Genderqueer, nonbinary + hormone options

Healthcare for transgender people used to use a “one size fits all” model. Now that better healthcare models are in place, your gender identity and expression can be reflected in your medical options.

In the case of hormones, talk to your healthcare provider about your goals. You can start and stop hormones if you want to try them for a while. Some people try them for a few weeks or a few months to see how they feel. You can stop and restart anytime, but it’s a good idea to do it under a doctor’s care.

Many trans+ and gender+ people take hormones as part of their gender expression. Those who do must think about their reproductive options before they start hormones. Hormones can change their bodies so they can’t ever make children.

Androgen reduction and blocking

Androgen blockers have several names:

  • antiandrogens
  • androgen antagonists
  • testosterone blockers

Human bodies produce a number of androgens. These cause masculinizing effects. The two key androgens are testosterone and DHT.

  • androstenedione (A4)
  • androstenediol (A5)
  • androsterone 
  • dehydroepiandrosterone (DHEA)
  • dihydrotestosterone (DHT)
  • testosterone

Some people want to reduce androgens in their bodies for any number of reasons:

  • reduce or prevent certain health issues
    • precocious puberty
    • some cancers
    • some tumors
    • adrenal gland function
    • diabetes
    • high cholesterol
    • high blood pressure
    • heart disease
  • reduce or prevent masculine physical traits
    • scalp hair loss
    • facial hair growth
    • body hair growth
    • oily skin
    • dandruff
    • changes to hair and nails
    • acne
    • height
    • vocal deepening
    • skeletal development
      • skull
      • hands
      • feet
      • nose
      • shoulders
    • pubertal development
    • muscle mass increase
    • body fat decrease
  • change body odor
  • reduce or prevent increase in sex drive
    • unwanted spontaneous arousal
    • unwanted sexual thoughts
    • unwanted sexual behaviors

Estrogen reduction and blocking

Estrogen blockers have several technical names:

  • antiestrogens
  • estrogen antagonists

Some people want to reduce estrogens in their bodies for any number of reasons:

  • delay or prevent precocious puberty
  • reduce or prevent feminine physical traits
  • fat redistribution to lower body
  • fat redistribution in face
  • body fat percentage
  • hip widening
  • breast growth
  • brittle nails
  • skin thinning and drying
  • hair drying and breakage

Progesterone reduction and blocking

Progesterone blockers have several technical names:

  • antiprogestogen
  • antiprogestins
  • progesterone antagonists

Some people want to reduce progesterone in their bodies for any number of reasons:

  • emergency contraceptives
  • abortion
  • treatment of uterine fibroids
  • treatment of some breast cancers

See also

For trans women and transfeminine people

For trans men and transmasculine people

For genderqueer and nonbinary + people

For minors