As you try different treatment options, remember that if something doesn’t work the way you thought it would, think about other options. Talk with your healthcare provider to find what will work for you.

If you are using hormone therapy, you may experience side effects. Talk with your healthcare provider about what to expect and what symptoms need medical help. Watch closely for changes in your health and be sure to contact your healthcare provider right away if you experience any new symptoms.

Side effects of estrogen-based hormone therapy include:

• Feeling dizzy. This is usually temporary and mild. If your dizziness is severe, talk to your healthcare provider about switching to another testosterone blocker.
• Low sexual desire. If you experience this side effect, talk to your healthcare provider about adjusting your hormone levels or adding another hormone (progesterone).
• Difficulty having or maintaining erections. If you experience this side effect, talk to your healthcare provider about adjusting your hormone levels.

Side effects of testosterone-based hormone therapy include:

• Acne. This is most often a problem in the first year of hormone therapy. Talk to your healthcare provider about ways to treat the acne.
• Losing hair on your scalp. Talk to your healthcare provider about medicine to try and stop this.
• Unexpected menstrual cycle. Bleeding usually stops within 6 months of starting testosterone. If you have unexpected menstrual bleeding, talk to your healthcare provider about your testosterone dosing, when you are taking it, and if your dosing routine can be adjusted.
• Internal vaginal dryness. This is a common side effect of long-term testosterone. Talk to your healthcare provider about over-the-counter ways to treat this.

If you had surgery, remember that recovering from surgery can take time and the process may be different for everyone. Follow your surgeon’s instructions closely. Talk with your healthcare providers about your recovery plan before surgery, as some parts of your recovery will need planning.