Since starting my transition, I have lost almost all my hair all over. Finasteride/dutasteride reversed some of the DHT-induced damage and filled my scalp in again. Then I started Lupron in July and all my hair began to fall out in clumps. I had luscious hair in July and now I have almost nothing left anywhere. I now take estradiol and dutasteride and recently added spironolactone. Nothing helps. I was told I had fungal overgrowth and given ketoconazole shampoo, which made me lose literally half my hair in a week and thinned the rest of it. My dermatologist recommended minoxidil but I am afraid to use it because it causes dandruff, and I am unable to use dandruff shampoos because they make me lose hair, too. I am all out of hope and wanting to die. I know I can feminize nicely if I get my hair back. I guess I have to try the minoxidil. I mean, how could it hurt if I am going bald anyway? Please help me, someone! Is there anything I can do? I cry all the time and this is why!