this post was submitted on 22 Jun 2023
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Hii I'm nonbinary but I do want to look more masc. But I recently found out I have PCOS (Its not 100% confirmed by my PCP still waiting to see gynecologist for more treatment + confirming for sure).

What I was wondering is does anyone else have experience doing T (I probably want to mircodose) with PCOS? I'm asking because I'm worried that now its not a possibility at all for me with how messed up my hormones have been and that once I get them stable doing T would mess with it all too much, and wanted to see if anyone has any ideas?

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[–] [email protected] 4 points 1 year ago

There isn’t any evidence that additional testosterone from HRT causes any negative effects with PCOS if that’s something you’re worried about. Some studies have found a correlation between higher T and more symptoms, but none of those studies are looking at people intentionally raising their T levels to normal male range. One study even found that trans men with PCOS going on testosterone didn’t show any signs of the metabolic disturbances caused by PCOS: https://pubmed.ncbi.nlm.nih.gov/29624102/

It may mean you need a different dose than is typical depending on how your body responds to it, but that’s not unusual. A good GP or endocrinologist will be able to monitor your levels and adjust your dose accordingly.

[–] [email protected] 4 points 1 year ago (1 children)

Generally pcos means that you eventually need to be on hormone treatment anyway, so the treatment might as well be masculine since your hormones already need to be changed. It's different for everyone ofc but my endocronoligist says that my terrible hormones were like a blessing in disguise because it was hard to make it worse with the treatment lmao

[–] [email protected] 1 points 1 year ago

Fair point, ty that is what is hard is hrt tends to be super specific per person, and then pcos is similar so was worried , but just finding good provider then sounds important

[–] [email protected] 1 points 1 year ago

I have PCOS and am on a normal dose of T. I had the same worries as you about messing with my hormones since it took years for them to stabilise!! But haven’t had any problems so far so I’m glad I didn’t delay starting any longer.

My endocrinologist also had no issues starting me on Testosterone. He wants me to get regular blood tests but that’s the same for all his patients.

I already had a bit of body hair and a bit of a moustache pre-T so timeline wise that is the only thing that seems to have happened quicker than normal (I’m on T 4 months now and already have to shave). I haven’t had any other outwardly noticeable changes except my voice dropping a little.