Here are some things you need to know if you're an HIV positive trans man.
Antiretrovirals and hormones
If you're living with HIV, the antiretroviral treatment you receive will be tailored so that it can be taken safely alongside your hormone treatment.
Antiretrovirals may alter the hormone levels in your body, so it's important that your HIV healthcare team knows about any hormones you're taking (including any that are unprescribed) as well as the quantities.
Existing research on drug interactions in women taking both the contraceptive pill and antiretrovirals has helped medics advise trans women on the likely interactions between oestrogen therapy and antiretrovirals. There has not, however, been equivalent research carried out to look at drug interactions in trans men who are taking testosterone and antiretrovirals.
Currently it seems that most antiretrovirals appear not to be affected by hormones.
Stopping HIV treatment
If you stop taking your antiretrovirals or change the amount of testosterone you take you must tell your healthcare team. Remember, it's very important to have your testosterone levels monitored.
Body fat changes
If you're taking antiretrovirals, you may be concerned about body fat changes. Although this is linked to older antiretrovirals, it still happens sometimes - it's important to go to your HIV doctor if you notice any signs of this or any other side effects.
Taking unprescribed hormones
If you're taking any hormones which have not been prescribed by a doctor, be sure to tell your HIV doctor. It’s very important that they know about this as it may affect the antiretroviral treatment you take.
Monitoring your hormone levels
Make sure you go to have your hormones levels monitored. This is important for all transmen but if you're taking antiretrovirals it's especially important.
Support for HIV positive trans men:
At the time of writing there are no specific support groups for trans men who are living with HIV. See the Help tab of our wellbeing page for trans men’s support.
i-Base also have a useful Q and A page for trans people who are living with HIV.
You can access support, counselling, community forums and all manner of other services if you're HIV positive in myHIV.