Once your therapist at the Gender Clinic feels you are ready they will refer you onto see the Doctor, which normally can be after your third appointment with the therapist. The normal wait time for your Doctors appointment should be around the 3 month mark but it can be a lot longer, this solely depends on which Gender Identity Clinic you go too.
First appointment with the Doctor
They will ask you to go over what you have already discussed with your therapist so they can make their own assessment. They will also ask you if you have any thoughts on having children because once you start hormone treatment you may become permanently infertile. They also mention that once you have been on Testosterone for 2 years that you have a hysterectomy. They will discuss with you the different types of hormone treatments available, and also ask you to have a blood test done so when you have your next appointment they can sort out the dosage you need to start you off on Testosterone. It can take around 3 weeks before your Gp recieves all the paperwork they need before a prescription is issued.
Types of Testosterone available
Testosterone can be administered as injection or gel.
Gel: Testogel, Testim or Tostran
Injection: Sustanon or Nebido
Bloods that are needed
The blood test you need may vary slightly from clinic to clinic, so the list below will give you a guide as to what needs to be done.
Full Blood Count
Changes and expected time frame while taking Testosterone
Expected Maximum Effect
|Skin oiliness/acne||1-6 months||1-2 years|
|Facial/body hair growth||3-6 months||3-5 years|
|Scalp hair loss||> 12 months||Variable|
|Increased muscle mass/strength||6-12 months||2-5 years|
|Body fat redistribution||3-6 months||2-5 years|
|Cessation of menses||2-6 months||n/a|
|Clitoral enlargement||3-6 months||1-2 years|
|Vaginal atrophy||3-6 months||1-2 years|
|Deepened voice||3-12 months||1-2 years|