The timeline for Female-to-Male (FTM) hormone replacement therapy (HRT) can vary from person to person. The effects of HRT depend on various factors, including individual genetics, age, dosage, and overall health. Below is a general timeline of some changes that individuals may experience during FTM HRT:

1-3 Months:

  • Increased energy levels.
  • Possible cessation of menstruation or irregular periods.
  • Clitoral growth and increased sensitivity.
  • Increased oiliness of the skin and acne in some cases.
  • Voice may begin to lower slightly.

3-6 Months:

  • Continued clitoral growth and increased sensitivity.
  • Thinning of vaginal lining, potentially leading to decreased lubrication and discomfort.
  • Facial hair growth may start (usually as fine, light-colored hairs initially).
  • Muscle mass may increase with exercise.
  • Possible increase in libido.
  • Voice may continue to deepen gradually.

6-12 Months:

  • Noticeable increase in facial and body hair growth.
  • Redistribution of body fat, with less fat in the hips and thighs.
  • Increase in muscle mass with exercise.
  • Voice may continue to deepen further.
  • Scalp hair may become oilier and hairline may slightly recede.

1-2 Years:

  • Continued facial and body hair growth.
  • Body fat continues to redistribute to a more masculine pattern.
  • Voice may stabilize at a lower pitch.
  • Increased muscle mass and strength.

2+ Years:

  • Facial and body hair growth typically continues to mature.
  • Masculine fat distribution becomes more established.
  • Voice usually stabilizes and reaches its lower range.
  • Continued increase in muscle mass and strength.

It’s important to note that not everyone will experience the same changes, and some individuals may experience effects more quickly or slowly than others. Additionally, FTM HRT is a lifelong commitment, and many changes will continue to occur over time.

Hormone therapy should always be done under the supervision of a qualified healthcare professional experienced in transgender care. They can monitor your progress, adjust dosages as needed, and address any potential side effects or concerns.