If he took it only once, probably nothing would happen, except perhaps side effects such as nausea. As for regular, long-term use, the effects would depend on the type of the pill taken: combined or progestogen-only.The combined pill contains
oestrogens, which are responsible for the development of female secondary sexual characteristics, so a combined pill would cause slow changes in some body features that would vary from man to man.The first changes would probably be visible within two to three months. The man's breasts would start to grow, with his nipples becoming larger. His skin would become thinner and softer, which would lead to change in skin tone - pink, with the veins more visible. Body fat would start accumulating in "female areas", such as under facial skin - making his face look puffier - and also around his hips, thighs, upper arms and pubis.More significant changes, such as a slimmer waist-to-hips ratio and fleshier hips and buttocks, would probably take many more months to develop. His muscles might become thinner, and his body and scalp hair might change in texture, but the pill alone would not inhibit the growth of facial hair or improve male pattern baldness. Sweat production would also change, as would the body odours of skin, sweat and urine, which would become less sharp and more sweet and musky.The pill-taker would notice some emotional changes too, such as a greater tendency towards mood swings or depression. Recent studies have indicated that cross-hormone therapy in male-to-female transsexual people may result in a reduction in the volume of the brain towards female proportions - but with no effect on IQ. Regular intake of oestrogens would also increase the risk of blood clotting, decrease insulin sensitivity and cause disturbances in liver function.By contrast, the hormones in the
progestogen-only pill do not cause feminisation in a male. Some studies show that they act like anti-androgens and would probably suppress testosterone to some degree, causing breast growth and a decrease in facial hair. This pill might raise the taker's body temperature and cause fluid retention.I could not find any clinical studies, but it seems certain that some will have been done, because oral contraceptives have been widely used in gender reassignment for men who want to become women.Joanna Jastrzebska, North Shields, Tyne and Wear, UK