Gender-Affirming Hormone Therapy: Myths vs Facts by Dr. Shreya Sharma

Gender-affirming hormones are an important part of the healthcare journey for many transgender and non-binary individuals. Yet, this topic is surrounded by confusion, misinformation, and unnecessary fear. People often hear myths, half-truths, or outdated ideas that make them worried or unsure about what gender-affirming hormone therapy (GAHT) truly does.
This detailed, easy-to-understand guide will break down everything in simple language. Whether you're someone planning to start hormone therapy, a parent, a friend, or simply someone wanting the right information — this blog will help you understand gender-affirming hormones with clarity and confidence.

Understanding Gender-Affirming Hormones

Gender-affirming hormone therapy (GAHT) refers to using hormones to help a person’s physical characteristics align with their gender identity. This therapy is part of medical transition and can include:
For Transgender Women (male-to-female / MTF):

  • Estrogen (to develop feminine features)
  • Anti-androgens (to reduce testosterone)

For Transgender Men (female-to-male / FTM):

  • Testosterone (to develop masculine features)

These hormones are medically supervised, just like hormones used for thyroid issues, PCOS, menopause, or diabetes-related hormonal imbalance. This is why many people consult a specialist like Dr. Shreya Sharma, who is not only known for Diabetes treatment in Dehradun but is also trusted as a leading Thyroid specialist in Dehradun and an expert in safe hormone-related treatments.

Why Myths Surround Hormone Therapy?

Hormones are powerful, and anything related to gender often becomes a topic of misunderstanding or stigma. Myths spread quickly, especially online. But when guided by a qualified endocrinologist such as Dr. Shreya Sharma, who is also one of the most experienced Diabetologists in Uttarakhand, patients get the facts, not the fear.
So let’s decode the most common myths — and replace them with truth.

MYTH 1: Gender-affirming hormones are unsafe or dangerous
FACT: Hormones are safe when supervised by a qualified endocrinologist

Like any medical treatment, hormone therapy is safe when monitored by professionals. Complications usually occur when:

  • People self-medicate
  • They buy hormones illegally online
  • They skip medical tests
  • They take higher doses than required

A trained hormone specialist checks:

  • Liver function
  • Blood sugar levels
  • Blood pressure
  • Cholesterol
  • Blood counts
  • Hormone levels
  • Thyroid health

This is why individuals seeking GAHT should choose an experienced Hormone doctor in Dehradun and opt for a proper Endocrinology consultation in Dehradun rather than relying on unsafe sources.

MYTH 2: Hormones work instantly
FACT: Hormonal changes are gradual and natural

Gender-affirming hormones do not transform the body overnight. They follow the body's natural pace, similar to puberty changes that happen slowly over years.
For example:

  • Breast development in transgender women can take 2–3 years
  • Voice deepening in transgender men occurs gradually over 6–12 months
  • Fat distribution changes take months to years
  • Emotional and mood changes occur slowly

Good endocrinologists like Dr. Shreya Sharma guide patients with realistic expectations and monitor progress regularly, just like they manage conditions such as PCOS treatment in Uttarakhand or thyroid disorders.

MYTH 3: Only young people can start gender-affirming hormones
FACT: Many adults start hormone therapy later in life

There is no strict age limit. What matters is:

  • Mental readiness
  • Physical health
  • Clearance from specialists

Many people begin GAHT at age 18, but some start in their 30s, 40s, or even later. Older individuals simply require slightly more health assessments — especially if they have diabetes, thyroid issues, or other metabolic conditions.
Here, an experienced Diabetologist in Uttarakhand like Dr. Shreya Sharma ensures diabetes is managed well before beginning hormones.

MYTH 4: Hormone therapy causes infertility immediately
FACT: Fertility changes happen gradually — and options exist

Hormones may impact fertility, but not always immediately. People who may want biological children in the future can explore:

  • Sperm freezing
  • Egg freezing
  • Embryo freezing

A hormone doctor guides patients through fertility counselling well before starting treatment. In fact, those seeking PCOS treatment in Uttarakhand or thyroid care are also routinely counselled about fertility implications — and similar care is provided to people starting GAHT.

MYTH 5: Hormones affect only physical features
FACT: Hormones influence emotions, mental wellbeing & metabolism

Gender-affirming hormones impact:

  • Mood
  • Emotional comfort
  • Anxiety reduction
  • Confidence
  • Sleep
  • Stress levels
  • Relationship with one’s body

Many transgender individuals feel a deep sense of emotional relief and comfort when their body aligns with their identity, improving overall wellbeing.
Mental health improvements are one of the strongest positive outcomes of GAHT, supported by global research.

MYTH 6: Testosterone makes transgender men aggressive
FACT: Testosterone does NOT cause aggression when taken medically

Aggression is a common myth. However:

  • Medical-grade testosterone
  • At correct doses
  • Under expert supervision

does not cause violent or aggressive behavior.
Testosterone simply:

  • Deepens the voice
  • Increases stamina
  • Changes muscle tone
  • Improves mood stability
  • Boosts confidence

Uncontrolled aggression usually occurs only when people take illegal high-dose steroids — not medical testosterone.
This is why proper Endocrinology consultation in Dehradun is important to maintain safe dosing.

MYTH 7: Estrogen makes transgender women overly emotional
FACT: Emotional changes are mild and manageable

Estrogen may make some individuals:

  • More emotionally expressive
  • Calmer
  • Less anxious

But it does not cause uncontrollable emotions. Many people actually report improved emotional balance.

MYTH 8: Gender-affirming hormones cause cancer
FACT: There is no evidence that GAHT increases cancer risk significantly

Current research shows:

  • Estrogen does not significantly increase breast cancer risk in transgender women
  • Testosterone does not significantly increase cancer risk in transgender men

However, monitoring is essential. A specialist like Dr. Shreya Sharma, also a well-known Thyroid specialist in Dehradun, ensures routine cancer screenings, just like in thyroid or PCOS patients.

MYTH 9: Hormone therapy cures all gender dysphoria
FACT: Hormones help significantly, but comprehensive care works best

Hormones reduce dysphoria related to:

  • Body shape
  • Voice
  • Hair growth
  • Chest appearance

But mental health support, community, counselling, and sometimes surgeries play a combined role in a person’s transition journey.

MYTH 10: Only endocrinologists abroad are trained for GAHT
FACT: Many Indian endocrinologists are highly experienced

India now has many skilled hormone experts who provide safe, evidence-based GAHT, including specialised doctors like:

  • Dr. Shreya Sharma, recognised for her holistic hormone care and for being a leading Hormone doctor in Dehradun, offering complete Endocrinology consultation in Dehradun
  • She is also known for her expertise in Diabetes treatment in Dehradun and PCOS treatment in Uttarakhand

This makes her one of the most trusted names for individuals seeking hormonal help in Uttarakhand.

What Happens During a Gender-Affirming Hormone Consultation?

Here’s what a typical GAHT appointment looks like under a skilled endocrinologist:

  • Detailed medical history
    1. Existing illnesses
    2. Diabetes, thyroid, PCOS
    3. Mental health
    4. Medications
  • Physical examination
    1. Weight, blood pressure
    2. Hormone profile
    3. Thyroid levels
    4. Blood sugar levels
  • Blood tests
    1. Liver function
    2. Kidney function
    3. Lipid profile
    4. CBC
    5. Hormone levels
  • Counselling
    1. Expected physical changes
    2. Timeline
    3. Fertility options
    4. Side effect
  • Personalised hormone plan
    Dose and type are adjusted based on:
    1. Age
    2. Health
    3. Goals
    4. Risks
  • Follow-up monitoring
    1. Every 3–6 months to ensure safety.

This is similar to how doctors monitor patients who come for Diabetes treatment in Dehradun, PCOS, or thyroid issues.

How Long Does It Take to See Changes?

Here is a simplified timeline:

For Transgender Women
Changes Expected Time
Softer Skin 3-6 months
Breast development 3-12 months
Reduction in body hair 6-12 months
Fat redistribution 6-18 months
Emotional changes 1-3 months
For Transgender Men
Changes Expected Time
Deeper voice 3-6 months
Increased muscle 6-12 months
Body hair growth 6-12 months
Stopping of periods 2-6 months
Emotional stability 1-3 months

Is Gender-Affirming Hormone Therapy Expensive?

Costs vary depending on:

  • Choice of medications
  • Route: oral, patches, injections
  • Frequency of testing
  • Follow-up visits

Many people find GAHT affordable when planned with a long-term view. A skilled Hormone doctor in Dehradun helps optimise treatment to keep it budget-friendly and medically safe.

Importance of Choosing the Right Specialist

Gender-affirming hormones should only be prescribed by:

  • Endocrinologists
  • Experienced diabetologists with hormone expertise
  • Doctors trained in hormonal health

Choosing someone like Dr. Shreya Sharma, who has deep experience in:

  • Hormone management
  • Diabetes treatment in Dehradun
  • Thyroid disorders
  • PCOS treatment in Uttarakhand
  • Full-spectrum hormonal care

ensures safety, accuracy, and personalised treatment.

Benefits of Gender-Affirming Hormones (When Supervised Properly)

  • Improved mental health
  • Reduced gender dysphoria
  • Reduced gender dysphoria
  • Increased confidence
  • Better body alignment with identity
  • Enhanced emotional wellbeing
  • Healthier relationships
  • Better quality of life

Research consistently shows that supervised GAHT reduces:

  • Depression
  • Anxiety
  • Suicide risk

This highlights why safe access matters so much.

Side Effects: What You Should Know

Most side effects are mild and manageable.

Common Side Effects in Transgender Women

  • Mild mood swings
  • Minor weight changes
  • Breast tenderness

Common Side Effects in Transgender Men

  • Acne
  • Temporary irritability
  • Increased appetite

Rare but serious side effects (preventable when monitored):

  • Blood clots
  • Liver strain
  • High cholesterol
  • High blood sugar

Since doctors like Dr. Shreya Sharma are also leading experts in Diabetes treatment in Dehradun, they ensure these risks are minimised through proper screening and dosage control.

How Hormones Interact With Diabetes, Thyroid & PCOS?

Many transgender individuals may also have:

  • Insulin resistance
  • PCOS
  • Thyroid issues

A specialist who is both a Diabetologist in Uttarakhand and a Thyroid specialist in Dehradun — like Dr. Shreya Sharma — ensures that all aspects of hormone health are balanced together.
Estrogen may slightly increase blood sugar
But it is manageable through:

  • Diet
  • Activity
  • Medication balance

Testosterone may help improve insulin sensitivity
This can benefit transgender men, especially those with PCOS.
This intersection of hormone therapy and metabolic health shows why consulting a trained endocrine expert is crucial.

Myths About Hormone Therapy & Diabetes

Many people believe that diabetes prevents someone from starting GAHT. That’s not true.

  • People with diabetes can safely start hormone therapy
  • They only require closer monitoring
  • Endocrinologists help balance blood sugar with hormones

This is one major reason individuals seek Endocrinology consultation in Dehradun when they have overlapping conditions.

Lifestyle Tips During GAHT

  1. Eat balanced meals - Rich in protein, fibre, and healthy fats.
  2. Stay active - Walking, yoga, weight training all help regulate hormones.
  3. Monitor mental health - Therapy and support groups can help.
  4. Get regular blood tests - Every 3–6 months.
  5. Avoid smoking - Especially important for estrogen users.
  6. Stay hydrated - Hormonal changes increase fluid needs.

Hormone Therapy is Safe, Effective & Life-Changing When Done Right

Gender-affirming hormones are not something to fear — they are a form of medical care that helps individuals live more authentically and comfortably.
The key is proper medical supervision, just as someone with diabetes, thyroid disease, or PCOS would require regular professional monitoring.
If you or someone you know is considering GAHT, choosing an expert like Dr. Shreya Sharma — respected for Diabetes treatment in Dehradun, trusted as a Hormone doctor in Dehradun, and widely known for PCOS treatment in Uttarakhand ensures safe, supportive, and science-based care.