[–]polecater
what are the general health risks associated with being a man? thats basically what you face. in some cases, increased chance for blood clots due to increased red bloodcell count, but thats why you get blood tests done every 6-12 months or so, and in the rare case that happens there are treatments for it.
basically the only long term concern there might be is the chance for increased gynecological cancers, but if you get a hysterectomy before like your 40s you're good.
just sounds like there are some people trying to talk you out of it for their own purposes, and are trying to scare you. dont listen to them. do what is right for you and you alone
edit: also bone density changes are due to an excess of estrogen, or lack of any sex hormones at all, or if you're on progesterone.
idk who told you that, but sounds like they were quoting things that are mostly associated with trans women.
Testosterone may be protective against some reproductive cancers, or more precisely, estrogen suppression might be.
We don’t have a ton of good data though
Thank you! This is very reassuring. I know the people who told me that were only looking out for me but were misinformed I'll try talking to them about it
[–]ND8586
No health issues, 14 years on T.
I can't think of anyone I've ever known who has had health issues from T. Maybe it is possible but I imagine it must be very rare or as a result of some underlying condition.
Sounds like people have no idea what they are talking about/
sounds like people are trying to just talk you out of it
To be fair to OP, I've heard shit like this from actual doctors while in their office, more than once (yay for trans broken arm syndrome). It can be difficult to ignore it when it's coming from someone you're supposed to trust with your health. But yes, it's bullshit!
[–]almightypines
I’ve been on T for 20 years and I’m 40 years old. I haven’t had any health issues.
Many years ago there was a lot of fear mongering that T would cause reproductive cancers and it was highly advised to get a hysto by 5 years on T. We had basically no research at the time so
I guess people just made stuff up out of caution. Anyway, many years have passed, we have a lot more research now (although we still need much more) and
there isn’t any evidence that T causes cancer of any kind. I haven’t had any scares, and I know quite a few guys who are older and have been on T a long time who haven’t had any scares either that can attributed to T. I haven’t had a hysto and haven’t been encouraged to get one.
Being on T will also not weaken bones. That can happen if you don’t have any sex hormones in your body, estrogen or testosterone, though. If you have a hysto and have your ovaries removed, it’s highly encouraged that you’re on some form of hormone replacement. Probably all of us choose testosterone for obvious reasons.
As for liver issues, which often get mentioned also. T gel doesn’t have hepatic first pass metabolism and there’s some research that it’s safe for people with liver issues. Testosterone cypionate can have some risk to the liver, but
I’ve never heard of it happening to any trans guy I know, and that’s typically caused by high doses we’re not being prescribed. Historically, oral forms of T were considered risky to the liver and I suspect that’s how T got a general reputation for liver problems. There is a new an oral form of T called undecanoate, which has been found safe for the liver though.
Other than that, you’d be subject to the same health risks as cis men, particularly cardiovascular disease, high cholesterol, etc. But that can in most cases be managed easily enough with routine blood work (which you’ll be required to do anyway), lifestyle changes (diet, exercise), and medication. I’ve had high cholesterol for like 10 years and my doctor doesn’t even suggest medication (yet) because based on my general health, age, and genetics, it wouldn’t reduce my risk in any notable way.
After almost 12 years, the biggest issue I’ve had is hair loss. I’ve known plenty of t-guys who’ve ended up with hair loss and have no genetic predisposition of it. Idk if it’s the cypionate or not, the fuller my beard gets, the less hair grows in my head



Oh yeah, I’ve been bald for like 15 years. I guess I don’t consider it a health risk. Lol.
Consider this as sourceless gossip, but I heard there was a doctor in trans care in a trans magnet city who used to code/bill hysterectomies (maybe also orchiectomies?) as a cancer-related procedure, in the dark times before insurance just covered trans care. My understanding was that they did it out of motivation to support their patients but it had some unintended outcomes. I wouldn't be surprised if this sort of dubious tactic led to a kind of rumor-mill perception: "oh all these transgender patients keep getting cancer..." or to some noise in demographic studies of trans patients' health risks.
[–]TrentSebastianTaylor
Been on T for 8 years, the only health related issues I’ve personally had is related to lower atrophy on T. I get frequent UTI’s because of atrophy and am on localized estrogen suppository to help keep healthy.
[–]thegundammkii
The truth is that things may lean more cis-male as you age as far as issues.
T its self won't 'cause' a health problem.
The only direct thing that might cause you harm is if your allergic to the oil testosterone is commonly suspended in.
[–]tgjer
20+ years on T. No health issues related to it whatsoever.
It used to be assumed that long term T must cause problems with one's uterus/ovaries, so it was recommended that those on it get hysto within 5 years. But actual research on it have found no correlation. But if you want to be extra sure, hysto/oophorectomy removes all chance of cancer in that area.
T does not cause any issues with bone mineral density.
[–]Randy2191
So the main health risks people are referring to are mostly health risks that come with being a man. Yes, your bone density will change slightly but not enough to be worrisome. Your blood will probably become a bit thicker because of higher red cell production which increases your chance for a blood clot or heart attack but the risk isn't any higher than that of a cis man and can be reduced with good diet and exercise. As for risks exclusively for trans guys you'll need to look out for signs of vaginal atrophy and if/when that appears it can be corrected with a topical estrogen cream that will not effect your T levels at all. I'd say if going on T is something you want then go for it.
Don't let everyone make you scared because of the supposed "health risks". Make no mistake it's a transition in every sense of the word but if it's what you want then it is entirely worth it in my opinion.
[–]Kok-jockey
20 years on T, 42 years old; in great health, no issues. Getting some high cholesterol that I’m managing with dietary changes and regular exercise.
Editing to add:
these myths have been around forever. T doesn’t give you weak bones, it actually prevents the hormonal changes that cause women to get osteoporosis, so… It also doesn’t cause cancer. “Back in my day” we all used to be pretty scared of “inevitably” getting cancer in our reproductive organs, but they’ve been studying it long enough now that we know that’s not really an issue.
However,
don’t believe people trying to scare you, and also don’t believe every person who says something on the internet. Talk to your doctor(s) and do research.
[–]urbanlandmine
I mean... are there health risks to living? Yes.
I started it a bit later in life. But I also started with a hormone imbalance. Cysts on ovaries, fibroids all over the place and hemoraging periods that never quit. Once I got that taken care of and went on T. I felt much better.
The only "health concern" I have now is high blood pressure. But also most of my allergies disappeared. So you figure it out. Estrogen caused more health concerns in my case.
[–]Eager_Question
T causes roughly the same health risks that being a cis man (as opposed to a cis woman) cause. So, higher incidence of heart disease, that kind of thing.
It also protects you with the same benefits that being a cis man provides (over being a cis woman). So, lower likelihood of osteoporosis when you are older (meaning thicker bones, the weaker bones thing is from long-term use of puberty blockers).
So, your health risks will change.
But it's not particularly more dangerous than being a cis man is.
And people saying different are frankly perpetuating transphobic assumptions. This includes medical gatekeepers.
[–]mavericklovesthe80s
T itself does not cause any extra health risks. You will have higher risks at the same things a cis man will.I think atrophy with the original plumbing can be a thing, but not all of us get this. With local hormone treatment that can be manageable.And heightend hematocrit can become an issue, but also not every trans man will get this and it is also manageable by donating blood.
[–]Authenticatable
36 years on T. Just had annual physical.
My doc said I’m “in exceptional health”. I would agree with the assessment.
[–]sp1nster
About 20 years on T, around 40 years old.
I’ve had HRT-related polycythemia, treated with therapeutic phlebotomy (giving blood without donation). Only had to do it once in my early 20s. Seems like it might have been a fluke.
I’ve had elevated blood pressure, lipids and cholesterol, and also sleep apnoea in my 30s. All resolved with weight loss, so probably not related to long term use of HRT.
I am in good health, with no reproductive or skeletal issues of any kind.
Latest assessment gives me a less than 1% chance of a cardiovascular event (think strokes or heart attacks) in the next 10 years.
Side effects and negative effects are possible, in the short and long term. Especially for people who otherwise have health issues. But when weighing any treatment, you’ve got to weigh the potential benefits and risks against the benefits and risks of withholding treatment. Make an informed decision, in consultation with a qualified health professional, and move forward with confidence. If you need to change something later, with more experience and information, take that as it comes.
[–]RushingSpirit-raw
There is one term that you need to know to quiet anyone who tries to fear monger against you with absolutely no scientific basis.
MOLECULARLY IDENTICAL. The testosterone that we take is not a pharmasudical drug. The testosterone that we take is molecularly identical testosterone meaning that it behaves exactly identicaly the same exact way that testosterone behaves in every body with naturally produced testosterone.
All "risk levels" of everything become equal to that of cis men. There is no real risk or side effects. It's a molecularly identical compound that your body is designed to process. When taken responsibility at the appropriate dose there are literally 0 side effects.
Only what I call "true effects"
[–]Murky_Composer_7679
I have been on it for 24 years, and all of the things that they warn you about all the health scares with keeping your organs (no cysts/ cancer/ etc), with taking testosterone and that being harder on your system, heart, etc none of, it not a single one. Your health responses are due to your genetic role of the dice,
T doesn't have any effect it's a perfectly natural hormone. Perhaps some people see these things but it's probably because they were going to have those problems either way on a long enough timeline. That's my guess, anyway. Know a few other dudes who have been on it 15-20 years and same for them. I
think I know one guy who had to stop for medical reasons, but he has multiple terminal issues so it has more to do with how fragile he is because of his pre existing health concerns. He was a lateish blooming egg.
[–]Samesh
18 is a good age to learn that you can't trust non-medical professionals with your health. Even then, you should do your research and consult multiple people.
Those telling about the "risks" of t are most likely biased, scared, transphobic normies that couldn't describe what hormones are or what they do in our bodies if their lives depended on it.
My personal experience as someone who's been on t over a decade: 0 medical issues. I briefly had pre-diabetes a couple years ago but I lost some weight and now everything is hunky dory. No cancers and my bones are strong!
Your only issues on t will be the same as any man.
[–]RoadBlock98
no lol
[–]Forward-Wrongdoer462
Liver damage, so they say.
[–]SouLullivan
I actually know some people who have had improvements in joint hyper mobility and collagen disorders after taking T
Side effects of not transitioning: potentially depression, repressed desire/resentment that leads you to treat yourself and others poorly
I’ve seen some guys whose masculinity is not ok and are treating people poorly and/or being misogynistic really get grounded and become better men or mascs after starting T
IMO
having a more stable and integrated sense of self can do a lot for someone struggling with CPTSD or personality disorders (which are a manifestation or form of cptsd), so if someone has to transition it’ll them them
This is anecdotal but I stand by it!
[–]jenstheman38
This is a very specific/rare one, but
there are several studies showing an increased risk for an eye condition called central serous chorioretinopathy when taking exogenous testosterone (so not specific to trans guys - most examples I’ve read have been cis men treating low T).
Unfortunately, I won the lottery on that one!
(if you notice any vision changes on T, go straight to an eye doctor my dudes)