!
How do i convince my parents to start on T ….they think its not right for my age and that im not ready ….but im 16 im ready ik i am but how do i let them see and shos them that im ready …both of them are lesbians who think im weird …i need help anyone email me to Melissa.ambush@yahoo.com
Add me on kik Melissahrzd
I need to talk to someone …im having bad thoughts
First, do you have a trusted adult you can talk with? Everyone needs someone they feel confident can help if feeling down. If you don’t please do reach out to your local crisis line. Next, consider talking to your parents about the idea of having a medical appointment with a specialist who has expertise in gender and hormones. A visit with a specialist may answer many of the questions and concerns they may have.
Show ****typo
Hello,
I’m 16, and would like to start hormone therapy. My mother is not supportive at all and my father is semi-supportive. My insurance is through my father, and I have a job and could potentially pay for it myself. I live with my mother. Is it possible to start hormone therapy without my mother’s consent? I’m also unsure of clinics that specialize in this kind of thing nearby. I’m in Boise, Idaho. Thank you
The first step is to have a visit with your provider and a supportive parent. The provider can work with your mom on the insurance piece. I’m not aware of a specific clinic in Idaho, but this is something your primary care provider’s office may be able to help you explore. Another option would be asking a therapist if they know of medical providers who offer care for transgender youth.
Hello Im 19, and Im wondering if it is ever too late to start Hormone therapy.
I havent come out to my parents yet because I know they wont be supportive and Im just worried that i’ll be too old to ever do T injections when I move out..is that a thing I should be concerned about?
Thank you,
Luke.
Thank you for your comment, an individual can start hormone therapy as an adult. The outcomes may vary (for example, you won’t achieve additional height) but starting testosterone as a 19 year old can still lead to changes such as hair growth, changes in voice, etc. I’d recommend checking in with a health care provider with expertise in transgender health.
Im biologically a female but for am a while I have felt uncomfortable in my body and want to be male. So I am going to come out soon but I want to know all the strips to transitioning so im ready for any questions my family has and and want it to start now because life is short and i want mine to finally start as the real me.
Everyone’s journey of transition is different. In general people describe first identifying their preferred gender, their preferred pronouns, then speaking with trusted people in their life. They may then decide on a preferred name. From a physical stand point, people often adapt their clothing style and hair to fit their gender. I’d encourage you to seek out a therapist who can help support you along the way.
The medical process is the last step. Some people chose to seek medical intervention with cross-sex hormone therapy and some do not. If so, they need to meet with a medical provider for a general physical exam and history. The provider may check labs (blood work) to look at cholesterol, liver function, and other health indicators. After evaluation and coordination with your, parent (if under age 18), and therapist your medical provider can work with you on hormone therapy.
Hope this helps!
Hello, I am an 18 year old FtM, and I would like to know more about HRT and whether the transition is truly what I need. I have had gender dysphoria fro a long while now, and have only just fully understood what the feeling was. I had confided in one of my older siblings, and he told me it would be detrimental to my health if I started the process at my age, to wait until 25. I have also asked a few of my friends, who are also trans, and they have told me otherwise. Finally, your comments have solidified that what my sibling said was false. If you would be so kind, do you know any facilities or therapists that will help me in South Carolina? Along with how to manage the costs? I would greatly appreciate it.
Thanks,
Peryton
While I don’t know of any specific providers or facilities in South Carolina, I’d encourage you to look at the WPATH website and use their ‘find a professional’ search tool. Another option is to call your insurance carrier and ask for a list of providers who are ‘in network’ who specialize in transgender health. I wish you well!!
Im almost 13 and my family doesn’t really support me. i want to start on Hormone therapy but im not sure what to do. They think it is just a phase im going through. i want them to understand who i am, and want them to acknowledge me for who i am. I was wondering how should i get them to understand me, and let me able to transition. However with the T and puberty blockers im not sure what requirement i need to meet. Unfortunately i have been going through puberty for three years and wear a 40D. I want to get a chest binder, however when i brought it up they told me they didnt want to waste money on something like that. Its hard because i have depression and anxiety going through this makes it worse. Can you suggest anything for me to do in my predicament, because i sure cant think of much. I would much appreciate it.
-Arden Davis
Thank you for bravely reaching out to ask for support. If your mood is impacting your day to day please seek help and support from your primary care provider, your therapist, or trusted adult in your life. A supportive sports bra may be a place to start that family could be comfortable purchasing for you or, if you’re having back pain due to a large chest, it is reasonable to ask to see a breast specialist for ideas on support too.
I’m not sure if this is early enough to help, but two sports bras can help. You put one bra on like you normally would, then one on backwards. Layering also helps, as well as wearing certain colours of shirts (I hear black is the most flattening, and stripes help as well). Talk to a therapist. Even someone who doesn’t specialize in transpeople healthcare can help you. They can confirm your gender dysphoria (since it’s still considered a medical condition and there are certain “guidelines” on it), or confirm that it isn’t a phase.
Hello, I’m thirteen and I’m looking into getting stuff that’ll boost testosterone and supplemental hormones. With my dad being supportive, he says he will NOT allow it until I’m an adult, because he thinks that I’m “still developing. All I am asking is, would you recommend such thing? Answer truthfully please!
It sounds like your dad is supportive of you, but has some legitimate safety concerns related to your health. If you can, I strongly recommend you and your dad have a consultation visit with a health care team that specializes in transgender health in order to answer both of your questions and talk about the risks and benefits specific to you.
Hi there!
My parents are not supportive of my gender identity and will not allow me to bind or receive hormone therapy. Is there any way I could bind without a binder and deepen my voice? Thanks!
I’m sorry you don’t feel supported at home. I don’t know of a way to deepen your voice. Depending on chest size, a well fitted sports bra or ace bandaging are some ways that can lead to flatter appearance of the chest.
Do NOT use ACE bandages. They can and most likely will damage your ribs/ chest area. This can possibly prevent you from later on being able to have top surgery. You can, however, try layering up two sports bra, one on normally and one backwards. I’ve also seen some homemade binders out of stomach compressors. Voice deepening pre-T can take a long time (trust me, I’ve been out for a year and my voice is still high!), but it is possible. The main things I’ve seen people doing are as follows 1)Singing the /deeper/ male parts in songs 2)humming as deeply as possible for a minute or so each day 3)simply practicing talking from your lower chest instead of your throat.
Hey Matthew my name is Matthew there is 1 way that I know how to deepen your voice is to tighten your throught and talk now this will take about 2-6 wreks to deepen your voice hope this helped
Now binding without a binder is a litle bit more difficult, when I first started binding without a binder I wore 2 sportsbras this method only works with a small chest
I hope my information helped you
Um, hey, I’m Jake and I’m 13 years old, I have type 1 diabetes and I want to start Testosterone Shots, but, I don’t know how it would affect my diabetes (if it does at all), and I wanted to see if you possibly knew…please reply when you get the time, thank you.
Hi Jake, you can start testosterone if you have type 1 diabetes. Checking in with your diabetes management team is a good idea in general as the changes your body goes through during puberty can lead to the need to adjust your insulin doses.
Hi (I’m 15 years olds) I’ve been looking for a good gender therapist in the metro area (Michigan) and I can’t really find a good one do you have any suggestions?
Finding a therapist can be really hard. Some ideas include: reach out to the local PFLAG chapter to ask if they have any resources, call your insurance company to ask them if they can give you a list of providers who are in network and specialize in transgender health, look on the WPATH.org website for their list of professionals. Good luck to you!
Hi,
Im just now planning on coming out to my mom and I have been do research and I was wondering if I had to go through gender therapy. I have questioned my gender for three years and Im only 13. I didn’t really understand what I was feeling at first. Also can I get a little summary of the process from therapy to shots….
Thanks 🙂
Hello, the process will vary depending on what you, your mom, and your health care team decide. If you’re very early in the physical changes of puberty, your health care team may decide on using pubertal blockers, or medicines that will ‘push pause’ on puberty for a bit, then proceed with cross-sex hormones in a few years (either testosterone if transition from female to male or estrogen if transition from male to female). There are different ways to take these medications. Since you said shots, I’m assuming you mean testosterone. This may be given as a shot, gel, or patch. If you and your health care team decide on the shot, the team will likely show you and your mom how to give these at home.
Hi, just wondering, is it easy to pass as a male if no hormones were taken in the pubescent time period ..? I’m 14 and unsure what to to but I know I’m not comfortable.. If I wait until I’m 18 will that affect the outcome of the transition?
Thanks
Hey! I recently asked my parents if I can start testosterone when I’m 16 and I’m 14 right now. They think that I wouldn’t be fully developed and that they will get in trouble. Is it true that they could get in trouble? Is it okay to start when you’re 16? If it helps I live In Canada. It would be amazing if you could reply ASAP
Hello!
I am a 17 year old transman who lives in New York. I have been out as transgender publically and with my family for awhile and i have been seeing a counsellor often. I guess my question is what kind of health professional is acceptable to write a letter of recommendation for T? Does a counsellor count or must it be a therapist? I just am not sure what my next step is to get on hormones. Thank you!
It depends on the place you go to. Some places require a letter of recommendation from a psychiatrist, some places just require a signature, you should look around for endocrinologists that do what you’re looking for and call them, and ask around.
i am 17 and i am FTM Transgender I was wondering is it possible to start T before i am 18 without parent consent my patents dont support me
Hi,
I’m 15 years old. I am not currently out as transgender, because I would feel more comfortable talking to a professional before making a decision like that. But the thing is… my parents are very conservative. My step father has told me many times that he would bad me from the house if I became “LGBTQ Scum”…. Is there any way I can see a gender therapist for free or on my own?
Hey! My name is Derrick I’m female to male & was wondering if you had any recommendations of doctors in Parkersburg West Virginia , I was wanting to start T as soon as possible, I’m 16 & my parents will concent to the treatment to start , just need to find doctor for it, also do you know around the price range for the injections/shots?
Hi I’m Jason, I’m only 15 but for future reference I was wondering if you need a therapist to start T. I know it’s highly suggested because I’ll be going through many emotions and hardships, but i was wondering if I could just bring it up to my doctor and start that way? There just aren’t any gender therapists or any therapists for that matter where i live. So i figure going through my doctor would be easiest if possible.
Hello, I’m Ash(Originally Anna). I’ve recently turned thirteen (around two months ago) I’m ftm and I would like to start testosterone. (My mother has already made it clear she’d like to wait till I’m older to do any type of surgery, but she’s okay with me starting testosterone.) I was wondering how I would go about it, and if I would be old enough to go about it. I don’t really know a whole lot of the process that I’d need to do, and I’m extremely confused about it. Although I want to start soon, because I’ve been getting slightly disphoric about it recently. (Ive been pondering my gender identity for almost two years now, and since I’ve come to terms with it the dysphoria has begun)
I’m a transguy who’s 15. In my state, I am able to get T with parental consent. My birth mother is supportive but my birthfather is not. My mom has nearly full custody of me, so I don’t think that that will be a problem. However, my step dad, who is supportive, says that he’s read papers about how T causes cancer. I did some research, but came up without a firm answer. I’m really dysphoric, and I don’t think I can really wait until I’m 18, and we don’t exactly have the money for hormone blockers. Do you have any resources that can help me prove to him that T doesn’t cause cancer?
Hi! I live in Bend Oregon,I’m not exactly sure what the guidelines are for T in my state but am I able to start T without parental consent?
I’m a transmale that’s 16 and I just started testosterone yesterday! They started me on 25mg biweekly, does that seem reasonable for a 5′ 102pound 16 year old? It seems like a lot of people I’ve talked to start on 25mg weekly or higher, am I starting low because of my age or size or what?
Hello! I’m Evelyn (Devin) and 13 y.o ftm. I haven’t come out to my parents yet, but based on their opinions of the trans community as a whole, they won’t be supportive. Is there any way, when I’m old enough, to get friends or friends’ parents to help me with getting access to testosterone and/or hormone blockers legally? Thanks! (P.S: I live in Oklahoma)
Hi I am Trent (female name Taryn) I am 12 years old and live in the US I want to know if I can start t at twelve and my parents don’t support me at all have as advice for me?
Hi! So I’ve just come out to my close friends and family, but I’ve only recently turned 13. Is this too young to start doing anything? I just would like to start the process as soon as I possibly can. Also, is it going to affect anything that I’ve started puberty? I’m just terrorfied of turning into a woman.
I’m having trouble finding a therapist near me and I don’t understand much about the process. Any help would be great.
Hello my names Charlie, im 15 and would like to start Hrt the only issue is that my parents are divorced and i am currently living with my sister. My dad completely disagrees with me being trans and or anything trans related at all, while my mother is pretty accepting of it and my sister is the most supportive one out of my family so far hence why i am living with her at the moment. So my sister does not have custody or guardianship of me, only my mom and dad do. I believe they both have joint custody of me mainly because ive always lived with my mom and went to my dads on the weekends or on school breaks untill recent years. My sister agrees and would let me start hormone replacement therapy if she had guardianship of me but because she doesn’t that sadly isn’t an option, I had planned on talking to my mom about it but i am unsure if it would require consent from both of my parents or simply just one. I have done as much research as i can about hormone replacement therapy and know all the effects and risk of it and i truly feel like it is something that will help me with my transition. I am currently living in Oklahoma and im curious if you have any information or advice about parental consent for hrt that could be useful, Please and thank you. Charlie
Hi I’m Alex and I’m 15 , I need to know if it’s possible to transition MTF without parental consent, my parents have stated above and beyond that they hate trans people with every fiber of their being. Please help me PS I live in tx and I haven’t been able to find any places that could help
is 12 years old to young to start T? I figured it would be but it’s also the age most guys start puberty so I figured it would be ok but I don’t really know
A medical professional will need to complete an assessment to determine if your body is healthy to start hormone treatment and assess how far through puberty your body has progressed. At age 12, your medical provider may offer to pause puberty with a pubertal blocker. The best thing to do is to find a health care provider to guide you through your options.
hey i’m junior , i’m 15 about to be 16 my mom knows i like dressing like a boy and i wear a hat to hide my hair all the time , but i’ve never brought up the fact that i’d like to take hormones to change from FTM because i am so tried of my body and i have no idea how to bring it up or tell her
Hello junior, do you have someone who could help you with the conversation, such as a doctor, a therapist, or a trusted adult? There are multiple options for starting the conversation… you could set a date/time and ask your mom to also set the time aside to talk; ask a trusted adult to tell her with you present or ask a trusted adult to tell her with you in a separate room. If you have a therapist, they can help guide you on how to bring it up in a way that is comfortable for you.
i guess my question is how would be a good way to go about this , to talk to her in a way she will understand and not shut me down
Hey there. My name’s Alex. I’m 15 and from Ohio. My first gender clinic appointment is in just two days and I’ve been getting really anxious for it. Any tips on how to go about it? I have no idea what to expect. Also, just a quick question regarding starting testosterone & parental consent. Is it necessary for both of your parents to give consent for you to start testosterone? My mother already told me she would be okay with it but I don’t have any means of communication with my father and I know he would never allow it. Any advice?
Hello Alex, I hope your first appointment goes well. The first visit, your provider will likely take time to get to know you. It’s an opportunity for you to ask questions such as the one you’ve asked about parental consent. My advice would be to consider writing down your questions ahead of time and asking for a written summary at the end of the visit.
I’m ftm 15 and will be turning 16 in 3 months. I was wondering how many parents you need to consent for T. My mother is supportive but the issue is that my mom and dad are devoriced. I live in washington and idk if i have to wait any longer then i have to. If only my mother has to agree then i can start T in feb. but if not then i wait longer. Help?
My son is FTM and is in the beginning stages of puberty. He is working with a clinic and therapist but I am curious, what happens if he starts his menstrual cycle before they start the blockers? Can he still get blockers?
For a few years I have hated my body, how I look, having breasts, a butt, and other girly parts about myself. For years I’ve hidden it from my family, but last year I told my parents, and they were not supportive at all. Since then, I’ve been trying to accept my body and such, I’ve tried make-up, losing weight, eating healthier, buying girly clothes, trying to make myself feel better about myself and my body. People have told me I look better and that I’ve improved and such from last year. But I hate it, every time I step into a store I want to walk into the mens section and buy clothes from there. I want to buy men’s underwear, I even use my dad’s deodorant every day as well as his body sprays. At some point in time I was researching things on crossdressing, and almost bought a binder,only problem being I had no where to buy it. I’ve even had dreams where I’m a male and wake up crying because that’s what I want, so badly. There’ll be days that all I think about is being a guy and transitioning. I’ve looked up if my insurance covers it, and if I reach the requirments I could go through with it. However, I want to go through it now, mainly because I don’t want to wait until after 18 because I feel like it’d be too late, if that makes sense. Also, a question. Acoording to the above, do I seem trans and suc?
I’m not out to my parents, and only three people know about my want to transition. However, sometimes I doubt myself. Some days I’ll be fine as a girl, Like I’ll be ok with how I look and my body, I’m not overjoyed by it, just okay. Then other times I’m looking up things like crossdressing, short hair cuts(I actually do this a lot), guys clothes and such like that, including FTM videos and before an afters of testosterone. Sometimes there’s a crushing, hurting feeling of want, that I want to transition. But I doubt myself. I think it’s because as of now, I have long hair and have more girly clothes, however, if I bought my own clothes, on my own, I would more likely than not buy men’s Clothes because I identify and like them better. But since I don’t have a short hair or look like s boy or have that overwhelming insanely drive to transition all of the time, I think I’m doubting myself U self. Maybe it’s because I know it’s a huge decsision?? But I don’t want to trick myself into believe that I want this If I might not want it. I know I want my hair cut short, and that I like wearin mens clothes and such, and that I don’t like my body. Is this why I probably need to go to a therapist or something, to help me sort all of this out and know what I want?
Hey I’m a 11 years old and I just told my mother and Brother that I wanted top surgery and I feel that the were okay with it because when they talked with me they were calm and I really hope they will let me get the surgery in the summer I am try to look for a female surgeon in New Mexico.
hey uh,, my question is sorta weird?? im um,, agender,, neither male nor female, and i was wondering
is there a way to get a balance of hormones? rather than just becoming male or female ?
i mean i guess i could just go with testosterone for a while or something? though im trying to find a place to start- anyone near fairhope, alabama i can go to ?
I have a question…
I’m 15 years old at the moment. Biologically I’m a girl. But i really want to be a guy… at what age can you remove your breasts? I live in the Netherlands… So because of where i live, i don’t know if you can answer hope you’ll answer.
Byeeee!
Hello, I’m a 14 year old girl, I’ve been thinking about this for a while. But my mum doesn’t know that I wanna become a guy and I know she probably won’t accept me but that’s not the point. I live in Florida and we have insurance, do you know by any chance that the florida health plan will pay for the testosterone shots? Or is it just cash?
Hi Im 16FTM and was wondering what where my options on how to start the process for hormone therapy.
I am 16 years old and was wondering about the Tshots because my friend is taking them… Am i able to take them at anytime? Where can i get them and how much are they because i cant seem to find them anywhere.. Am i able to buy online??
Hey, I was just wondering if it is ever too late to start testosterone or other treatments of the sort? I’m 15, sixteen in April, however my parents aren’t exactly supportive so I wouldn’t be able to get their consent, and since I want to go to University when I am older, I don’t want to risk losing their support in funding that. Hence, I would have to wait to do anything of the sort until I’ve finished school, continued my education elsewhere, and had degrees etc sorted. If I’m right, by the courses I’ve chosen that means the earliest I’d really be able to do this is my early 20-s, is that too late?
Hi my name is Amal from dracut, massachusetts and im 17 years old turning 18 in 3 weeks i am a transgender male. My family doesnt support me whats so ever and its hard for me to be myself in the household in school my friends and teacher support me whichb is good at least biut but question is do I need my insurance info to start taking the T shot and whats the process to start everything with my transition with myself?
how often are the patches prescribed and under what circumstances would the doctor provide them instead of the shots? I’m 14 and am going to start the physical transitioning process soon but I’m scared of needles and am extremely worried about taking a shot on a weekly basis (or however often it is.)
Hi. I am 14 years old and I feel like I would be much happier as a boy. I would like to tell my family but idk what to say or what to do because I don’t know how old I should be before I say anything. I really have no idea what I should do because I would love to be a boy and I hate being a girl but I don’t know if anyone would accept me. Please help!
Nathan, I came out in Alabama a little while ago and I am 12. I thought that I would get no support but I got so much of it and if you lose friends well you have to choose to be you or to be who your friends think you are. Good luck btw start with close friends then family it’s easier.
When is the earliest age you can take estrogen or horamone pills / is 12 to young?
Hello, the earliest age to start hormones depends on a number of things… if a person has already started puberty, what their screening labs look like, risk factors (including family history) of side effects. In general, medical providers tend to start hormone therapy around age 15 to 16. The safest thing to do is to meet with a medical provider who can complete a history and physical exam. All the best!
Hey, I’m Axel. I’m 11 (but ‘blessed’ with a mind far more mature than my age), FtM transgender, and a bit of a mess at this point in time. I’ve told my mother about my… Predicament, so to speak, and she’s very happy I’m figuring out who I am, and wants to make me happy and comfortable with myself. I have told my friends and am ecstatic that they are all supportive, and a few of the teachers (in the high school I attend). I am going to be referred, by one of my teachers, to a… School councillor-therapist-person of sorts? I don’t know their formal title, but something along the lines of the aforementioned nonsense. He deals with every and any problems the students of my high school may have, so he is not a gender-exclusive therapist. My mother also said that it’s probably worth getting referred (by a local GP (General Practitioner)) to a gender-exclusive therapist, one that the NHS will pay for, as my family is not one of the wealthiest, and could not possibly afford the expensive price of non-NHS therapy (for lack of better vocabulary). How exactly might I get referred to a therapist, for example, what would I say to the GP? And because of my age, would I be able to even start Testosterone (or even Blockers, although puberty has already happened; 3 years ago) within the next 3 years of my life? And what about surgeries?
Oh, just another thought. What actually happens in therapy?
Thank you so much for your time, and I am extremely grateful you have took the time helping me.
Thanks again, Axel.
Hi there. I am 16 years old, turning 17 tomorrow, and I am a transgender male. I also have a twin who is also transgender. Recently, I went to a hormone specialist for birth control, and my being transgender was brought up by my mom. The doctor said that she will look into transitioning in May, or helping or whatever. My question(s) are, do you know any centers for transistioning in the Detroit area? And my dad has custody of me and my twin brother. But he is just semi-supportive. My mom is supportive of transitioning and I was wondering if you need your parent who has custody of you to sign off for starting testosterone? Thank you
Hello, I was wondering if I could take testosterone (I’m FTM) at age 15 in England? Also would I have to start hormone blockers first or need my parents permission, as I’m not 18, to start testosterone?
~ Thanks in advance.
I’m turning 15 this year and the only people I’ve come out to are my friends. At what age can you set up T appointments without an adult?
Hey.. I am only 15 but would like to start making a FTM gender change.. My mother is very very strong christian and disagrees with everything completely and my father follows her like a puppy. I have never felt right as a girl and have always felt more comfortable playing the “prince” or a male character in games.. How much of FTM transitioning do i need parental consent for?
I’ve searched around a bit and haven’t really found a definitive answer so I was hoping maybe someone on here could help me? ;;
I’m about to turn 17 and I live in South Carolina. The age of majority here is 17, but I’m not sure if that would apply for T since everyone says you have to be 18. I’m not sure if that’s just because in most states it’s 18, or if hormones are different or what.
Also, does where I live effect it? like, if I’m 17 and I still live with the people who don’t support me, would I still be able to legally get hormones for myself at 17?
I know, I hear this all the time. I’m 13, but I know I’m trans. I was wondering, how would I get testosterone, if my parents are transphobic, and do not accept my decision?
Hey, I’m 14 and I am going to get a chest binder soon but the thing is, my mother is very unsupportive of anything having to do with LGBT+ so she refuses to even have dialogue with me about me being a trans male. I really want to get started on the T shot but… I can’t. I probably won’t until I’m around at least in my twenties. And to be honest, I’m on the verge of suicide because of how much emotional pain I’ve been in… How could I try to convince my mom to get me into gender therapy and getting the T shot?
My grandma was the same way and I know how you feel she was completely unsupportive at first I’ve always been her little girl but you just have to know their going through a lot as well I mean you know who you are but it’s new to them try sitting down and talking to her tell her your not comfortable living life in the wrong body and tell her how it’s affected your life and how you think about life I’ve recently been told by my doctor that she couldn’t start me on T but that she would look around for a doctor that can and maybe your mom will understand how hard it is for you to live life in the wrong body
im 16 almost 17, i live in alberta so im not sure if youd be able to give me any information that would be helpful. I want to go to a gender clinic but im not sure how to go about doing that. And I dont want to tell my mother that im trans because i told her i was non binary when i was 14 or 15. This was back when i was questioning and now im very sure im a boy. She told me not to destroy my body and that i shouldnt remove my breasts. So telling her would get a bad reaction.
Hello. I’m currently 13 and I know for a fact that I am a trans male. I’ve been trying to get ahold of a binder, but I’ve had no luck.
I really want to start T, but my parents are completely unsupportive of the idea of me being trans. They feel I should be their perfect, straight, little Christian girl. But I’m not.
Is there any way to get me to start T without my parents knowing?
Levi,
i understand your desire to transition, however i will caution you not to reach out or search for Testosterone related product on the internet. Start by finding a supportive counselor.
Yes, you need parental permission to receive Testosterone treatment.
I dont know where you are located but maybe PFLAG exists near you.
It takes time for family members to reach the “acceptance”….remember, the whole family is transitioning.
Good luck
stay informed
Dr potter
Hi, I’d like to know about packing. What age is a good time to start, even if a child feels dysphoria (correct me if I’m wrong) at the age of 12. Would they wait to get a proper packer or is that a good age?
hello,
okay so i am currently moving into a more accepting environment and am wondering about the process as a whole for minors. i’ve done extensive research but it is all very dependent on where you live etc. I am moving into the Evans/Augusta, Georgia area and was wondering if you could give me some insight as to what it would be like beginning transitioning and lgbt centers in the area (really where to start, who to go to and all that).
-v
Good luck on your move. I’d encourage looking for your local PFLAG chapter to see what resources are available. You can also check the WPATH website to see if they have resources or providers listed in your area.
Hi! My name is Riley and I’m a 13 year old FtM kid. I’m trying to convince my parents to let me get on blockers/T but I don’t know where to start looking for a therapist to show them since in Florida I’m pretty sure you need a note from a therapist. Do you have any tips for where to start searching?
If you have a trusted health care provider (such as a pediatrician) you could start there. Ask to speak with them for a few minutes alone if you’re worried you may not be able to ask questions.
Hi, I am a 14 year old ftm, I really want to start T, and my parent is completely accepting of me being trans but we’re just a little lost on where to find a therapist to help me take my next step in transitioning, because, we live in a small town in Texas called Big Spring, and I’ve been trying to look but I am so lost!! any recommendations?
One option is to start by contacting your insurance provider to ask if they have any recommendations for therapists with expertise in gender identity who are in your area. If they don’t, you can ask for therapists who work with teens, then ask those therapists for recommendations (via phone). You can also try the WPATH website for providers nearby or look to local pediatric hospitals to see if they offer gender clinic services or have resources. Good luck!
Hey I’m 14 and Non binary, I’m wondering if I could take t for a wanted amount of time? I don’t identify as male so I don’t really feel the need to take testosterone for the rest of my life. Can I get off t when I feel comfortable?
Hello, your body is yours alone. Once you’re old enough to consent for care, Work with your health care and behavioral health providers on a plan that is specific to your needs. Ask about the risks and benefits as well as what would happen if you start a hormone or stop it. Ask which effects are reversible and which are not.
I’m 14 does anyone know of any doctors in the Oklahoma city area that can and will prescribe testosterone to me?
if you have a doctor you visit or “gp” then go to them
in olkahoma city yes there is https://therapists.psychologytoday.com/rms/prof_results.php?city=Oklahoma+City&state=OK&spec=187
this might help these are in Oklahoma city.
I’d like to know if starting estrogen blockers are mandatory before starting T and if it would have any negative or positive effects to starting them?
I’m 13 and gender fluid, I want to get top surgery and start T but I don’t want bottom surgery. Do I have to get bottom surgery if I start T?
No you don’t have to have bottom surgery it’s your choice just like you don’t have to have top surgery you can stick with a binder but if your binding be sure to look up the health risk the only thing is I’m pretty sure you have to take T for I think 6 month before you can get top surgery
Hi Alex!
No of course you don’t have to get bottom surgery. No one is obligated to. I have a gender fluid friend who is in your exact situation. He started T about a year ago and got top surgery somewhere along the line and he is in love with his new body. He does not need or desire bottom surgery ever. I hope this helped! Safe journies, Alex!
to alex no you don’t have to but you need to be the age of al least 16 to get top surgery if your parents are agreeing with you to get top surgery then you can get it at 14 but with a parents consent if your sure about getting top surgery then go and visit your doctor.but the answer to your question is no you can get it even without T.I’m transgender,mtf,14 but u wont need it no.
if you feel sure about it then go ahead but no you don’t have to.
xx steph
Do you know of any good people in Milwaukee Wisconsin that will take younger patients? I’m looking to start T but I can’t really find anyone and I’m 14 and it’s kinda hard for me to look when I’m not 100% sire who I should go to.
Hi, my name is willow. i am 12 years old and i was born as a girl. i really want to go transsexual. am i old enough? i really hope i am cus i hate my body and i dont feel right in it. if so, i am moving to ashland, oregon in a few months. do u know where or how i could get started in this there? if not how old do i have to be?
I’m only 12 but I was wondering if that would be to early to to a testosterone treatment???
Could you start testosterone at the age of 14?
I started female puberty at the age of 8 and I can’t wait any longer.
Hormone blockers wouldn’t do anything. It’s too late.
So would it be possible to start testosterone at 14 in the UK?
Is 12 to young to start tetesterone in Canada?
I do not know the guidelines in Canada, but in general health care providers tend to provide hormones during the later teen years (~ 16)
Can you start hrt with a therapist letter under 18 with only one of your parents agreeing? My mom seems to be a little supportive and I think she will say that I can but I don’t think my dad would be as supportive. Do i need both of their permission? I live with my mom right now and my dad is living in a different house, they aren’t divorced but they are separated.
Yes, if you and your prescribing provider agree you are ready to start hormone treatment, you can start under age 18.
I am 15 years old and I am really wanting to start hormone therapy. I’ve read a lot about it and my therapist and I feel it is a great option for me. However, my parents don’t agree with me, and they believe that who I am is wrong and that I’m just trying to follow a trend. Is there any way I can start hormone therapy with the permission of another adult besides my parents? My 19 year old brother, perhaps? Any answer may be helpful in figuring this out. Thanks
Hello, unfortunately if you’re under 18, unless you have a legal approval (your brother is granted guardianship by a judge as an example), your legal guardians will have to consent for medical treatment/intervention. I would encourage you to work with your therapist on a plan and seek out providers who can help guide your parents if you feel comfortable doing so.
Hi, I live in oregon near the portland-beaverton area
And I’m currently 15 almost 16
Anyone know any doctors near me that can prescribe hormone pills to me?
Can’t wait!
-Jayce
Doernbecher Children’s Hospital offers Adolescent Medicine services. That’s a good place to start near you.
Dr. Evans
I’m wondering how do I start off. Like my parentsn aren’t supportive at all and I’m getting really depressed lately about my self. I’m 17 year old and I’m have known imwas trans since preschool I’m adopt so it make it alot harder. How do I start to get on t
Hi Cam, I’m sorry you don’t feel like you have the support of your parents. Are there other adults in your life who you can confide in? A counselor? Close family friend? Do you have access to any local resources for transgender/gender non-conforming individuals such as a local PFLAG chapter or a school based GSA? Starting testosterone, your provider will ask that you have a solid support network in place to help you through the transition. In the US, all states have consent laws in place. For medical concerns, such as starting cross-sex hormone, you will need a parent or legal guardian to consent to medical care until age 18 or legal emancipation. Confidentiality laws usually apply to mental health, substance use, and reproductive health (birth control and STD testing/treatment).
hi I am 14 turning 15 and my parents don’t approve of me even think about becoming a guy but I want too and I wanted to know if I’m too young if I should wait till I’m 17 and a half I wanted to know in peoples opinion should i just wait or in a year ask again?
I was wondering do u need to have both of your parents’ permission to start hrt? Or do u need only one of them? I live in Indiana if that makes a difference with rules or anything like that.
Hi. My name is Sophie and I’m having some gender identity issues. I was born female but I feel more male than female and thinking of starting testosterone. I’m 13 years old, around 90 pounds, and 5 feet tall. How old will I have to be to start testosterone and where can I get it?
I’m in a bit of a twisted up situation. My sister is my legal guardian but my parents still have parental rights. While my sister is very supportive my mother doesnt want me on hormones. Am I still able to get on T?
Whomever has medical decision making capacity will be the individual(s) who will need to consent to hormone therapy. If your sister is legal guardian and is the individual who legally can consent to your medical care, she would be the person who would have to consent to the medical treatment. If your parents are the ones who consent to your medical care, they will be the ones who will need to consent to your medical care.
Hi, I’m ian from Indonesia
Right now I’m on T for 3 months and using sustanon 250 since in here the doctors prescribed us with it.
I started to have so much acnes on my back.
I want to know, how do we know if the hormone isn’t fit for us or should I change the sustanon with another type?
Thank you
Hello Ian, acne is a side effect of testosterone therapy. Talk with your prescribing provider about it. They may be able to offer medication to manage the acne.
Are you able to start testosterone if you haven’t hit puberty yet? I am 15 almost 16 and I haven’t hit puberty yet (my family are late “bloomers”) but I want to start testosterone would I be able to?
Your health care provider who prescribes hormone treatment will need to assess how your body has progressed through puberty. In order to start hormones a person does have to be at a certain point in development (even to start puberty blockers a person has to have reached a certain level of growth). So it will ultimately be at the discretion of your health care provider if they feel your body is safe to start hormones.
I have a question, what age do you have to take t in Canada?
Can I get on Hormone Blockers at age 14?
Hi, I’m Al.
I’m 17 years old and I wanted to know if I needed my mom’s consent in starting T. I’m in the closet right now. Or do I need to wait one more year?
Also, is the in-depth evaluation with a psychologist or psychiatrist for?
So im 17 years old and i want to start testosterone. Do i have to have both my parents permission to start it?
What age is it legal to start transitioning? I’m trans FtM and my mam supports me, but my dad doesn’t know yet. If I was legal to transition (I’m fourteen) would I need both parents’ permission?
I am the mother of child that was born female and identifies as male. He would like to start taking Hormone suppressors and binding. How long can a teen safely be on hormone blockers before they begin hormone therapy?
If I get emancipated at the age of fifteen can I start testosterone by my own will or will I still need parental consent? Also if I need parental consent is it mandatory for both parents consent or can my primary parent only consent? Ex: I’ve lived with my mother my whole life, but my father still has parental rights. Can my mom give consent and that’ll be enough or do I need consent from both parents still?
Hello,
My name is Michael, I live in North Carolina and I was wondering what age you would have to be to start testosterone.
Hi, I’m Noel and I am 16 years old. I live in Austin, TX and I want to start testosterone but idk how to start or find any doctors in my area. Also idk how much it would cost if I could get someone willing to give hrt therapy to a minor.
Hello, My name is Kuma and I’m 17 years old. I am ftm but I have no idea where to start on transitioning and things like that because I wanted to get my name changed to this permanently but I hear it makes people confused or hard to believe on official documents. Can someone tell me what direction I should take in addition to living in Ohio looking for a doctor and a therapist for this?
I was wondering if there are any in Ohio? If so, where in the state. Please, and thank you.
Okay so I’m 15 and pretty sure I’m trans (havent told my mom but) what would ftm therapy do about someone that already has fully developed breasts?
And same thing about the doctor and therapist, but for Illinois??
Hello, hormone therapy for someone transitioning from ftm would not change breast development. Use of a chest binder that fits (not too small as this can lead to lung collapse) is a start. Ultimately, surgical intervention would be needed to remove breast tissue.
I recommend reaching out to your primary care provider for resources in your area. If they are not available or not supportive, consider a local PFLAG chapter to ask for resources in the community.
Hey, I’m a 13 year old Transgender kid living in India. I just wanted to know whether I’m allowed to transition at this age and which doctor I should I go to.
Hey Im Max and I’m 12 and I was wondering if I could start on testosterone yet… I live in San Antonio, Texas….. I would like to have top surgery but I’m afraid i may be too young…. Please help me figure this out.
i live in Sabah,Malaysia.where do i get this Gender doc or whtever and the testerone?
I have a situation I don’t know to deal with. So basically, I told my parents I’m transgender and they are both okay with it. However, they believe I am too young to get T. I am 14 years old. I have known I was Trans for over 2 years now and they said that I should wait until I am 18 to be completely sure i want to go through with it, and they said something about it being damaging when you take it when you are younger. I do not know if this is true or not, but I am completely sure I am trans. The longer I wait, the more stressed I get. I don’t think I would be able to wait that long, seeing how much I am struggling now. Any advice?
Hi,
i am 14 and i was wondering if i had to get parental permission to get testosterone or can i just go to a doctor and speak to them about it?
thank you! 🙂
I was wondering, since I’m 18 I can start T without a parental consent right? Also where do I even begin? What are the 1st steps to being able to start Testosterone?
Please get back to me soon.
Thank you
Hi, I am 14 and came out my my parents about being FTM transgender and I was wondering how old I have to be to starts Testosterone
Hey, so I live in Colorado, and I’m fourteen. I came out to my parents as FTM a year or so ago, but how old do I have to be to start testosterone?
Heyo! I turn 16 last December and I was wondering if I could well… take terestrone and such without my parents consent… i havnt came out to my family at all… and I’ve know who I am since I was 13 … I just came out to my friends at school though about a half year ago… I dont think I’ll ever come out to my family … bleh.. but is it true about 16 may be to late for hormones? … can I do it without my family knowing?
Hiya! I just had a question.. I’m a 14 yr old FTM and my whole neighborhood (aka everyone I’ve known since I was born) is Mormon so I’m not sure if they would accept me anymore if I came out. I’m really close to all of them but I really want to live as a male. I have heard some of them discussing homosexuality and they said it was a sin. Also my whole family, including relatives, are Mormon and one of them is like extremely Mormon so… yeah. I’m afraid I would lose a lot of the people I would love if I came out. Any advice?
Hello, i have scoliosis and I was wondering if I’d be safe to bind. my curve is an s shape and im facing surgery. Now if I did get surgery would I be able to bind and start testosterone? And could I start testosterone now to? Or would it worsen my spine. please if anyone can help I would be very greatful.
Hey, I’m a 13 year old FTM transgender. I am in foster care and my family I’m staying with is very supportive. I’ve known I was different since I was around 3. I am currently dating a boy and often times I worry I’m not masculine enough for him. I have never had an appointment with a gender therapist but I just need to start testosterone. Would it be ok to start testosterone enhancing pills they sell at the store or no? What could I do for a deeper voice? I’m tying to pass but I cant. How do I look masculine? I am currently binding and tbh I never follow the rules, I bind from when I wake up until I go to sleep or else I just wanna die because my chest isn’t flat. When can I start testosterone?
hello! so i’m 14 and ftm transgender. i’m out to my parents and pretty much everyone else as of a few months ago. i was wondering if now is too young to start testosterone or not, as i’ve already finished puberty. i started developing breasts at age 7 and i started my period at 11, and my breasts haven’t grown larger (i’m a C cup) in over three years. i’ve kind of always knew i was trans, but i wasn’t able to put a name to it until four years ago. from a professional standpoint, do you think i would be able to start testosterone therapy at this age considering my past?
so, i’m currently 12 and turning 13 this year. i’ve felt out of place for a while ever since my moms boyfriend passed away, i wanted to be
do periods stops after hormone therapy
Hi my name is ALexis. I prefer Alex. I was wondering if 12 is too young to start T. Ohio is were I am currently.Do you know of any good places to get T or even good online T. Thanks
I’m ray and I’m 13,my counselor says it’s generally 14 and older,idk y but some ppl in other sites have said u have to be 16 or even 18+ like wut?? Anyway,I was wondering do I have to start suppressants or can I just go straight to T?