If appropriate, your doctor might suggest switching from gels/creams to injections, to see if that helps suppress your periods more effectively. It’s important that you chat to your doctor and investigate the underlying cause, because higher testosterone levels aren’t necessarily the solution for everyone, and may cause other side-effects. The above questions and tests will gather information to help you and your doctor decide what the best approach will be to stop your periods. Your doctor might also do some further investigations, such as blood tests to look at hormone levels, or refer you for a pelvic ultrasound. Additionally, not all bleeding from this area will be menstrual, and it can sometimes be related to other things like dryness or thinning of the vaginal lining (atrophy). You can find more information about contraception for trans people on our sexual and reproductive health resources page. Comparatively, when taking testosterone, the increased levels of testosterone will prevent the production of LH and FSH from the pituitary gland.
The legs trained with menstrual periodization had a 33% increase in maximal strength compared to just 13% in the regularly trained leg. So both performance as well as the anabolic hormonal environment are generally favorable for your training from the start of menstrual bleeding until the end of ovulation. After ovulation, right about when the ratio reverses, strength levels decrease until the ratio becomes positive again. Testosterone levels also tend to be higher during the follicular than the luteal phase, though the variation isn’t nearly as large as for estradiol and progesterone. Unfortunately, there is a hormone that does many of the things estrogen is accused of and that is progesterone.
The included studies were conducted between years 1972 and 2020 and the number of participants ranged from 6 to 259. Extracted variables included, author/s, year of publication, method of detection of serum T, sample size, demographics of the sample, sample collection method, MC phase in which the sample was collected, and T values recorded. Studies that did not mention T values separately for each phase of the MC were excluded. Studies describing two or more serum T readings across the MC were included even though such measurement was not the main objective of those selected studies. For ease of comparability, the review included only research articles published in English and referring to serum samples, even though sputum or salivary T levels are considered good surrogates for serum T. Forward citations of the studies retrieved were also traced and screened for possible inclusion and five additional articles were identified for inclusion.
Planned Parenthood is America’s most trusted provider of reproductive health care. At Planned Parenthood, we are proud to provide gender affirming care for transgender, non-binary and intersex patients seeking hormone replacement therapy. I’m glad I took the time I needed to make a decision, but I’m even more glad that I finally gave myself the chance to experience this ongoing transition – and transformation.
Alternatively, it is likely similarly beneficial to keep your training frequency the same but increase training volume during the follicular phases compared to the luteal phase. The lack of positive effects here may have been due to lack of statistical power or because hormonal effects are not very relevant when only exercising 1 small muscle in your body. Furthermore, the diameter of type II fibers and the nuclei-to-fiber ratio increased significantly in the leg that trained with higher frequency in the follicular phase; these changes were not observed in the leg with a higher training frequency in the luteal phase. The legs with more workouts in the follicular phase gained 42% more strength (maximum isometric force) and 46% more muscle (sum of 3 diameters) than the legs trained mostly in the luteal phase. The other leg trained with the higher training frequency in the luteal phase.
When you track your cycle in Clue, you can see how your bleeding, emotions and energy change after starting testosterone or changing your dose. Gender transition can be a time of major change in your home, social and work life, which could impact your mood or mental health. Many people who take testosterone as a form of gender affirmation therapy... If you’re interested in starting or stopping hormone therapy, this is a big health change, so it’s important to talk to your doctor or visit a gender clinic. "Before taking testosterone my period was light and regular, though easily interrupted by physical stress like over-exercising or anxiety.
The decreased concentrations of FT and androstenedione, without significant changes in SHBG, suggest that in older women these hormones are produced in lower quantities during the mid-cycle. The mid-cycle rise in FT was more prominent in younger females while it was not evident in older females aged between 43 and 47 years, who were cycling regularly and had normal levels of prolactin and thyroid-stimulating hormone . Testosterone was significantly higher during the FP in females with anovulatory menstrual cycles . Multiple studies report that serum TT and FT levels peak during mid cycle at ovulation 36-39, 45, 49-75. The PubMed database was searched using the terms ‘testosterone’ OR ‘androgens’ AND ‘menstrual cycle’ OR ‘ovarian cycle’ in a ‘title’, ‘abstract’ or ‘keywords’ search. The keyword combinations used for the search were (testosterone OR androgen) and (menstrual cycle OR ovarian cycle). Its imbalance can disrupt the functioning of the menstrual cycle, leading to unpleasant symptoms and jeopardizing a woman's chances of getting pregnant.
"Women with low body fat often do not produce sufficient amounts of sex hormones. These testosterone fluctuations are perfectly normal and play a key role in fertility, sex drive, and even mental health. It's crucial to understand these hormonal changes, as they play a significant role in women's health.

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