What Hormone Replacement Therapy Won't Change

Hormone replacement therapy (HRT) is an important part of many transgender individuals' transitions. However, there are some physical attributes What Hormone Replacement Therapy Won't Change. Being aware of these can help set realistic expectations before starting HRT.


Adam's Apple

The Adam's apple is one of the most noticeable features that HRT does not reduce. An Adam's apple grows more prominent in people who go through male puberty as the larynx grows. Unfortunately, HRT does not shrink the size of the larynx or Adam's apple.

If Adam's apple causes significant dysphoria, surgical options such as chondrolaryngoplasty (Adam's apple reduction surgery) exist to contour or shave it down. However, many opt not to get surgery if their Adam's apple is not too prominent.


Vocal Pitch

Similarly, HRT also does not raise vocal pitch or reverse vocal cord thickening from male puberty. Some amount of vocal training or surgery may be required to achieve a higher feminine vocal pitch.

Working with a speech therapist or vocal coach to learn techniques to speak in a higher pitch helps many transgender women feminize their voices. Vocal feminization surgery is also an option, but often not necessary.


Bone Structure

The efficacy of HRT on bone structure depends on when it is started. If begun before the end of puberty around age 15-16, HRT may help develop a more feminine bone structure.

However, when started later in life, HRT does not modify bone structure that has already developed. Things like shoulder width, hand/foot size, height, and facial contours remain unaffected.

Some transgender women elect to undergo facial feminization surgery, allowing facial bone structure to be surgically altered for a more feminine appearance.


Body Hair

Body hair does gradually decrease on HRT for transgender women. Hair becomes finer, grows slower, and covers less area. However, facial hair that has already developed is often persistent.

Options to remove facial hair include electrolysis and at-home IPL (intense pulsed light) hair removal devices, like KetchBeauty’s at-home laser hair removal kit.

Using an at-home IPL device is more affordable and convenient than electrolysis or laser hair removal at clinics. It allows you to tackle facial and body hair from the comfort of your home on your own schedule.

Intense Pulsed Light (IPL) handset offers a cutting-edge method for hair removal that is longer-lasting than traditional methods. 

Here's a breakdown of what IPL is, how it works, and specific information on using the KetchBeauty range of IPL handsets: 


Understanding IPL:

  • What is IPL? IPL uses broad-spectrum light that targets the melanin in hair. This light then converts to heat, damaging the hair follicle, which reduces hair growth over time.
  • Long-Term Solution: IPL isn't a one-time solution. It requires multiple sessions but offers a significant long-term reduction in hair growth.


KetchBeauty’s IPL Range:

  • OG IPL Handset: The OG is KetchBeauty’s original device. It offers an ergonomic design suitable for first-time users. This handset can be used on any body part, including the face and bikini.
  • V4.1 IPL Handset: The V4.1 boasts faster results than the OG, with users seeing changes in as little as 2-3 treatments. It also has an improved ergonomic design and can be used on all skin tones except the darkest.
  • MX2 Pro IPL Handset: The MX2 is the most advanced in the range, offering the fastest treatment time. It has five energy levels to cater to different hair types and densities.


Effortless and PERMANENT full-body hair reduction/removal at home with the KetchBeauty MX2 IPL Hair Removal Handset

Say goodbye to unwanted face & body hair for good and enjoy soft, smooth, hair-free skin and professional-quality results in the comfort of your home with the Mx2 Pro IPL hair removal handset.

  • User-friendly design
  • ⭐Digital interface (new*)
  • ⭐999,999 pulses (new*)
  • ⭐Usage tracking (new*)
  • ⭐8 intensity levels (new*)
  • ⭐Ice cold mode (new*)
  • Automatic flash mode
  • ⭐Lifetime warranty (new*)
  • ⭐6 months money back (new*)
  • Suitable for full-body use
  • ⭐For all skin tones (new*)

The Mx2 IPL handset is most effective on black and dark brown hair and is unsuitable for removing red, white, grey, or blonde hair.

Say goodbye to unwanted hair with confidence and enjoy the convenience of long-lasting results.

Choose KetchBeauty and transform your hair removal routine today!

User Manual

Using KetchBeauty’s IPL Handsets:

  • Preparation: Shave the area you're going to treat. This ensures the IPL energy is focused on the hair root and not wasted on the hair above the skin.
  • Choose the Right Energy Level: Start with the lowest energy setting for first-time users and work your way up as your comfort allows. The MX2's varying energy levels offer flexibility for different hair types.
  • Consistent Sessions: Use the device once a week for the first 12 weeks for optimal results. After this initial phase, use it once every month for the next three months or until you achieve your desired result.
  • Post-IPL Care: Avoid exposure to the sun after treatment, as the skin will be sensitive. Use sunscreen if you're going out.


Safety and Side Effects:

  • Test Patch: Always do a test patch 24 hours before complete treatment to ensure no adverse reaction.
  • Avoid use on Tattoos: Do not use IPL directly over tattoos, as it can cause skin burns.
  • Side Effects: Some might experience slight redness post-treatment, which usually subsides within a few hours.



IPL, especially with the advanced features and effectiveness of the KetchBeauty handsets, offers a promising long-term solution for those looking to reduce hair growth.

Following the guidelines, maintaining consistency, and prioritizing safety is essential to achieve the best results.

Please note that for a more detailed and personalized guide, one should refer to the user manual of each KetchBeauty product and consult with professionals if unsure about IPL treatments.



Finally, HRT does not decrease height in adults. The myth that estrogens can make you shorter is unfounded. Growth plates fuse after puberty, so height remains fixed barring major health problems or trauma.

While height dysphoria is real, many beautiful models and women are above average in height. Confidence comes from within, not defined by a number. Be bold, wear heels, and stand tall.



While HRT is life-changing, it cannot undo or modify all secondary sex characteristics. Understanding its limitations helps set realistic expectations. Other options exist to change what HRT cannot, from vocal training to surgery. Focus on self-love, confidence, and embracing your beauty inside and out.