Hello, i'm 3 month posr-op now. A few weeks aftet surgery i recognized hairloss and my skin became very unclean. It feels like before HRT and like skin men have. No softness anymore. My hormones are good, good bloodlevels. I take vitamines and minerals to support hair and recovery. But things didnt change until now.
Anybody who had similar experiences?
Didn't notice my skin changing, but did have some hair loss. My vita D was really low after spending so much time inside recovering which can cause and my GP said hair loss after major invasive surgery is a normal thing, there was even a name for it. Everything seems to be back to normal for me after 6 moths and getting my vitamin D sorted.
I did have 2 baths a day for the first 3 months though, not much chance to feel unclean
I think hair loss can be a side effect of general anesthesia.
But i had 2 other surgeries the month before SRS and no hairloss after.
How could it be?
Quote from: galaxy on December 01, 2015, 08:03:03 AM
But i had 2 other surgeries the month before SRS and no hairloss after.
How could it be?
Effects of anesthesia likely depend on the length of the surgery, and SRS is quite long. Were the others?
Breast ...
Yes, sure. Without Andorcur my T was going up to man-ranges.
Going under general anesthesia always knocks me around and it seems to take months before my body finally gets rid of it all. That's one of the big reasons why I have zero interest in undergoing anymore surgery.
I took Androcur for 3 years without any problems. It all first came after SRS.
Sounds like DHT level is now to High. Skin and hair reacts to DHT.
DHT is fine ... less than before
PM me your labs?
Post SRS my skin was crazy oily. Things balanced out eventually and I'm on the sensitive/dry side now.
I replied on a slightly different topic ... I'm post-op over 30 years. About 2 years after SRS all of my body hair on my arms, legs, chest, back disappeared. My head hairline has NOT suffered the male-pattern baldness that everyone else in my family has ... So changes in skin & hair may take a couple of years to fully manifest themselves.
I dont have that time ... a couple of years.
So generally HRT is a game of patience - whether we like it or not.
First and foremost drink water! Some things for you to try would be to make sure you're getting your basic vitamins. It helps to eat your vitamins when possible vs supplements or topical things (see bioavailability). Make sure you're getting enough micronutrients and electrolytes.
Coming off AAs your skin and scalp will be producing a lot of oil as they've been suppressed (see sebaceous gland inhibition from spiro and cypro) until now and there's an acclimation period.
Everyone's skin and hair is different. Find a proper hygiene regime that works for you. Proper cleansing and exfoliating, shampooing and conditioning, etc. This step isn't trans specific by any means.
Once hair grows long enough some of it falls out, it's natural.
T and DHT levels if anything will need supplementation postop. Also from my understanding anesthesia isn't that likely to cause hair loss in most people and if it does it's not solely anesthesia alone.
-its possible srs is like a shock to the system, and a few things get loose...
-some substances used for anaesthesia or pain relief might be excreted...
-there migt be some toxins excreted through the skin... so as others said its important to drink enough water...
and maybe take regular baths in salt water...
might also help for hair...
-how is your diet ? Healthy, enough fruit and vitamins, no junk food or artificial components... no spices with flavour enhancers etc...
hugs
As i said:
Before SRS -> its okay, some regrowth, no hairloss, perfect skin
After SRS -> desaster, hairloss, regrowth goes back, skin is very rough and dry
Ive the same things ive tried and explored over the years and tested for good. Only change is SRS.
Quote from: galaxy on December 16, 2015, 06:06:33 PM
As i said:
Before SRS -> its okay, some regrowth, no hairloss, perfect skin
After SRS -> desaster, hairloss, regrowth goes back, skin is very rough and dry
Ive the same things ive tried and explored over the years and tested for good. Only change is SRS.
On SRS, your body is subject to stress and an array of chemicals, for anaestesia and pain relief.
Also after removal of gonads there might be feedback loops which signal low testosterone, and the endocrine system tries to produce testo wherever possible. This should even out over some time.
I'd say eat healthy, do some light exercises, and after some times things should come back to normal.
Anti androgens as you said might help, and it might take some time until hormone levels find a new basis.
I personally would look for estrogen well in the female level, some bioidentical progesterone and wait until t levels out.
t levels should not be zero though... they should also be in the female range.
hugs
Sorry if I missed it as I read every post but is this hair loss from just head or from all over or various parts of the body? Surely the causes would be different if it were not just the head. I always lose more hair when I'm stressed but this maybe sounds more like a case for a dermatologist.
Quote from: Laura_7 on December 17, 2015, 12:43:39 AM
On SRS, your body is subject to stress and an array of chemicals, for anaestesia and pain relief.
Also after removal of gonads there might be feedback loops which signal low testosterone, and the endocrine system tries to produce testo wherever possible. This should even out over some time.
I'd say eat healthy, do some light exercises, and after some times things should come back to normal.
Anti androgens as you said might help, and it might take some time until hormone levels find a new basis.
I personally would look for estrogen well in the female level, some bioidentical progesterone and wait until t levels out.
t levels should not be zero though... they should also be in the female range.
hugs
Again: My serum levels are all in the right female ranges. E2 at 100 pg/ml, T at 0,4 ng/ml and DHT at 122 pg/m. Its all right, but it doesnt work me. I eat healthy since a lot of years, and exercise is still unpossible. I cant walk and sit since surgery 3,5 month ago.
Quote from: Nancy on December 17, 2015, 03:31:21 AM
Sorry if I missed it as I read every post but is this hair loss from just head or from all over or various parts of the body? Surely the causes would be different if it were not just the head. I always lose more hair when I'm stressed but this maybe sounds more like a case for a dermatologist.
Its on the head only. My dermatologist says its from hormones, just the same things like here.
Quote from: galaxy on December 17, 2015, 12:55:51 PM
Again: My serum levels are all in the right female ranges. E2 at 100 pg/ml, T at 0,4 ng/ml and DHT at 122 pg/m. Its all right, but it doesnt work me. I eat healthy since a lot of years, and exercise is still unpossible. I cant walk and sit since surgery 3,5 month ago.
E is too low imo.
Menopausal range is up to 60. e should be >180-200 imo .
Hope you can walk and sit soon.
Woud some mild exercises help a bit, like making fists or pressing a ball ?
hugs
More E2 is not possible transdermal or oral, even with high dosages. Only with injections and i dont want any injections anymore. I felt no differences.
When starting injections my E was even lower with still having hair regrowth. If the hair does not grow normal something is out of balance. But quite hard to answer what it is. Could even fall out because of psychological problems.
Hello everyone, after SRS my hair did start falling out in similar fashion. Which was OK because I had more than my fair share as it was. Still it was alarming my BFF who spotted it all over the bathroom. I did become a bit worried it would not stop. So I jumped back on Spiro and it slowed the hair loss. I was eventually put on finasteride for another reason. Hair loss stopped and my oily skin/hair and acne which returned post SRS is now gone.
All the way around my levels are well within range for a young female. Hair around my temples is filling in.
Not sure what caused the hair loss but it did start straight away following SRS.
Thank you,
Anne
Do you still take Spiro and Finasteride or did you fade it out after some time?
... But its okay. I just decide to stop all my efforts. Its wasted time.
Hrm, so excuse me if this isn't exactly on topic but would be there a way to predict whether or not this complication might occur, beforehand? Though I guess any kind of preventation method would require first knowing precisely what was going on....
Hello ,
I know it is an old topic , i just wanted to say that i had hairloss too after surgery , apparently is normal .
And the hair has a delay , in which the loss starts maybe three months or so after a trauma has triggered that process , and also it takes a little time to start growing again .
Also many girls use antiandrogens post op , i plan to use them all my life anyway .
I know you heared that a lot , but iron may be a cause , after the surgery .
I hope it is better by now , i wish you a joyfull and peacefull recovery .
The main reason for me having an orchie was due to severe pain caused by degenerative changes in my testicles helped along by scar tissue and the mess the bloody surgeons made of me while trying to 'fix' me when I was 12. My body does not get on with anesthetics so I was feeling depleted and run down for some time after surgery. I can't say that I noticed any hair loss or skin changes, but then I wasn't exactly paying that much attention to anything like that. I continued to take spiro after I had my orchie, but the dose was reduced by around 1/4. A couple of decades later my spiro was reduced by a third as my skin was getting a little dry and flaky. I now have just about zero body hair and a full head of hair while my brothers are as bald as badgers.
What I've found over the years with HRT is that you have to be patient. Being gelded shakes your whole hormonal system up pretty darn thoroughly and it will take time for your body, - like around 6-9 months, - to properly adjust and settle into the new situation. Same thing happened when I changed over from oral Premarin to Climara patches, - it took my body a while to adjust properly to the change.
Hi Hun Ive read your post and he whole thread, andocur is powerful hence you doin so well on it pre grs. However, Androcur is a glucocorticoid, long term use of glucocorticoids and other medsc called corticosteroids, can cause 2 adverse side effects to happen. 1. They can cause adrenal gland suppression, which is not good but it's likely to either be mild and recovery easy if you were on a low dose (50 mg or less) 2. Once the adrenals kickstart again, they can be in an overactive state because of them trying to overcompensate for their longterm suppression, which can cause for androgenic hormones to be produced in them. Not necessarily T. Have your dr or endo or whatever do a free androgen index test. It might be more telling if you could be suffering of this problem, however, your T being low is a good sign and your adrenals should eventually, sooner rather than later get back to a normal state.
The issue is and this is an important question to ask, did you stop your Androcur cold turkey before grs? Because if so then the situation above could be more likely. What dose were you on? The way adrenal reactions re normally avoided is by tapering the dose, by 50mg if you were on 100mg or more daily or by 25mg if you were on 50mg daily. Your endo should have explained this but many don't due to the fact that they don't consider it a full corticosteroid such as prednisone. But it being a glucocorticoid has similar effects. So in the ideal world you should have tapered down over weeks before your grs until you fully stopped and you could have been given a GNRH agonist a month before your surgery to keep your testosterone suppressed .
The best thing to do now is ask to be seen by your endo and ask some of these questions to them, be patient though, there should be an eventual balancing regardless. And as a reminder even if there is some free androgens in your system, they would not be in the male range but obviously they can still wreck havoc and can be distressing. Your endo could try giving you a reduced amount of Androcur so that the tapering effect can be recreated.
If what I mentioned above isn't happening then your endo should do a full hormone screening of your cortisol, glucose, thyroid, prolactin. To make sure these aren't symptoms of an underlying condition. But like i said. It sounds like your adrenals are overactive or even erratic (up & down)
CPA works fine for me. Hairloss stopped.
Hope nobody minds if I bump this old thread...
I've been having an alarming amount of hair loss post-surgery. I guess telogen effluvium is common after surgery, but mine started almost immediately, didn't get the 3 month buffer that I keep reading about. I've been trying to eat extra calories in case I'm nutrient deficient, I've been downing biotin and vitamin D supplements like they're candy, but nothing seems to be helping. I'm exactly 5 months post-op, and I've been reading that this usually clears up within 6 months, but I swear my hair loss has only been accelerating within the past week. I feel like I'm going crazy. I'm particularly stressed because my hair was fine/thin to begin with, and it's crushing my heart knowing that it's going to take another 2-3 years for everything to grow back once it stops.
Anyone in this thread still posting here? Since everything is from 1-2 years ago, can anybody offer me their anecdotes? How long did it take for your hair to stop falling out?
It might be hormonal as in not enough estrogen or caused by stress. I had this happen when I lowered my estrogen dose post-op. Things improved on higher dose. Discuss this matter with your doctor. Each of us is different.
Quote from: Andromeda on January 31, 2017, 05:10:06 PM
Hope nobody minds if I bump this old thread...
I've been having an alarming amount of hair loss post-surgery. I guess telogen effluvium is common after surgery, but mine started almost immediately, didn't get the 3 month buffer that I keep reading about. I've been trying to eat extra calories in case I'm nutrient deficient, I've been downing biotin and vitamin D supplements like they're candy, but nothing seems to be helping. I'm exactly 5 months post-op, and I've been reading that this usually clears up within 6 months, but I swear my hair loss has only been accelerating within the past week. I feel like I'm going crazy. I'm particularly stressed because my hair was fine/thin to begin with, and it's crushing my heart knowing that it's going to take another 2-3 years for everything to grow back once it stops.
Anyone in this thread still posting here? Since everything is from 1-2 years ago, can anybody offer me their anecdotes? How long did it take for your hair to stop falling out?
Get your thyroid tested. Mine was low, due to both family and the effects of the large amount of hormones and other medications I was on, and it caused me to suffer from hair loss/shedding (as well as weird, dry, coarse hair) as well as dry skin and brittle nails. Wouldn't hurt to get it looked at.
I'm two months post-op. I started getting greasy skin and hair a few days before surgery, when I was close to two weeks HRT. During the next three weeks I produced enough grease to lubricate an assembly line. My current T is still on female levels.
It started getting better after I resumed HRT, but I still have a problem of clogged pores on my forehead, which exfoliant creams haven't fixed completely. The next solution will be to go to the place where I get my eyebrows down and book a full deep cleansing.
Regarding hair loss, it started happening at full power a week after surgery, but it has stopped. New hair is growing up already. Noticeable obvious since I had a permanent straightening and the new ones are all curly.
Quote from: apsharas on February 09, 2017, 10:33:37 AM
Regarding hair loss, it started happening at full power a week after surgery, but it has stopped. New hair is growing up already. Noticeable obvious since I had a permanent straightening and the new ones are all curly.
A friend of mine also lost some hair right after her bottom surgery. Her doctor told her that is common from general anesthesia and it did grow back.
Quote from: Sydney_NYC on February 09, 2017, 11:13:49 AM
A friend of mine also lost some hair right after her bottom surgery. Her doctor told her that is common from general anesthesia and it did grow back.
It's the second time it happens to me. I went through the same time with FFS, so I was expecting it. In any case we found an iron defficiency on the blood tests that could have been adding to the issue, and we are treating it right now.
Here I was thinking I was going crazy noticing some losing of some hair on my head. I'm 81 days post op and was like, wtf? Good to know this.
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