My health care provider most likely won't prescribe any kind of estrogen, but it just hit me that they probably don't even know what testosterone blockers are. So...

Would a monotherapy with only anti-androgens help with reducing facial hair growth?

I'm quite tired of spending a fortune on IPL and my threshold for pain is so ridiculously low that it's a hell every time. They have had to order an opioid cream just for me...

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[–] 15 points 11 hours ago (15 children)

you shouldn't take only antiandrogens, your body needs one dominant sex hormone or you'll start having "fun" problems like loss of bone density. what you might be able to do is take a DHT blocker like minoxidil (the oral kind, ideally), which i think can sometimes affect facial hair growth? (pinging @gandalf_der_12te@lemmy.blahaj.zone)

that said, i do want to dampen expectations a bit - you shouldn't assume that any kind of HRT will necessarily affect facial/body hair growth. it can, but isn't guaranteed. i've been doing estrogen monotherapy for just over a year now and my body hair is still growing back exactly as thick and fast as it was before (facial hair is hard to say, it's 95% gone thanks to laser).

finally, i don't know how long you've been doing IPL but if you've been through many sessions and it isn't making a (significant) difference, it may be worth switching to a different studio which offers actual laser hair removal or even electrolysis.

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  • [–] 4 points 11 hours ago* (4 children)

    Minoxidil doesn't block or inhibit production of DHT, afaik. Are you sure you're not thinking of finasteride? They're often prescribed together for hair loss.

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  • [–] [S] 3 points 10 hours ago* (last edited 10 hours ago) (2 children)

    Thanks for this! I immediately sent an email to my physician to ask their opinion on finasteride(for hair loss reasons).

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  • [–] 3 points 7 hours ago (1 child)

    quick heads up: your doctor will probably warn you that one of the reported side effects of DHT blockers is "depression". i say that in quotes because these medications are generally given to men, and from what i've pieced together, the "depressive symptoms" seem to basically be symptoms of biochemical dysphoria. in other words, if feminizing HRT is something you wish to pursue in the future anyway, you probably won't be getting any depression dysphoria from taking a DHT blocker :)

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  • [–] 3 points 8 hours ago (1 child)

    yeah i would say that DHT blockers reduce facial hair growth significantly (normally i'd shave every 2 days, with DHT blockers maybe every 3-4 days). but they can not block it completely, unfortunately.

    ❤️ 1
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  • [–] [S] 3 points 11 hours ago (7 children)

    Thanks for the headsup! 🩷

    finally, i don’t know how long you’ve been doing IPL but if you’ve been through many sessions and it isn’t making a (significant) difference, it may be worth switching to a different studio which offers actual laser hair removal or even electrolysis.

    I've been to eight to ten treatments (taking a break now) and I'm really happy with the outcome. It's just really expensive and painful and not permanent. Within a year or so, the growth comes back, because of the testosterone, according to them.

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  • [–] 3 points 11 hours ago (6 children)

    testosterone could definitely be a factor, but in general the only hair removal technique which is truly permanent is electrolysis. IPL is kinda the worst option available in that regard

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  • [–] 6 points 10 hours ago (2 children)

    Laser is truly permanent too. Its just that it doesn't permanently remove all of the hairs it targets. Each laser sweep will leave hairs and the more sessions you get, the fewer hairs that escape.

    I've had no hair removal except laser and my last laser session was 6 or 7 years ago, and I don't need to shave anymore. There's the odd hair that still comes through, but they're so few I can tweeze them.

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  • [–] 4 points 10 hours ago* (1 child)

    i have heard firsthand accounts from a couple of people who claim that a few individual hairs they'd had lasered off ended up coming back a few years later, and they kept needing to go back for touch-up sessions. maybe they were getting screwed over by their hair removal place and actually getting IPL, or maybe they were actually new hair follicles which hadn't been active during the initial rounds of laser?

    at any rate that is reassuring to hear :)

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  • [–] 1 point 40 minutes ago

    It's likely a combination of some of the hairs not being removed permanently (which is just the laser experience) combined with some hairs being in the wrong phase. It also depends on skin/hair type. And in the US, some IPL services incorrectly label themselves as laser.

    Despite that though, it absolutely does do permanent reduction. So in Australia (where laser is much cheaper than the US), lots of folk tend to go for laser first, and then follow up with electrolysis to finish it off, because that works out cheaper and quicker than doing electrolysis for everything

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  • [–] [S] 2 points 11 hours ago (2 children)

    Oh... I actually asked about electrolysis (they call it diathermy?) to treat my white strands, but to have her do my whole face with that... Now we're talking Scrooge McDuck money and a lot of time... She'd be going in with a needle in each individual hair sack on this face? 😭 Poor her, poor me 🤣💔

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  • [–] 4 points 10 hours ago (1 child)

    you only need to have it done on the hair follicles which actually still have hair growing out. the normal approach (for dark hair on light skin) is getting laser done to remove all the darker hair quickly and cheaply, then go in for electrolysis to clean up the remaining stragglers (mostly lighter hairs).

    a hair follicle which has already been killed by laser would have nothing to electrolysize :)

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    [–] 6 points 11 hours ago (1 child)

    No. Not really. I take an androgen blocker injected every 13 weeks and even WITH estrogen on top of that my facial hair comes back pretty much as soon as it ever did. Also for the six to seven weeks they had me on no estrogen with the blocker, I was experiencing hot flushes, which wasn't fun.

    Which would be the least of your problems in the long run because with both low e and low t levels you'll wind up with oesteoperosis. Don't do it kid, nothing good will come of it.

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  • [–] 2 points 11 hours ago (1 child)

    Afaik:

    Yes, in the long term, cutting T from body will reduce hairs, and everything, You may be dead on that! OR at least very very very sick on many levels.

    Our bodies NEEDS some T and optional E hormones to work, not only for body hairs, but pretty much everything. Yes, girls, both cis and trans needs a little of androgens too! That's why getting correct dose of blockers is so important.

    If You feel to be too manly on some aspects, it may be worthy checking if You do not overproduce T naturally, that would be bad too, then ask doctor for small dose of blocker, to put the level into desired amount. No less, doubt that would help much against facial hairs.

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  • [–] 2 points 11 hours ago (3 children)

    I'm on anti-androgens AND Estrogen for a few months and I couldn't observe a meaningful reduction in hair growth so far.

    Do you use IPL in the face? I thought that was advised against by all the applicatiins.

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  • [–] [S] 1 point 11 hours ago* (2 children)

    Edit: and thanks for your quick comment! 🩷

    Whaaaa 😱 They use some really advanced Japanese machine, so maybe it's not as bad as a consumer grade one? Anyway, after 8-10 treatments the skin doesn't seem to be hurt or damaged... Of course my face looks as if I had rubbed nettle all over it right after each treatment, but that subsides in a day.

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  • [–] 2 points 8 hours ago (1 child)

    It's more expensive but I would look at cryo laser, I got it on my face and bottom surgery area. It sprays liquid nitrogen at the same time and was a lot less painful when I switched. https://milanlaser.com/blog/laser-hair-removal-systems-with-advanced-cooling-and-ergonomic-designs https://www.satorilaser.com/blogs/laser-at-satori/what-is-the-cryogen-system-in-laser-hair-removal

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  • [–] 1 point 2 hours ago (1 child)

    Why would you assume that a doctor wouldn't know of the existence of testosterone blockers?

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  • [–] [S] 1 point 1 hour ago* (last edited 1 hour ago)

    Because I have been trying to educate/inform at least three doctors and two nurses at my local clinic on matters related to trans and non binary for about a year with no luck. Their apparent lack of understanding and/or interest in our healthcare is appalling.

    This is not something I overtly display for them though, since I'm the nicest person in the known universe - prove me wrong - but having to explain and defend my troubles and legitimacy as a human being that is supposed to be equal to that of cis people does make me bitter.

    So even if they happen to know about testosterone blockers, the use cases they know about probably pertain to treatment for hair loss, prostate cancer and other ailments unrelated to gender affirming healthcare.

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