Testosterone therapy is an important part of transitioning for many trans men. However, testosterone can trigger male pattern baldness for those genetically prone to it. If you're an FTM starting hormones, there are things you can do to help minimize associated hair loss.
How to Prevent Hair Loss While Taking Testosterone (FTM)
To reduce hair shedding and thinning on testosterone, use a DHT-blocking shampoo, take supplements like biotin and saw palmetto, apply minoxidil, maintain protein intake, and discuss loss prevention medication like finasteride with your doctor.
Use DHT-Blocking Shampoo
Washing with shampoos containing saw palmetto or ketoconazole helps block DHT damage.
Take Supportive Supplements
Biotin, vitamin D, iron and zinc optimize hair growth.
Using over-the-counter 5% minoxidil solution can help regrow hair.
Eat Adequate Protein
Consuming around 50 grams of protein daily provides building blocks for hair.
Talk to your doctor about finasteride to block DHT conversion.
Why Testosterone Causes Hair ThinningHere's why testosterone can trigger hair loss:
Converts to DHT
The enzyme 5-alpha reductase converts testosterone into DHT, which shrinks follicles.
Speeds Male Pattern Baldness
Those with a genetic predisposition will experience accelerated hair loss.
Shortens Growth Phase
DHT weakens follicles and shortens the anagen hair growth phase.
The raised androgens create inflammation around the follicle.
Tips to Reduce Hair Loss on TestosteroneHere are tips to minimize thinning on testosterone therapy:
Lower Dosage Gradually
Slowly taper up testosterone dose to allow your body to adjust.
Rinse Hair Thoroughly
Prevent product buildup that can clog follicles.
Avoid Tight Hairstyles
No tight braids, buns or pigtails which cause traction alopecia.
Chronic stress worsens testosterone-related shedding.
Increase circulation to follicles with weekly scalp massages.
When to Seek Professional HelpSee your doctor if you experience:
Rapid Hair Loss
Shedding and thinning starts right away or accelerates quickly.
No Improvement from At-Home Treatments
Over-the-counter options aren't reducing shedding after 3-4 months.
Patchy Areas of Loss
Noticeable bald patches appear on your scalp.
Temples or frontal hairline begins retreating.
The Bottom LineUtilizing DHT blockers, taking hair growth supplements, and applying minoxidil can help mitigate testosterone-related hair loss. But work closely with your doctor and mention any excessive shedding so additional treatments can be explored.
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