SUN-106 Nonsurgical Management of Hyperandrogenism in a Postmenopausal Woman

After gyno removal surgery, the user considers starting finasteride at 0.25 but is concerned about the risk of gyno returning, especially since they previously experienced itchiness with finasteride. They have been using RU58841 at 10% for 2-3 months with unclear effects, and other users share experiences with topical finasteride and discuss the low risk of gyno recurrence.

The conversation discusses managing gynecomastia symptoms potentially caused by finasteride use, with treatments including reducing finasteride dosage, using DIM, ashwagandha, tamoxifen, epistane, and arimistane. Users share experiences and advice on balancing testosterone and estrogen levels to address symptoms.

The conversation discusses using estradiol mesotherapy to replicate hormone replacement therapy results while minimizing systemic exposure. It also covers the use of Spironolactone cream, which reportedly has no systemic side effects, and the potential risks of using bicalutamide and Spironolactone in men.

The user has been using oral minoxidil and dutasteride for hair loss without success and is considering adding topical 17α-estradiol, Pyrilutamide, Clascoterone, or cetirizine. They have confirmed low serum DHT levels and are exploring additional treatments due to genetic sensitivity to DHT and prostaglandin D2.

Some users have experienced good hair regrowth with estradiol, cyproterone acetate, spironolactone, and bicalutamide, but these treatments may cause feminization and other side effects. It's advised to consult a doctor before using these treatments, as they can lower testosterone and have significant risks.

To minimize the risk of gynecomastia while maximizing hair regrowth, some suggest using finasteride six times a week and dutasteride once, while others recommend using raloxifene or tamoxifen. Concerns about gynecomastia are common, with some users experiencing flare-ups despite low estrogen levels, and others advising caution and considering surgery if necessary.