What all happens to an FTM Trans Man when they begin taking Hormonal Replacement Therapy (Testosterone Hormone Placement) ? I already know that your voice drops as a result of enlarged vocal cords, your periods stop or lessen, you begin to grow facial hair, and your hair tends to become thicker and darker. I also know that your clitoris becomes inflamed growing about 1 to 2 inches. Is this process painful? I also wanted to know some more information about having top and bottom surgery. I was going to use a binder but then decided that removing my breasts altogether would be better for my self image. I also wanted to know what pain you go through by getting your uterus removed and replaced by male reproductive organs? Also, if having your female parts replaced by male parts, does that mean you can have sexual relationships like a regular AMAB and feel the exact same things. For example, get boners, and regular sexual activities?