Exam 2 - Trans Male/Female to Male (FTM)

Question 1

What hormone therapy medications would you prescribe for a FTM patient?

Answer 1

Only testosterone (SQ or IM)

Question 2

What labs would you monitor in FTM patients?

Answer 2

• CBC
  
  • Levels will be higher because mimicing male values
• CMP
  
  • Elevated cholesterol and triglycerides
• Total testosterone
  
  • Want rage to be from 400-1000 (normal for males)

Question 3

Transition timeline: what changes are expected after 0-3 months of hormone therapy?

Answer 3

• Libido changes
• Increase in appetite
• Increased body hair (existing)

Question 4

Transition timeline: what changes are expected after 3-6 months of hormone therapy?

Answer 4

• Genital changes
• Cessation of menses
• Inccrease in muscle mass/strength
• Changes in vocal quality

Question 5

Transition timeline: what changes are expected after 6 months - 5 years of hormone therapy?

Answer 5

• Development of terminal facial hair
• Body fat redistribution
• Hair loss (male pattern baldness)

Question 6

What are examples of elective surgeries a FTM patient can undergo?

Answer 6

• Metoidioplasty - enlarging of clitoris
• Phalloplasty - uses skin of forearm or foreleg to create longer phallus, no erectile function
• Top surgery - remove breast tissue
• Removal of reproductive organs not necessary
  
  • Uterus, ovaries, fallopian tubes naturally get small