Table 2

Gender-confirming treatment options for transgender patients

Transgender patientsHormonesDesired effectSurgery
TranswomenEstrogens
Estradiol
Anti-androgens
Spironolactone
Cyproterone acetate
GnRH agonists
Decrease in facial and body hair
Decrease skin oiliness
Increased breast tissue growth
Redistribution of fat
Reduction of spontaneous erections
Facial feminization
Tracheal shave
Breast augmentation
Body contouring
Vaginoplasty
TransmenTestosteroneDeepening of the voice
Increased facial and body hair
Increased muscle mass
Clitoromegaly
Cessation of uterine bleeding
Chest reconstructive surgery
Metoidioplasty
Phalloplasty
Testicular implants
  • GnRH, gonadotropin-releasing hormone.