Transgender question about finasteride
Thank you for BaldingBlog and for answering all questions about hair loss! I have a bit of a less common question although I’m sure it comes up in your practice from time to time. I understand that if a balding man were to stop Finasteride then hair loss would resume and the balding pattern would advance to the stage it would have got to without Finasteride within 3 months. I also assume that if a transgender woman’s testosterone production is stopped chemically or surgically then there will be very little testosterone for the Finasteride to act upon. Would you advise continuing Finasteride for a time even after testicular testosterone production is stopped chemically and oestrogen is taken or is it fairly risk free to simply stop the Finasteride? Is there any real risk of hair loss because the Finasteride is stopped in your experience?Thank you in advance for answering this slightly less common question which will hopefully help many trans women in this situation.
You should be safe stopping finasteride; however, when hair loss occurs after finasteride cessation, there still could be a negative impact on your hair because of the intrinsic testosterone your body produces. If you don’t have problems with the drug, maybe it would be better just staying on it. Check with your doctor about this point.
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