166 citations
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October 2018 in “Endocrine Reviews”
Hormone treatments for transgender individuals generally improve mental health and physical transition, with some health risks that require medical supervision.
Finasteride can reduce DHT in the genitalia, potentially causing side effects like reduced erections and penile fibrosis. Using PDE5 inhibitors like Tadalafil or Sildenafil may help maintain penile health and prevent fibrosis.