I'm scheduled for a long-awaited dermatologist appointment soon to talk about hair loss. As a 19 year old biologically male person with long hair (and an affinity for feminine behavior/personality/dress), I have experienced hair loss for years since middle school, devastating me on the inside with feelings of self-loathing. I simply will NOT accept losing it further, as it's already thin.
( thanks genetics <3 ) ... Throughout the years I've had numerous blood tests to source the problem, but everything appears just dandy. No thyroid issues, well functioning kidneys, etc. Stress would not induce hair loss in these amounts. Believe me when I say it's bad. At this stage, however, I am confident that genetically-induced androgenic alopecia is playing a role, as my temples are beginning to recede :c
This is why I wish to be prescribed Propecia but more importantly Spironolactone, which could help with my high blood pressure, excessive acne and oily skin, and potentially reduce my hair loss in light of its testosterone blocking capabilities.
The deeper reason behind Spironolactone is of course for the antiandrogenic, feminizing, effects of it, as I am considering undergoing MtF HRT in the future. As of now I am not ready to make the full commitment, a permanent change, to take hormones, but would like to reduce my masculinity through testosterone blockers so that my appearance will be at least androgynous if not feminine. That way, it'll match who I am on the inside to a degree at least. Most of Spironolactone's side effects are not permanent, so I feel this is a suitable route to take. My family being eastern European, the thought of having reduced body hair (alongside reduced sexual drive & potential breast growth) is very appealing to my unconventional gender dysphoria. I have been disgusted with my "masculine" traits ever since puberty dawned upon me, when my self-acceptance and happiness abandoned me. These past couple years of thriving testosterone in my system have made me look and feel repulsive. As a biology major studying hormones, I want to change that b/c I know it's possible
Also, despite me being over 18 I'm still covered under my parent's insurance. This is likely to create a problem, as my family will not accept me in light of their orthodox religious convictions. I fear to death telling them about pursuing HRT in the future. I know that if I directly tell them about why I want to take Spironolactone they will deny me the visit, mentally (if not physically) hurt me, possibly cut off their financial support in regards to University tuition, essentially throwing me out onto the street. I want to continue my education, obtain a degree, become independent, and then seek HRT. But blocking testosterone now will make the future transition more fluid.
They absolutely cannot know. But my dermatologist should... i think. Otherwise, I doubt he'll prescribe a physical "male" Spironolactone under a petty reason like acne. But I don't know. That's why I'm asking you peoples of the interwebs
Should I tell my dermatologist privately during the visit? What should he officially prescribe the Spironolactone for? Will I be allowed to take both Propecia and Spironolactone? How should I approach this situation in general? I'd look for an endocrinologist who specializes in transgender hormonal shifts, but my current family situation forbids me from being that blatant about it.
Once again, I've waited months for this appointment & want this visit to make an impact. Thank you <3
