Testosterone use

Taking testosterone can increase your sex drive. Sexual arousal may come unexpectedly and more often than before you started taking testosterone. The hormone can also make your clitoris larger and your vaginal walls thin. If you have receptive sex, you might bleed or have pain. Using a water-based lubricant during sex can help. If the discomfort continues, your healthcare professional might prescribe a topical cream that can help ease symptoms.

Menstrual cycles usually stop within three or four months of starting testosterone. If they continue beyond four months, or if they start again after stopping, tell your healthcare professional. You may need an evaluation to make sure there isn't another medical condition causing the bleeding. If there isn't an underlying medical concern, your care professional may recommend a three-month course of progesterone to stop menstrual cycles long term.