Finasteride and HRT

Posted by bobbie4481 @bobbie4481, Dec 19, 2024

Anyone know why WPATH recently listed Finasteride as "not recommended?"
I'm 28 months on HRT (Estradiol, progesterone and spiro) and noticed in the latest version of WPATH standards of care that Finasteride is not recommended, but with no reference to why. I've been on it as an alternative to Tamsulosin for BPH.
Anyone have any information?

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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?

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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.

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I’m sorry that you are having troubles with hair loss.

I began regrowing hair on my scalp two years on hrt. Primarily after my testosterone was sufficiently suppressed.

Post surgery I had rapid hair growth, however I still maintained a receding hairline.

In the last year…I have been taking oral minoxidil and am also using prescription nizoral shampoo. I use it everyday and rub a little retin-a on my temples and across the front of my hairline.

I’m almost looking at a full head of hair in a feminine growth pattern.

This has worked for me. Maybe a dermatologist could help you.

Hope you have a wonderful weekend.

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