Quote from: AshleyP on February 24, 2018, 02:00:39 PM
There may be some controversy about using finasteride while on HT since the latter reduces T levels which in turn should reduce DHT levels. In my case, I'm glad I did start and would do it again.
It's not simply there and then gone though, it's a build up and removal over time. It takes a while for testosterone to come down enough so that there is no DHT metabolizing, and even then you aren't necessarily reversing the DHT on scalp just by being on HRT. Essentially, the typical spiro type HRT would be preventative, but it has shown no signs of being restorative like finasteride has, as what DHT was already there bonded to scalp is still there. Of course in conjunction with Spiro, you are suppressing production of DHT at the same time you are clearing it from the scalp (that's not really technically what it is, but easy analog). In a cis male, the DHT on scalp fight would be never ending with DHT constantly replenishing and causing at least some effect(the "slowing" not no growth result), and finasteride might not even gain the amount of ground you would want to make it worth side effects that cis men care more about. In a trans woman on HRT however, it should theoretically have a much larger effect, as without actual DHT production overcoming the existing DHT is a much easier task, resulting in a halt (not just slowing) or greater regrowth.
I was told to stay on Finasteride for the time being until my testosterone was completely suppressed and then some.