This article describes the experiences of 12 transwomen on hormone treatment, ranging
in age from 30 to 63. Findings from interviews revealed seven prominent themes:
transitioning before hormone treatment, starting on hormones, matching expectations
with reality, tracking changes, relationships with health professionals, reflections
on gender identity, and impact of hormones. Participants tended to be highly curious
about the impact of hormone therapy, and most tracked bodily and psychological
changes closely. Despite problematic side effects experienced by most (including
periods of depression), an overall mental health benefit was evident, with
transwomen feeling relieved about reducing the impact of testosterone and the stress
of presenting as men, while being able to openly explore dimensions of being female.
While some transwomen expressed awareness of how social influences and ideas about
gender played a part in their reactions to hormone treatment, most thought and acted
in accordance with the biomedical premise that bodies and identities can be created
and recreated through technical physiological manipulation. Hormone therapy was seen
as the critical step in committing to, and consolidating gender transition.