Susan's Place Transgender Resources

I just went in for a checkout and my doctor told me that after srs you can get a wave of dark hair regrowth so I need to stay on spiro for six months after surgery. Is that true, has that happened to anyone. I've never even heard of it.

I don't understand why you need to stay on spiro after srs. I was told there is no need. I'm not a doctor but with the testicles removed how do you make high T. My blood work results, reviewed by my endo, some 6 weeks after surgery showed my T levels were very low anyway.

Maybe others on this forum have had different experiences.

From what I understand, post surgical, some people have high T production after surgery from the adrenal glands. Given some time the settle down to feminine levels. If your pre surgical T levels were within the feminine levels, you should have had hair regrowth before surgery.

In the old days (here I go again) without the blocker the first time many of us reached female T levels was after surgery so those of us with hair loss saw hair regrowth after surgery.

P.S I meant body hair just to clarify.

No I did not had body hair regrowth. But I did not took a t-blocker before just estrogen and progesteron.

Quote from: kitty007008 on May 09, 2016, 11:55:06 PM
I just went in for a checkout and my doctor told me that after srs you can get a wave of dark hair regrowth so I need to stay on spiro for six months after surgery. Is that true, has that happened to anyone. I've never even heard of it.

A small percentage of people have higher testosterone after surgery.
There may be feedback loop signaling low testosterone so some glands may produce as much as possible.
It may be possible to use anti androgens until this settles down after a few months.

People report this as advice from Suporn for example.

Well maybe a test after surgery may show how high levels of t are and if anti androgens are needed.

Levels of estrogen post op should also be high enough imo.
Transgender people are not menopausal women.
The neovagina reacts to estrogen like a vagina.
So too low levels might cause some dryness and possibly even some atrophy.
Man endos strive for levels of 180-200 pg/ml or above.

I'd say talk about it with your doctor.


hugs

Quote from: Laura_7 on May 10, 2016, 06:04:53 AM
There may be feedback loop signaling low testosterone so some glands may produce as much as possible.

The evidence for this explanation is lacking. At best, it may be due to stress increasing ACTH production and thus adrenal androgens OR lower E post-op OR a stronger androgenic effect due to the androgen receptors no longer being blocked by the anti-androgen. Or even caused by the period during which you stopped hormones pre- and post-surgery so that T temporarily increased and estrogenic effects were less.

QuoteWell maybe a test after surgery may show how high levels of t are and if anti androgens are needed.

How do we determine if T levels are high? Say T levels are "low" or "normal", what then? Test cannot measure sensitivity and that sensitivity may now be higher, due, for instance, to no more androgen receptors being blocked.