I am a female, 28 years old, been losing since 17. I’m on 200mg Spiro, presumably it’s doing something since my progress would probably be worse after nearly 12 years but it’s certainly not a cure.

Also, not sure I’m comfortable nuking my T for eternity. My doctor says it “only works on the skin” and shouldn’t have any muscular or mental effects, but when you see transgender women grow entire boobs from nothing on the same dose I’m on… seems pretty systemic to me.

I haven’t had great results with Minox so I stopped using it. To be fair, I’ve never been very consistent about using it daily, mainly because it makes my hair look like shit. Since my goal is to not make my hair look like shit, this is a bit counterintuitive. I’ve tried both formulations and unless I use a tiny amount on wet hair and then blow dry, it looks greasy and crunchy. I’m not sure whether I’m a minox responder or not based on my inconsistency, despite using it every couple days for a few years.

Similarly, ketaconazole dries the fuck out of my hair and doesn’t seem worth the tiny boost.

Other than that I haven’t really been using anything recently. I have a microneedling device but not sure if using it without minox will do much. I use hair fibers and take vitamin D. That’s pretty much it.

I have only gone to endocrinologists in the past and have been refused finasteride or any other hormonal treatment by multiple doctors due to being female…. even though they’re already giving me a teratogenic drug and I have an IUD… it makes no sense and is extremely frustrating.

I’m open to oral minox — I have dark hair and pale skin, so facial and body hair removal is already a constant battle, but I’m at least used to it…..

I’m hoping that a cosmetic derm might offer some alternative options, especially because the visit will be covered by insurance, since my PCP referred me. But there’s a good chance they’re just going to try to upsell me on PRP, given I’ve already tried the “standard” stuff. I just started making good money but not sure I’m comfortable going that far yet, that shit is ridiculously expensive. What should my plan of action be going into this visit?