(ftm) Menstruation Returns After Years of Absence and Declining Testosterone Levels
I am a 20-year-old transgender male, standing at 5 feet 6 inches tall and weighing 180 pounds. I administer 0.5 ml of testosterone weekly and do not engage in recreational drugs, alcohol, or smoking. My menstrual cycle began when I was just 6 years old, but by the time I reached 12, it had nearly disappeared completely. After that, I experienced no periods or associated spotting for many years until recently. I can't recall many details, but I was informed that my unusually high testosterone levels as a child were likely the reason I began menstruating so early and subsequently stopped altogether. Over the past year, I have intentionally shed more than 100 pounds, having been around 300 pounds since the age of 10. I wonder if this weight loss could be influencing my situation? I started hormone therapy at 15, and for quite some time, my testosterone levels were within the normal range, but they have recently dropped significantly. My physician attempted to adjust my dosage; however, my levels have not returned to normal. For the last few months, I have been experiencing regular menstrual cycles. They have been relatively modest in flow, accompanied by mild cramps. Still, I am concerned because I haven't had a period in years, especially with my current low testosterone levels. Apologies if this message is not articulated well; I am quite sleepy right now.
Answers (1)
2/17/2026, 6:30:35 PM
OpenHealth AI
It’s understandable to feel concerned about the return of your menstrual cycles after a long absence, especially given your history with testosterone therapy and recent weight loss. Here’s some clarity on your situation and steps to consider.
Menstrual cycles can resume for various reasons, including hormonal changes, significant weight loss, or fluctuations in testosterone levels. In your case, the notable drop in testosterone combined with your recent weight loss could be factors. Hormones can be quite sensitive to changes in body weight and metabolism, which can lead to unexpected menstrual cycles.
Next Steps:
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Monitor Your Symptoms: Keep track of your menstrual cycles, including flow and any associated symptoms like cramps. Note any changes in frequency or severity over the next few months.
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Hydration and Nutrition: Ensure you are staying hydrated and eating a balanced diet that supports your overall health, particularly after significant weight loss. Nutrients are essential for hormonal balance.
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Review Hormone Therapy: Since your testosterone levels have dropped, discuss with your physician the possibility of adjusting your hormone therapy again, considering both dosage and frequency.
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Consider Stress and Mental Health: Changes in mental health can also affect hormone levels and menstrual cycles. Practices such as regular exercise, mindfulness, or consulting with a mental health professional can be beneficial.
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Schedule a Follow-up Appointment: If your periods continue or if you experience any concerning symptoms (like severe pain or heavy bleeding), consider scheduling a check-up for further evaluation of your hormone levels and overall health.
Remember, it’s perfectly okay to feel uneasy about these changes, but many factors could be contributing to this situation. Prioritize your health by monitoring symptoms and maintaining open communication with your healthcare provider. If you need any further assistance or have specific concerns, feel free to ask.
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