Hormone treatment is vital for those of us who are transgender and wish to make or maintain (with or without surgery) a physical and psychological transition to a different sex and gender. Hormone treatment allows us to have a body that is more in line with our gender identity, and this can bring a sense of physical and mental well-being. We may, therefore, be willing to accept health risks that people who are not transgender might consider unacceptable. If we are undergoing hormone treatment related to our gender transition or are considering doing so, we may want to know what that will mean for us in relation to the menopause transition.
For female-to-male (FTM) transgender people, hormone treatment involving testosterone, or "T," will bring on the cessation of the menstrual cycle, whether permanent or temporary, due to the reduction of estrogen.
For male-to-female (MTF) transgender people, hormone treatment involves taking estrogen and sometimes antiandrogens. As we age, MTF people experience many of the same health concerns as women who are born female. However, MTF people do not technically experience menopause because they do not have a female reproductive system. The dose of estrogen required for MTF people often is greater than the dose taken by women born female who are taking hormone treatment, which raises concerns about the increased risk of adverse effects.