madman
Super Moderator
Several existing studies have shown that transgender men experience increased sebum production and acne with testosterone therapy. The virilization effects of testosterone in transgender men, both systemic and dermatologic, are somewhat variable in intensity and timing after the initiation of testosterone therapy. Additionally, individual goals for testosterone therapy range from maximum virilization to suppression of feminizing secondary sex characteristics only. Nakamura et al reported that during the first 6 months only, the most commonly desired virilization effects were dose dependent. If a transgender man begins to develop acne, it may be possible to personalize his testosterone therapy depending on transition goals, priorities, risk factors, and other comorbidities.
