Female-to-male transition refers to the medical processes undergone to change a female body to a male body. A candidate for the procedure goes through a minimum of several months of hormonal therapy before the procedure. Further surgical procedures follow to reconstruct the chest.
Transgender females seeking to transition to male bodies begin by taking testosterone. The hormone deepens their voice and, in some cases, causes hair loss on the head. Testosterone also causes enhanced libido, slight shrinking of the breasts and increased strength in the upper body. As the transformation continues, a transgender male may begin to grow thick hair on the thighs and other body parts. Biceps start to grow rapidly, and shoulders broaden. Continuous hormone therapy for up to two years is necessary for the best results. Should a transgender candidate prematurely discontinue the therapy, some of the changes may be reversed.
Surgical procedures for a female-to-male transition are administered in phases. The first stage involves a subcutaneous mastectomy. The next phase is genital change, which involves procedures like vaginectomy, salpingo-oophorectomy, hysterectomy and scrotoplasty. Penile prosthesis and testicular prostheses can be introduced one year later as appropriate. A Seminars in Plastic Surgery article suggests that those who complete the transition show a marked increase in mental health.