Based on the shared experiences from the trans community, here are the key points about the risks of hormone therapy (testosterone) for trans men, as commonly discussed in medical settings like the NHS.

Aligning with Cis Male Health Risks
The most consistent theme is that testosterone therapy does not create unique or extraordinary health risks. Instead, it elevates a trans man’s risk profile to match that of a cisgender man. As one user explains, "T doesn’t increase your risk of heart attacks, stroke or diabetes how your parent may think. It increases your risks generally to a cis male, with male level T. Your risk is just that of any other guy." – Neat-Bill-9229 source This means that concerns like cardiovascular issues, high blood pressure, or cholesterol changes are not specific to transition—they are simply part of having testosterone in one’s system at typical male levels.

Importance of Monitoring and Manageability
Medical supervision is emphasized as key to safely managing these risks. Regular blood tests and check-ups help ensure that hormone levels remain within a healthy range and that any potential issues are caught early. One user notes, "the increased risk for heart stuff is only to the cis male level, and it's not as significant as some people make it out to be (at least, according to my doctor), especially if you do blood testing every few months" – carbonatedcobalt source With proper care, risks are treatable and far from the frightening picture sometimes painted by misinformation.

Specific Physical Changes and Side Effects
Common side effects discussed include male-pattern balding, acne, vaginal atrophy (which is often easily treatable), and emotional changes. These are framed not as dangers, but as expected—and manageable—aspects of second puberty. One contributor shares, "The only thing I would consider a negative ‘side effect’ for me would be more acne. Hormones can also affect people’s mood in different ways" – furrowedbr0w source These effects are typical among cis men as well and are part of the bodily changes that come with testosterone.

Weighing Mental Health Against Physical Risks
Many highlight that the benefits of hormone therapy for mental health and quality of life significantly outweigh the physical risks. One user powerfully states, "You know what you have a much higher risk of? Dying by suicide without the hormones. Take the hormones and the slight chance of some easily treatable side effects." – unclenatelovestrains source This underscores that for many, accessing testosterone is not just about physical change but about survival and being able to live authentically.

Conclusion
In summary, hormone therapy for trans men is generally presented as bringing your health risks in line with those of cisgender men—risks that are well-understood, monitored, and manageable. The emphasis is on informed care, where the profound benefits to mental and emotional well-being make these risks a worthwhile part of living true to oneself. You are not alone in considering these factors, and with support and medical guidance, pursuing transition can be a safe and affirming journey.