Finasteride and HRT

Hi @bobbie4481, this must be confusing. Have you been able to ask your medical team what treatment would be best for treatment of benign prostatic hyperplasia (BPH) and not be contraindicated for successful transition? Might another treatment for BPH be possible for you?

Been down this road with my primary care physician. I was on Tamsulosin for years without a problem. When I began HRT, I experienced drenching night sweats. Switching to Finasteride stopped the night sweats. Being on spiro has exacerbated an incontinence issue. Met with a local urologist and am scheduled for a bilateral orchiectomy in April. I've been accepted into the U of M Gender Services process, have completed orientation, letters are all in and final consult is likely in April with vaginaplasty scheduled for October or November.