FTM Bottom Growth

One of the most common questions that bother FTM individuals is: Do females transitioning to males get a penis? To put it short, bottom growth is possible with the help of testosterone HRT; however, bottom growth varies from person to person.

How does FTM bottom growth work? How much growth can you expect? Is FTM bottom growth possible only with the help of testosterone? Let's find out!

Table of Contents

• What You Need to Know About FTM Bottom Growth
• What to Expect from Bottom Growth with T
• What does bottom growth feel like?
• Emotional and Physical Impact of Bottom Growth
• Options for Enhancing Bottom Growth
• Considerations for Those Who Don’t Want Bottom Growth
• Physical Changes
• Side Effects and Considerations
• Permanent Surgical Options
• Reversibility of Bottom Growth

What You Need to Know About FTM Bottom Growth

Bottom growth is possible with the help of testosterone hormone replacement therapy (HRT), but the extent of this growth can vary significantly from person to person.

This article will explore the details of FTM bottom growth, what to expect, and the options available for those who wish to enhance or limit this growth.

Bottom growth can be defined as increased clitoris size, with its shape resembling a penis. This is often one of the first physical changes that occur when a transmasculine person begins testosterone therapy.

 

Timeline:

• Changes usually start between 3-6 months after beginning testosterone therapy.
• Maximum growth typically occurs within 1-2 years.

Size Expectations:

• Clitoral growth can range from 1 to 5 cm (0.39 - 1.9 inches), though results depend on the individual and the dosage of testosterone.

What to Expect from Bottom Growth with T

 

A) Pre-T  B) Low dose of T/flaccid  C) High dose/arroused

 

On average, individuals can expect a clitorophallus growth of 1 to 5 cm. Studies suggest that the size achieved often correlates with the duration and dosage of testosterone therapy. For some, the growth might reach its peak within the first year, while for others, it might take longer to notice significant changes.

The study of Journal of Sexual Medicine discusses the systemic effects of testosterone on sexual function, providing insights on bottom growth and related changes

Variability of Bottom Growth:

• Bottom growth is highly individual, influenced by factors such as genetics, the dosage of testosterone, and the body's response to the hormone.
• Some individuals may experience more significant growth, while others may see minimal changes. It’s important to set realistic expectations, understanding that every body reacts differently to hormone therapy.

What does bottom growth feel like?

During the initial stages of bottom growth, the genital area may become more sensitive. This heightened sensitivity can lead to discomfort, including irritation, swelling, itching, and soreness. These symptoms are usually temporary, but they can be intense for some individuals, especially as the skin stretches and adapts to the new growth.

Sensations tend to be the most intense during the first six months, according to a small-batch study published in the Journal of Sexual Medicine. That’s why Krempasky suggests looser underwear, soft fabrics, and moisturizer for patients who are having trouble adjusting to hypersensitivity during bottom growth.

Managing Discomfort:

• Use moisturizing products to soothe the skin and reduce dryness.
• Wear underwear made from soft, breathable materials like cotton to minimize irritation.
• Consider wearing boxers or loose-fitting underwear to reduce friction and pressure on the sensitive area.
• Over-the-counter pain relief and anti-inflammatory medications may also help alleviate discomfort during this transitional phase.

Emisil offers a variety of FTM prosthetics to address individual needs and preferences, enhancing the transitioning experience with personalized options.

Emotional and Physical Impact of Bottom Growth

Bottom growth can be an emotionally affirming experience for many FTM individuals, as it brings the body more in line with their gender identity. This process can reduce gender dysphoria and lead to feelings of euphoria as the physical changes become more apparent. However, it’s not without its challenges. A Journal of Sexual Medicine study explored the effects of testosterone on clitoral haemodynamics, noting how the changes in blood flow and tissue growth impact genital sensitivity.

For some, this increased sensitivity can enhance sexual pleasure and create a more positive body image. However, others may experience discomfort or frustration if the growth does not align with their expectations. Understanding these physical and emotional fluctuations is crucial, and for those who struggle with hypersensitivity or discomfort, support from healthcare professionals or the use of products like soft fabrics and moisturizers can help ease the transition.

Options for Enhancing Bottom Growth

If you're dissatisfied with your growth during testosterone therapy, there are several effective options to enhance FTM bottom growth.

Clitoral Pumping:

• Clitoral pumping uses suction to increase blood flow to the genital area, temporarily increasing size and sensitivity.
• Over time, regular use can lead to more noticeable and sustained growth.
• Pumping is often more effective after starting testosterone due to the increased tissue response.
• It’s recommended to start with short pumping sessions and gradually increase the duration as your body adapts.

DHT Creams:

• Dihydrotestosterone (DHT) is a more potent form of testosterone, often used topically to enhance genital growth.
• DHT binds to androgen receptors more effectively than testosterone alone, potentially leading to greater bottom growth.
• However, DHT cream should be used with caution, as it can have side effects such as hair loss or increased body hair.
• Consult a healthcare provider for guidance on dosage and usage to minimize risks.

Maximizing Bottom Growth:

• Combining methods like clitpumping and DHT creams may maximize bottom growth.
• For those seeking further changes, surgical options like metoidioplasty and phalloplasty may be considered. These surgeries offer permanent solutions for individuals looking for a more traditional masculine genital appearance.

Considerations for Those Who Don’t Want Bottom Growth

If you’re not interested in increasing your bottom growth, there are steps you can take to minimize it. One option is to lower your testosterone dosage, which can reduce the likelihood of bottom growth and other androgenic effects. Additionally, medications like finasteride or dutasteride can prevent testosterone from converting into DHT, the hormone responsible for many of the masculinizing effects of testosterone, including bottom growth.

However, lowering testosterone levels or using these medications may result in side effects such as the return of menstruation or decreased hair growth. It’s important to discuss these options with a healthcare provider to weigh the benefits and potential drawbacks.

For those who prefer an alternative, consider exploring FTM prosthetics as a solution, which can provide the desired appearance without relying on hormone-induced changes.

Physical Changes

Introduction to Sex After Bottom Growth: Navigating sex after bottom growth can be a vulnerable experience, as individuals may need to adapt to new sensations and body changes. Open communication with sexual partners and taking the time to explore these changes at a comfortable pace can help ease the transition and foster a positive sexual experience.

Changes in Sexual Function: Testosterone can impact sexual function in various ways, including increased sex drive, changes in sexual fantasies, and potential vaginal dryness. These changes can be exciting for some, but challenging for others. It’s important to use protection during sex, particularly if there is a risk of transmitting infections, and consider using lubricants to mitigate dryness and make sexual activity more comfortable.

Sexual Changes:

• Bottom growth may introduce new sexual possibilities, such as penetration or receiving oral sex.
• The increased size and sensitivity of the clitorophallus can allow for more diverse sexual experiences, leading to a broader spectrum of sensations and pleasures.
• These changes can open up new aspects of sexuality for individuals, allowing them to explore different types of sexual activities and experiences.

Side Effects and Considerations

Monitoring Testosterone Levels: It’s crucial to monitor testosterone levels regularly to avoid potential side effects, such as hair loss or overly rapid bottom growth. Regular blood tests and consultations with a healthcare provider can help manage these risks, ensuring that your hormone levels remain within a safe and effective range.

Potential Complications: Vaginal atrophy and dryness are possible side effects of testosterone use. These conditions can make sexual activity uncomfortable or painful if not properly managed. Managing these issues may involve using estrogen suppositories or lubricants to maintain comfort and sexual health. Addressing these symptoms early is important to prevent more serious complications and ensure a healthy transition process.

 

Can Bottom Growth Return to Its Original State?

Genital changes from testosterone are generally considered irreversible. Once bottom growth has occurred, it is unlikely to fully revert, even if testosterone therapy is stopped. However, there are anecdotal reports of partial reversion after stopping testosterone. The extent of reversibility varies widely from person to person, and some individuals may notice a reduction in size or sensitivity over time. It’s important to discuss these possibilities with a healthcare provider if you’re considering stopping testosterone or are concerned about the long-term effects.

Frequently Asked Questions

How big will my clitoris get when I take testosterone?

The extent of clitorophallus growth (often referred to as bottom growth) varies widely among individuals taking testosterone. On average, growth can range from 1 to 5 cm, but this can depend on factors such as genetics, dosage, and the duration of hormone therapy. Some people may see significant changes within the first year, while for others, it might take longer. It’s important to discuss your expectations with a healthcare provider, as everyone’s experience can differ.

Will testosterone change my sexual function?

Yes, testosterone can impact sexual function in various ways. Many individuals report increased libido and changes in sexual sensitivity due to bottom growth. Additionally, testosterone can affect arousal patterns and overall sexual response. However, these changes are highly individual, and it’s important to communicate with your healthcare provider about any concerns or expectations you have regarding sexual function during testosterone therapy.

How come people don’t talk about bottom growth?

Bottom growth is often a less-discussed aspect of testosterone therapy due to its personal and sensitive nature. Many people find it difficult to talk about genital changes, and discussions about bottom growth may be more common in specific support groups or within close communities. Additionally, the variability in individual experiences with bottom growth may contribute to less open discussion. However, it’s a significant part of the transition for many, and finding a safe space to talk about it with healthcare providers or supportive peers is important.

Does bottom growth hurt?

Bottom growth can cause discomfort or pain, particularly during the early stages of testosterone therapy when the clitorophallus begins to enlarge. The level of discomfort varies, with some people experiencing mild soreness or tenderness, while others may feel more significant pain. Typically, this discomfort decreases over time as the body adjusts to the changes.

 

Conclusion

FTM bottom growth is a personal and variable aspect of transitioning, influenced by factors such as testosterone dosage and individual body response. Whether you’re seeking to enhance or minimize this growth, there are options available to suit your needs.

Remember that every body is different, and what works for one person may not work for another. Consult with a healthcare provider to explore the best approach for your transition goals.