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Perceived hair loss - over a year into HRT

Started by Miranda_B, October 15, 2015, 04:34:35 AM

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Miranda_B

First post here, so be gentle please   :D


So, I have now been on pharma hormones for over a year now and am reaping most of the benefits.   However,  I have suspected for a while that I have actually got an accelerated forehead hair loss and now, I am fairly certain of this.  This, if it continues, would be somewhat devastating (understatement of the century) !!!  Having reached mid 50s running on T with a full head of hair to start losing it now whilst on Oestrogen, T and DHT blockers would be ironic indeed.


Current regime is   oral oestradiol,   oral Spironalactone and  Dutasteride.   
                           Blood levels   oestradiol  369 pmol/L   Testoterone  0.2 nmol/L


Any ideas/comments would be welcomed please.



Thanks

Miranda


Mod Edit- No dosages please TOS 8.
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Rejennyrated

I can guess what may be happening. It is likely one of two things (or possibly a bit of both). However as there are a few potentially more serious conditions that could trigger hairloss such as for example the onset of thyroid problems, my first advice, as medical student myself, would have to be to seek prompt proper medical advice please. Dont ignore this, it may not be anything serious, but it could just be the early warning which saves you from a more serious outcome. So do get checked over.

That said there are two pretty likely causes.

Firstly if you dont get the blend of hormones right you can get into a state known as estrogen dominance - which basically means the balance is wrong between androgens (yes women do have them and need them too!) progesterone and estrogen. Hair follicles are sensitive to this balance and will be unhappy if it is too far out, inducing what is known as female pattern baldness. Unlike male pattern this does not happen in one focal place - but produces a generalised thinning all over.

Luckilly this is usually reversible by getting a decent endocrinologist to monitor and properly titrate the dosages to your metabolism, which becomes ever more imperative the older you get. While self medication is never a good idea, it would be lunacy for someone older so I do hope thats not what you are doing.

The second effect that you may be noticing is that female hair while more plentiful than male hair, is generally of a finer grade - that is to say there are more hairs but they are thinner. Unfortunately when your hair loses its natural colour these finer hairs become translucent in a way that the thicker male hair does not, and so seem to disappear giving the illusion that you a losing hair when in fact your aren't. I had this happen to me in my 40's - and the solution was to simply colour my hair - which then makes the plenteous hair that I have properly visible again.
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Naeree

Yes just like Rejennyrated say, I think you should go see your doctor for the check up. Hair loss could be the sign of many things. It could be just you getting older (older woman get hair loss too) or you are having unbalanced hormone level or it could be your liver, where continuously taking hormone and t-blocker are directly effect your liver. Anyway, better go see doctor and get body check up. Hope it goes well for you.

Miranda_B

Thanks for the thoughts.  Don't think it is any of those - have just had the regular bloods done, including Thyroid, Liver, Full Bloods, in all some 16 parameters - all pretty much bang on - including serum E and T levels.

Not self medding these days although under a GP, not an endocrin -  GP keeps refusing point blank to refer me to an endocrin.  Still waiting to get onto gender clinic doctor's register as well - finished the psych assessment months and months ago now.

Progesterone is the one unknown in this.   I have read many conflicting reports of the plusses and minusses of introducing progesterone into the mix and think on balance it is not needed in most cases and indeed can be detrimental due to the oestrogen/progesterone interractions.

Miranda

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Alainaluvsu

Finasteride has been suspected to cause an initial shedding for a few months. This happened to me as well. From what I remember, it is caused by miniaturized hair falling out after the follicle has undergone changes to allow for a larger strand of hair.
To dream of the person you would like to be is to waste the person you are.



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Mariah

Hi Miranda, welcome to Susan's. Dosages are not allowed on the site. You might ask to have some other hormone levels checked. Congrats on a year on hormones. I look forward to seeing you around the forums. Good luck and Hugs
Mariah

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  •  

Urban Christina

Give Finasteride some time as it sheds first. You could also try the BioSil supplement and be constant with it, it's popular.
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