Man labioscrotal folds into the scrotum. Another significant hormone in sexual differentiation is the anti-Müllerian hormone, which inhibits development of the Müllerian ducts. In general, men suffer from many of the same illnesses as women. In comparison to women, men suffer from slightly more illnesses. Male life expectancy is slightly lower than female life expectancy, although the difference has narrowed in recent years. For males during puberty, testosterone, along with gonadotropins released by the pituitary gland, stimulates spermatogenesis, along with the full sexual distinction of a human male from a human female, while women are acted upon by estrogens and progesterone
Transgender hormone therapy (male-to-female) voice deepens in pitch and becomes more resonant. These changes are permanent and are not affected by HRT. Voice therapy and/or surgery may be used instead to achieve a more female-sounding voice. Facial hair develops during puberty and is only slightly affected by HRT. It may, however, be eliminated nearly permanently with laser hair removal, or permanently with electrolysis. The psychological effects of feminizing hormone therapy are harder to define than physical changes. Because hormone therapy is usually the first physical step taken to transition, the act of beginning it has a significant psychological effect, which is difficult to distinguish