Dermatologic Conditions in Transgender Populations

    April 2019 in “ Endocrinology and Metabolism Clinics of North America ”
    Howa Yeung, Benjamin Kahn, Bao Chau Ly, Vin Tangpricha
    Image of study
    TLDR Transgender patients need proper skin care, especially when undergoing hormone treatments, to manage issues like acne and hair loss.
    The document from 2019 emphasizes the need for proper diagnosis and treatment of dermatologic conditions in transgender patients, especially those undergoing hormone and surgical gender-affirming treatments. It notes that hormone therapy can lead to skin issues such as acne, male pattern hair loss, hirsutism, and pseudofolliculitis barbae. For transmasculine individuals, acne is common with testosterone therapy, and a study of 21 adults showed increased facial and back acne after 4 months. Treatments for acne include topical retinoids, benzoyl peroxide, and oral antibiotics, with severe cases possibly requiring isotretinoin. Male pattern hair loss can be treated with topical minoxidil and oral finasteride, which was shown to increase hair counts by 25% in a study of 10 patients without affecting testosterone levels. For transfeminine individuals, estrogen and antiandrogens do not typically halt facial hair growth, necessitating hair removal methods like shaving, plucking, waxing, topical eflornithine, electrolysis, and laser hair removal. The document also discusses complications from dermal fillers, the prevalence of keloids and hypertrophic scars, and the management of conditions like melasma, lichen sclerosus, HPV infections, and HIV-associated dermatologic conditions. It underscores the importance of comprehensive care and multidisciplinary coordination to improve the quality of life and mental health of transgender patients with skin diseases.
    Discuss this study in the Community →

    Research cited in this study

    21 / 21 results

    Related Community Posts Join

    6 / 1000+ results

      community Female, 30, PCOS diagnosis, MPB Norwood 2. Endo refuses to give anything other than Spironolactone. Feel like I’m at my wit’s end here.

      in Female  56 upvotes 2 years ago
      A 30-year-old female with PCOS and male pattern baldness is frustrated with her endocrinologist's recommendation of only Spironolactone and minoxidil, feeling that dutasteride, finasteride, and progesterone would be more effective. Other users suggest various online sources for treatments, warn against self-medicating due to potential risks, and recommend seeking a specialized endocrinologist or considering additional treatments like Inositol, Berberine, and dermaneedling.

      community How is dht not beneficial to you?

      in Finasteride/Dutasteride  111 upvotes 1 month ago
      DHT is important for sexual function and mood, but finasteride and dutasteride can reduce DHT, causing side effects like reduced libido and erectile dysfunction. These treatments are effective for hair loss, but their impact on DHT leads to debate.

      community I think this is my stop, gentlepeople. So long and thanks for all the data 👋

      in Transgender  2261 upvotes 8 months ago
      A user shared their successful experience with hair regrowth and transitioning from male to female using minoxidil, finasteride, Nutrafol, microneedling, and hormone replacement therapy (HRT). They expressed gratitude for the results and encouraged others to explore treatments that align with their personal goals.
      If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

      community If You Have DUPA, PLEASE READ THIS: Everyone Should Be Scalp Biopsied

      by nkrata in Research  830 upvotes 1 year ago
      Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

      community Yes your lifestyle and diet has its role in hair loss.

      in Chat  296 upvotes 6 months ago
      Diet and lifestyle changes can reduce hair shedding but won't regrow hair lost to genetic male pattern baldness. Treatments like finasteride and dutasteride are necessary for significant hair regrowth.

      community This sub is very toxic towards people who don’t blindly follow the fin mafia

      in Treatment  226 upvotes 2 years ago
      The conversation criticizes the negative attitude towards those concerned about side effects from hair loss treatments like finasteride and minoxidil, or who prefer natural remedies. Specific treatments discussed include finasteride, minoxidil, rosemary oil, and RU58841, with an agreement that finasteride and minoxidil are proven effective.

    Related Research

    2 / 2 results