this post was submitted on 24 Mar 2025
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traaaaaaannnnnnnnnns

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The Lemon Edouard Manet, 1880

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[–] XiaCobolt@hexbear.net 3 points 1 week ago* (last edited 1 week ago) (2 children)

Even though I'm taking estrogen (and spironolactone) I'm still taking finasteride. I think just it's neat. I'm surprised it doesn't get used as much in gender affirming care.

Obviously it's can't be a sole anti-androgen as it only blocks DHT, but like women trans and cis are meant to have some testosterone if only for energy, libido etc. I think it makes sense to have the finasteride there to sweep in and block the DHT part that only have negative effects (hair loss on scalp, increased facial and body hair, prostate enlargement). It's actually prescribed to cis women who are losing hair or are hirsute, a demographic with a lot in common with some trans women.

The major side "negative" effects are reversible (1:100) and irreversible erectile dysfunction (1:10,000) which is a YMMV and breast growth vivian-shrug

I pay 20 AUD for 30x5mg tablets, that I quarter, meaning I have 4 months supply at once and it costs me 5 dollar bucks a month.

Also seems like it has relevance for Trans Men who don't want hair loss from testosterone. IDK.

[–] SamotsvetyVIA@hexbear.net 1 points 1 week ago (1 children)

Is there any particular reason you're taking fin instead of duta?

[–] XiaCobolt@hexbear.net 1 points 1 week ago* (last edited 1 week ago) (1 children)

Regional differences probably from being in Australia. I got the finasteride a couple of years ago for “hair loss”. Dutasteride is only for prostate enlargement here even though it’s also in the same family.

[–] SamotsvetyVIA@hexbear.net 1 points 1 week ago (1 children)

Ah, okay. Probably unsolicited advice, but you can look into the differences between duta and fin and whether to take one over the other.

[–] XiaCobolt@hexbear.net 1 points 1 week ago

My understanding is dutasteride is stronger, in Australia though a doctor might refuse to prescribe it as it’s off label use, where as finasteride is common for hair loss. If someone will prescribe it’s a great option yeah.

[–] rtstragedy@hexbear.net 1 points 1 week ago

my hair was shit for a year or two even after spiro and estradiol until I started fina, still on it and tbh too scared to stop