Short-Term Side Effects
Common Side Effects
Acne
| Details | Management |
|---|---|
| Very common, especially face/back | Gentle cleansing twice daily |
| Peaks at 3–6 months | Benzoyl peroxide or salicylic acid |
| Usually improves after 1–2 years | For severe acne, see a dermatologist |
Bottom Growth Sensitivity
| Details | Management |
|---|---|
| Clitoral enlargement begins within weeks | Normal; tenderness usually subsides |
| Can be tender during growth | Wear loose underwear if uncomfortable |
Libido Increase
| Details | Management |
|---|---|
| Very common in first weeks/months | Normal expected effect |
| Can be intense | Usually stabilises over time |
Hot Flashes
| Details | Management |
|---|---|
| Can occur as estrogen drops | Usually temporary (1–3 months) |
| Body adjusting to new hormone balance | Ensure T levels are not too low |
Mood Changes
| Details | Management |
|---|---|
| Increased irritability possible | Monitor your mood |
| Some feel more confident/assertive | If severe, check T levels (may be too high) |
Appetite and Weight Changes
| Details | Management |
|---|---|
| Appetite increases significantly | Expected — body needs fuel for muscle growth |
| Weight gain (mostly lean mass) | Healthy diet; regular exercise |
When to Seek Medical Attention
Emergency signs
- Sudden severe headache — could be hypertension
- Vision changes — could be hypertension-related
- Chest pain / shortness of breath — could be PE or polycythemia-related
- Severe depression / suicidal thoughts — seek crisis support immediately