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7/18/2025, 5:29:11 AM
Hey, everyone. I've been seeing a tele-health clinic specializing in gender affirming care. Went through all the preliminary appointments and have the prescription ready to go. But, there are a few issues I'd like to have your opinions on, if you're willing to give it.
For the past 3 years I've been using 5-alpha reductase(5AR) inhibitor to successfully treat androgenetic alopecia(AA); I'm using both finasteride and dutasteride (I just wanted to absolutely obliterate DHT). I started treatment as soon as I noticed some thinning, so I managed to recover the little bit of hair I lost, and there hasn't been an issue since. Were I to proceed with HRT with the clinic, I was told that as soon as my T levels are sufficiently suppressed, I would have to stop using the 5AR inhibitors. In addition, I was also told that after being on HRT for long enough, I would be taken off of spiro as well.
The clinic prescribes the HRT meds in oral form, with the first blood test and titration adjustment in 3 months. Spiro is taken orally, and E is take in a partially sublingual manner; let dissolve under the tongue for 60 - 90 seconds, then swallow. E Injections aren't available here, and transdermal methods are too expensive.
My major issue is, without 5AR inhibitors or spiro, my hair would be open to being destroyed by DHT. The clinic seems like it they won't budge on the outlined course of treatment. I'm not sure what to do, please advise. Also, what do you all think of way they expect me to take the HRT medications?
For the past 3 years I've been using 5-alpha reductase(5AR) inhibitor to successfully treat androgenetic alopecia(AA); I'm using both finasteride and dutasteride (I just wanted to absolutely obliterate DHT). I started treatment as soon as I noticed some thinning, so I managed to recover the little bit of hair I lost, and there hasn't been an issue since. Were I to proceed with HRT with the clinic, I was told that as soon as my T levels are sufficiently suppressed, I would have to stop using the 5AR inhibitors. In addition, I was also told that after being on HRT for long enough, I would be taken off of spiro as well.
The clinic prescribes the HRT meds in oral form, with the first blood test and titration adjustment in 3 months. Spiro is taken orally, and E is take in a partially sublingual manner; let dissolve under the tongue for 60 - 90 seconds, then swallow. E Injections aren't available here, and transdermal methods are too expensive.
My major issue is, without 5AR inhibitors or spiro, my hair would be open to being destroyed by DHT. The clinic seems like it they won't budge on the outlined course of treatment. I'm not sure what to do, please advise. Also, what do you all think of way they expect me to take the HRT medications?
7/18/2025, 4:42:26 AM
Hey, everyone. I've been seeing a tele-health clinic here in Canada specializing in gender affirming care. Went through all the preliminary appointments and have the prescription ready to go. But, there are a few issues I'd like to have your opinions on, If you're willing to give it.
For the past 3 years I've been using 5-alpha reductase(5AR) inhibitor to successfully treat androgenetic alopecia(AA); I'm using both finasteride and dutasteride (I just wanted to absolutely obliterate DHT). I started treatment as soon as I noticed some thinning, so I managed to recover the little bit of hair lost, and there hasn't been an issue since. Were I to proceed with HRT with the clinic, I was told that as soon as my T levels are sufficiently suppressed, I would have to stop using the 5AR inhibitors. In addition, I was also told that after being on HRT for long enough, I would be taken off of spiro as well.
The clinic prescribes the HRT meds in oral form, with the fist blood test and titration adjustment in 3 months. Spiro is taken orally, and E is take in a partially sublingual manner; let dissolve under the tongue for 60 - 90 seconds, then swallow. E Injections aren't available in Canada, and transdermal methods are too expensive.
My major issue is, without 5AR inhibitors or spiro, my hair would be open to being destroyed by DHT. The clinic seems like it they won't budge on the outlined course of treatment. I'm not sure what to do, please advise. Also, what do you all think of way they expect me to take the HRT medications?
For the past 3 years I've been using 5-alpha reductase(5AR) inhibitor to successfully treat androgenetic alopecia(AA); I'm using both finasteride and dutasteride (I just wanted to absolutely obliterate DHT). I started treatment as soon as I noticed some thinning, so I managed to recover the little bit of hair lost, and there hasn't been an issue since. Were I to proceed with HRT with the clinic, I was told that as soon as my T levels are sufficiently suppressed, I would have to stop using the 5AR inhibitors. In addition, I was also told that after being on HRT for long enough, I would be taken off of spiro as well.
The clinic prescribes the HRT meds in oral form, with the fist blood test and titration adjustment in 3 months. Spiro is taken orally, and E is take in a partially sublingual manner; let dissolve under the tongue for 60 - 90 seconds, then swallow. E Injections aren't available in Canada, and transdermal methods are too expensive.
My major issue is, without 5AR inhibitors or spiro, my hair would be open to being destroyed by DHT. The clinic seems like it they won't budge on the outlined course of treatment. I'm not sure what to do, please advise. Also, what do you all think of way they expect me to take the HRT medications?
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