Spotting while on testosterone. Jul 3, 2025 · Spotting, or light vaginal bleeding, is pretty common. Sep 17, 2024 · Testosterone (and sex steroids) impact menstruation via a negative feedback loop, whereby high levels suppress pituitary production of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) which in turn suppress ovulation and menstruation. Nov 14, 2024 · One of the commonly desired effects of testosterone gender-affirming hormone therapy (GAHT) is that it usually stops menstrual periods. Jul 10, 2024 · Spotting is any bloody vaginal discharge that doesn’t require the use of period products, like a pad or tampon (1). Any unexplained spotting should be addressed with your healthcare provider (2). While many transgender and gender diverse individuals rapidly achieve amenorrhea on testosterone, emerging data have identified that breakthrough bleeding can occur in up to one-third of individuals with long-term use. Aug 19, 2025 · Spotting between periods can happen for many reasons, but a common cause is an imbalance of your estrogen and progesterone levels, which are released when you ovulate. Sep 22, 2025 · What should I do if I experience bleeding while on testosterone for menopause? If you experience any vaginal bleeding after menopause while on testosterone therapy, you should contact your healthcare provider immediately. Jun 19, 2023 · Spotting is a type of light vaginal bleeding that occurs between menstrual periods. Feb 12, 2020 · Transgender men and hormone-prescribing providers can be reassured that vaginal bleeding and spotting usually stop within three months after testosterone initiation. It is important to remember that vaginal bleeding in a trans n or non-binary individual can cause significant distress and further exacerbate their dysphoria. Learn more about the differences, symptoms, causes, and treatments. Objective: The primary aim of the study was to evaluate methods used by patients and their providers to manage breakthrough bleeding which arises after 1 year of testosterone use. Typically, spotting is lighter than your normal period. Do not wait or assume it’s benign. Dec 2, 2025 · Learn what spotting looks like, including color, texture, and timing, how it differs from a period, possible causes and when to contact a doctor. Jan 30, 2024 · Spotting simply describes bleeding between your periods. frequent cycles, heavy irregular bleeding) may have underlying pathology, which could result in a prolonged or complicated path to cessation of menses once on testosterone. . Jun 21, 2024 · Spotting usually is much lighter bleeding than normal menstrual bleeding. Sep 15, 2025 · Spotting is light vaginal bleeding that can occur outside of your regular menstrual period. Feb 9, 2024 · One-third of transgender and gender-diverse individuals on testosterone will experience at least one breakthrough bleeding episode, even after their first year of use, researchers reported in the Jun 17, 2016 · Transgender men with a history of abnormal cycles prior to initiating testosterone (e. It's typically different from the bleeding during your period, which tends to be heavier and more consistent. Women who are pregnant may also experience spotting. things to consider when a transman or non binary individual has new or changed vaginal bleeding. The causes of spotting vary depending on a woman's age and her stage in life. While many people find their periods stop soon after they start testosterone, others find that their periods don’t stop, or that they stop and start intermittently. Between fluctuations in your hormones to birth control and having sex, there can be lots of reasons why you might experience spotting, and usually, it’s nothing to worry about. Jan 8, 2021 · Spotting can include bleeding between normal menstrual periods, bleeding after sexual intercourse, bleeding before puberty, and bleeding after menopause. Dec 17, 2024 · So, how can you tell if you’re spotting versus having your normal period? There are some key differences in the amount of blood you’ll see, the color, and other characteristics. Engaging with a health practitioner to discuss these matters and have a vaginal examinat Feb 13, 2024 · This article explores why some individuals may experience heavy bleeding while undergoing testosterone hormone therapy and discusses possible causes, management strategies, and when to seek medical advice. We examine what causes spotting and when a person should contact a doctor. Possible causes include sex, uterine fibroids, or hormonal birth control. g.