Counseling on fertility and contraception remains essential in transmasculine patients on testosterone, as ovulation can occasionally occur.
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Testosterone therapy may improve libido, energy, and muscle mass in eligible patients with documented deficiency, with attention to hematocrit, prostate, and cardiovascular status.
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Topical testosterone should be applied carefully to avoid skin-to-skin transfer to partners or children, following handwashing and site coverage guidance.
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Estrogen therapy can support bone density and reduce fracture risk in postmenopausal individuals, especially when combined with calcium, vitamin D, and weight-bearing exercise.
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