Endocrinological Assessment in Transgender Individuals

    October 2022 in “ Springer eBooks ”
    Carlotta Cocchetti, Mario Maggi, Alessandra D. Fisher
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    TLDR The document concludes that personalized hormonal treatments are important for transgender individuals and more research is needed for non-binary treatments.
    The document "The Transgender: Endocrinological Assessment" discusses the role of endocrinologists in gender-affirming treatment for transgender individuals, emphasizing the need for personalized clinical approaches. It reviews hormonal treatment strategies for both binary and non-binary transgender people, detailing the expected body modifications and safety profiles of available compounds. For trans AFAB individuals, testosterone administration can lead to increased facial and body hair, body composition changes, voice deepening, and in some cases, androgenetic alopecia. For trans AMAB individuals, oestrogens can induce female secondary sexual characteristics, including a significant reduction of terminal facial and body hair, increased body fat, and breast development. The document also discusses the use of finasteride for treating androgenetic alopecia and hirsutism, and the use of topical minoxidil for beard development. It concludes by emphasizing the need for more research on non-standardized therapies for non-binary individuals.
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      community How does hair loss and recovery work?

      in Chat  12 upvotes 1 year ago
      Hair loss varies due to genetic sensitivity to DHT and other factors. Treatments discussed include finasteride, minoxidil, RU58841, and microneedling.

      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  55 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 DHT levels after 4 weeks of Fina and 8 weeks of Fina + 4 weeks of Duta

      in Update  38 upvotes 6 years ago
      The user reported early stage diffuse hair thinning and increased DHT levels after 4 weeks on Finasteride and 8 weeks on Finasteride plus 4 weeks on Dutasteride, despite the medications being authentic and stored properly. They are considering increasing their Dutasteride dosage due to the lack of side effects and are unsure if the treatment is helping their hair.

      community A lot of blood tests that I have done until now (Mainly Hormones).

      in Finasteride/Dutasteride  4 upvotes 5 years ago
      The user shared their experience with hair loss treatments, including oral and topical Finasteride and Minoxidil, and detailed various blood test results to track hormonal changes. They noted that while DHT levels initially decreased with topical Finasteride, they later increased, but they observed positive results in hair growth.

      community Well… I Did It. Estrogen Saved My Hairline

      in Transgender  735 upvotes 1 year ago
      OP transitioned and used Spironolactone, Estradiol Valerate, Minoxidil, and dermarolling, resulting in significant hair regrowth. They advise this method may not be suitable for cis men.

      community #BIG4 plus vitamins and biotin/ 6 Months results/ 26 years old/ Extreme MPB

      in Progress Pictures  237 upvotes 4 years ago
      A 26-year-old with extreme male pattern baldness saw hair regrowth after 6 months using Minoxidil, Finasteride, microneedling, Nizoral, a vitamin complex, biotin, and a shampoo with baicapil. Continuation of treatment is necessary to maintain results; stopping may lead to hair loss, making a hair transplant a potential future option.

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