The physical changes that you can expect after one year on HRT (hormone replacement therapy) as an MTF (male to female) person can vary depending on a number of factors, including your age, genetics, and the specific medications you are taking. However, some of the most common changes include:

  • Breast growth: Breast growth is one of the most noticeable changes that can occur after starting HRT. The amount of breast growth you experience will vary, but most people will see some noticeable growth within the first year.
  • Fat redistribution: HRT can also cause fat to redistribute in a more feminine pattern. This means that you may see an increase in fat in your hips, thighs, and breasts, and a decrease in fat in your abdomen and chest.
  • Skin changes: HRT can also cause your skin to become softer and thinner. You may also notice that your pores become smaller and that you produce less oil.
  • Hair growth: HRT can cause hair growth to slow down or stop in some areas of the body, such as the face and chest. You may also notice that your hair becomes softer and shinier.
  • Voice changes: HRT is not typically associated with significant voice changes. However, some people may notice a slight decrease in vocal pitch.
  • Menstruation: If you are assigned male at birth and have not had a hysterectomy, you will likely stop menstruating after starting HRT.

It is important to note that these are just some of the physical changes that can occur after one year on HRT. Everyone’s experience is different, and you may experience some changes that are not listed here. If you have any questions or concerns about the physical changes you are experiencing, be sure to talk to your doctor.

Here are some additional resources that you may find helpful:

  • The Mayo Clinic’s guide to feminizing hormone therapy:
  • The UCSF Transgender Care Center’s information on estrogen hormone therapy:
  • The Gender GP website’s timeline of HRT effects:

Congratulations on your journey of one year on hormone replacement therapy (HRT) as a male-to-female (MTF) transgender individual. While the effects of HRT can vary from person to person, here are some changes that individuals often experience after one year of MTF HRT:

  1. Breast Development: One of the significant changes that can occur during the first year of HRT is breast development. You may notice growth in breast tissue, increased sensitivity, and changes in nipple size and shape.
  2. Skin Changes: HRT can lead to changes in the skin, including increased softness and smoother texture. Some individuals also report reduced oiliness or acne.
  3. Body Fat Redistribution: As you continue on HRT, you may experience a redistribution of body fat from a masculine pattern (such as the abdomen) to a more feminine pattern (such as the hips and thighs). This can contribute to a more feminine body shape.
  4. Muscle Changes: HRT can lead to a decrease in muscle mass and a reduction in muscle strength. This can result in a more feminine body composition.
  5. Body Hair Thinning: With HRT, many individuals notice a reduction in body and facial hair growth. The hair may become finer and lighter in color.
  6. Softening of Facial Features: Over time, HRT can lead to subtle changes in facial appearance, including a softening of facial contours and a reduction in the prominence of facial hair.
  7. Emotional Changes: Hormonal changes can influence emotions and mood. Many individuals report an increased sense of emotional well-being and alignment with their gender identity.

It is important to remember that the effects of HRT vary from person to person, and some changes may take longer to become noticeable. The timeline and extent of changes also depend on various factors, such as individual hormone levels, genetics, age, and overall health.

Regular monitoring by healthcare professionals experienced in transgender healthcare is essential to ensure your HRT regimen is safe and effective. They can provide guidance, adjust medication dosages as needed, and address any concerns or questions you may have throughout your transition journey.