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How to Get an Adam's Apple if You're a Girl?

Published in Hormone Therapy 3 mins read

Developing a prominent Adam's apple if you're a girl primarily involves hormonal changes, most notably through testosterone hormone therapy.

Understanding the Adam's Apple

The Adam's apple, medically known as the laryngeal prominence, is the visible protrusion formed by the thyroid cartilage around the voice box (larynx). While all individuals have thyroid cartilage, it becomes significantly more prominent in males during puberty due to the surge in testosterone. This hormone causes the cartilage to grow and develop, leading to the distinct bulge associated with an Adam's apple and contributing to the deepening of the voice.

Pathways to Developing an Adam's Apple

For girls or women, the most direct way to develop a noticeable Adam's apple is through the introduction of male hormones into the body.

Hormone Therapy (Testosterone)

Women who undergo hormone therapy with testosterone, often as part of gender affirmation, typically experience a range of masculinizing changes. One significant and frequently desired effect is the growth and development of the thyroid cartilage, which can lead to the formation of a prominent Adam's apple. This process is similar to how cisgender males develop their Adam's apple during puberty.

  • Mechanism: Testosterone stimulates the growth of the laryngeal cartilage, causing it to become larger and more outwardly visible.
  • Permanence: It's important to understand that the development of an Adam's apple due to testosterone therapy can be a lasting physical change. Even if hormone therapy is discontinued, the increased prominence of the Adam's apple may remain unless specific medical or surgical procedures are performed to reduce its size or prominence.
  • Associated Changes: Alongside the development of an Adam's apple, testosterone therapy also typically leads to other masculinizing effects, such as a deepening of the voice, increased muscle mass, changes in body fat distribution, and facial/body hair growth.

Important Considerations

Aspect Description
Medical Guidance Initiating hormone therapy is a significant medical decision that should always be made in consultation with qualified healthcare professionals, such as endocrinologists or gender-affirming care specialists. They can assess suitability, discuss potential risks, and monitor progress.
Irreversibility While some effects of hormone therapy are reversible if discontinued, the growth of the thyroid cartilage to form an Adam's apple is often permanent. Any desire to reduce its prominence later would typically require a surgical procedure called chondrolaryngoplasty (tracheal shave).
Overall Masculinization It's crucial to recognize that developing an Adam's apple via testosterone therapy is part of a broader process of masculinization and will be accompanied by other physical changes that may also be permanent.