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What is bottom growth?

By: Plume Community Member

Bottom growth is a term used to describe the growth of the clitoris in trans men, nonbinary people, and other FTM (female-to-male) folks who use testosterone. Bottom growth is one of the key physical changes that occur during the process of transition for many trans and nonbinary individuals. 

During the process of transition, FTM folks, nonbinary and transmasculine people, and trans men may use gender-affirming hormone therapy (GAHT, sometimes called HRT or hormone replacement therapy) to increase their testosterone, which can cause clitoral growth. This growth can be significant, with the clitoris becoming larger, longer, and thicker in some individuals. 

Bottom growth is not necessarily the same for all trans men, nonbinary people, and folks who identify as FTM. The amount of growth and the rate of growth will depend on the individual’s body and the amount of testosterone they are taking. Additionally, the size and shape of the clitoris before transitioning will also influence the amount of growth. In some cases, the clitoris may become almost as large as a penis, while in other cases, the clitoris may remain relatively small. 

The growth of the clitoris is a key part of the transition process for many people who take testosterone. Bottom growth can be an exciting and affirming experience for those who are transitioning. The effects of bottom growth can be seen in both physical and psychological ways. For example, some trans men may find that the growth of their clitoris gives them a greater sense of physical comfort and satisfaction, while others may feel increased confidence and satisfaction in their gender identity. 

Bottom growth is an important part of the transition process for many trans and nonbinary individuals, and it is an important part of their journey towards gender affirmation. It is important to remember that the effects of bottom growth can vary greatly from person to person and that everyone’s experience with transition is unique. 

Ultimately, it is important to remember that bottom growth is a natural and normal part of the transition process and that it is an important part of affirming one’s gender identity.

Co-founded by one of the leading voices in transgender healthcare, Dr. Jerrica Kirkley (she/her), Plume is the largest gender-affirming healthcare provider in the world. Plume provides care and support for gender transition. Our services include gender-affirming hormone therapy (GAHT, sometimes called HRT or hormone replacement therapy) such as estrogen and testosterone prescriptions for transgender, nonbinary, and gender non-conforming individuals. Plume also provides specialized health care for the trans community that includes peer support and medications for treating anxiety and depression. To become a Plume Member, click here.

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