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Bottom growth refers to the physical changes experienced in the genital area by transgender men and nonbinary individuals undergoing masculinizing hormone therapy (MHT), of which testosterone is a key component. This phenomenon is clinically known as。

It starts looking and behaving more like a penis (see diagrams below). Within the trans community, this is often called ‘lower growth’ or ‘bottom growth’. Sometimes this rapid growth comes with physical discomfort or even pain.

What is bottom growth? Bottom growth refers to genital changes that occur when people assigned female at birth start testosterone gender-affirming hormone therapy (GAHT) or hormone replacement therapy (HRT).

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