Exploring Testosterone Delivery Methods: Options for FTM and Non-Binary Individuals

January 13, 2025

Why Testosterone Therapy Matters

Testosterone therapy is a cornerstone of gender-affirming care for FTM (female-to-male) transgender and non-binary individuals. It helps induce physical changes that align with masculine characteristics, such as voice deepening, facial hair growth, and muscle development. The method of taking testosterone can impact convenience, effectiveness, and personal preference.

Methods of Taking Testosterone

1. Injections

Testosterone injections are one of the most common and effective methods of administering testosterone. They can be administered intramuscularly (into the muscle) or subcutaneously (under the skin).

Pros:

Rapid absorption and predictable hormone levels.
Administered weekly or biweekly, reducing the need for daily application.
Cost-effective compared to other methods.

Cons:

Requires needles and proper technique for administration.
May cause anxiety for those uncomfortable with injections.
Potential for localized pain or swelling at the injection site.

2. Gels

Testosterone gels are applied daily to the skin, allowing testosterone to be absorbed transdermally.

Pros:

Non-invasive and easy to use.
Maintains steady hormone levels.
No needles required.

Cons:

Daily application can be time-consuming.
Risk of transferring testosterone to others through skin contact.
More expensive than injections.

3. Patches

Testosterone patches are adhesive patches worn on the skin that deliver testosterone gradually throughout the day.

Pros:

Easy to use with steady hormone delivery.
Non-invasive and needle-free.
Lower risk of hormone transfer compared to gels.

Cons:

Can cause skin irritation at the application site.
Requires daily patch replacement.
May not deliver sufficient testosterone for all individuals.

4. Implants

Testosterone implants are small pellets inserted under the skin that slowly release testosterone over several months.

Pros:

Long-lasting effects, requiring replacement only every 3-6 months.
Eliminates the need for daily or weekly application.
Consistent hormone delivery.

Cons:

Requires a minor surgical procedure for insertion.
Higher upfront costs.
Less flexibility for dosage adjustments.

5. Oral Testosterone

Oral testosterone, though less common, is available in capsule form.

Pros:

Easy and non-invasive.
No need for needles or topical application.

Cons:

Potential liver strain due to oral metabolism.
Less effective than other methods for maintaining stable hormone levels.
Requires daily dosing.

Choosing the Right Method

Selecting the best method of taking testosterone depends on factors such as lifestyle, budget, comfort level, and medical history. Consulting with a gender-affirming healthcare provider ensures a tailored approach to meet your individual needs.

Finding Expert Support

Starting or adjusting testosterone therapy is a deeply personal journey. TransMD connects you with trusted healthcare providers specializing in gender-affirming care, ensuring you receive expert guidance every step of the way.