The intersection of being transgender and plus-sized involves a complex blend of physiological changes, societal pressures, and health considerations. For many transgender women (often referred to by the inclusive term transfeminine), navigating body image involves both gender transition and managing weight in a society that often stigmatizes both. Physiological Changes and Fat Redistribution
: Studies show an average increase in total body fat of approximately 16% to 20% within the first year of treatment.
Gender-affirming hormone therapy (GAHT) significantly alters body composition. In transfeminine individuals, estrogen therapy typically leads to: fat shemale
: While total fat increases, some research indicates a decrease in visceral fat (fat around internal organs), which can influence metabolic health markers. Societal Challenges and Mental Health
Being both fat and transgender creates a unique intersection of marginalized identities. : Lean mass and muscle strength often decrease,
: Lean mass and muscle strength often decrease, though they may remain higher than those of cisgender women for several years.
: Fat tends to redistribute to "feminine" areas like the hips, thighs, and buttocks. fat shemale
Information on Estrogen Hormone Therapy - UCSF Transgender Care