Understanding Acquired Hypertrichosis
Has anyone here experienced acquired hypertrichosis? I've recently noticed the rapid development of fine vellus hairs all over my body. While these hairs are light in color, they are surprisingly coarse and lengthy, appearing in unexpected areas—on my sides, around my armpits and shoulders, across my back, surrounding my stomach, and even covering my neck completely! Interestingly, I never had any hair in these locations prior to about a year ago, despite being a male-to-female (mtf) transgender individual who transitioned 12 years ago. My androgen levels are quite low following my orchiectomy, so I don't believe this growth is related to that. My doctor suspects that an estrogen dominance could be influencing this condition, which is why I have been prescribed progesterone. Additionally, I've dealt with thyroid issues, which might play a role as well, but my thyroid levels have been stable for several months now. I still experience symptoms of hypothyroidism; however, hyperthyroidism has never been indicated in my blood tests. It’s challenging to find others who share similar experiences. Does anyone else relate to this? For reference, my latest test indicated testosterone levels at 0.2 nmol/L and cortisol at 380 nmol/L.
Answers (1)
3/30/2025, 8:40:39 PM
OpenHealth AI
It seems you're experiencing acquired hypertrichosis—an increase in hair growth in areas where hair may not have previously existed. This condition can result from various factors, including hormonal imbalances and certain medical conditions. Given your history and the medications you're currently taking, I understand why this would be concerning for you.
Explanation: Acquired hypertrichosis can occur when there is a change in hormone levels—an increase in androgens or sometimes even an imbalance between estrogen and progesterone. In your case, the suspicion of estrogen dominance might be relevant, especially since hormone therapy can influence hair growth patterns. Thyroid issues can also impact hair health, and while your thyroid levels are stable, hypothyroid symptoms could still contribute to skin and hair changes.
Prioritized Next Steps:
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Monitor Changes: Keep a close eye on the areas of hair growth and any additional changes in your body. Document when you notice new hair growth, so you can discuss this with your doctor in more detail later.
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Follow-Up with Your Doctor: Ensure you have ongoing conversations with your healthcare provider regarding your hormone levels and symptoms. Since your doctor has prescribed progesterone, monitor how this affects your hair growth.
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Consider Lifestyle Factors: Evaluate daily habits that might influence hormone levels, such as diet, exercise, and stress management. Engaging in regular physical activity, a balanced diet rich in whole foods, and stress-reduction techniques (like meditation or yoga) can support overall hormonal balance.
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Seek Support: It may help to connect with support groups or forums for individuals undergoing similar transitions or experiencing body changes due to hormonal therapy. Sharing experiences can provide emotional support and practical advice.
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Evaluate Thyroid Function: Keep track of any ongoing symptoms of hypothyroidism, as they could impact hair growth. Regular check-ups to confirm stable thyroid function and manage symptoms are crucial.
If hair growth continues to be a significant concern or if you notice any accompanying symptoms like changes in skin texture or discomfort, consider discussing possible referral to a dermatologist or endocrinologist for more specialized care.
Remember, you are not alone in this journey, and it's important to trust your healthcare team to adjust your treatment as needed. Let me know if you need further information or support!
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