Using DHT for FTM genital growth

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All About DHT for Transgender Men

Lost in all the hubbub about my hysterectomy and resulting VVF complication, is the fact that I finally obtained DHT cream and started using it on April 29th.

I have a three-month supply of 10% DHT compounded into a non-alcoholic cream.

The total cost for this was $630… but, British Columbia PharmaCare ended up covering $468.18 of this, leaving me with an expense of $178.80.

My dosage is 20mg topically applied three times a day. My pharmacist wisely packaged the cream in syringes which makes dosing really easy: at 20mg / 0.2ml, one line = 0.2ml = 20mg.

My blood work requisition that was originally ordered by my endocrinologist over a year ago recently expired. Since I have just had a hysterectomy and expect my hormones to jump around a bit, I asked my GP to write up another requisition for a year’s worth of monthly blood work. My free testosterone on April 22 was high, at 117.6 pmol/L (25-89 is normal range.) Considering this, and the fact that that I am now adding DHT to the mix (which can raise testosterone levels slightly) I have dropped my dosage of injectable T to 150mg / 2 weeks (down from 200mg) as of my last shot on April 29.

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I’ve written about DHT here before, including information about what DHT is, how to legally get DHT, and about DHT being a controlled substance. I also recently put together a video for my YouTube channel all about DHT:

While DHT is responsible for beard growth, paradoxically, one of its potential side effects is hair loss. DHT leaves a waxy substance at the root of hair follicles on the scalp that can inhibit hair growth. Saw palmetto berry extract is a natural product that’s found in many DHT blocking preparations. While taking a DHT blocker internally would counteract the effects that I’m aiming for, could saw palmetto be topically applied directly to the scalp to help block DHT at that specific level?

dht-sawpalmettoHairGenesis has a line of hair products with saw palmetto as a primary ingredient. They claim clinical studies have shown effectiveness at combating hair loss. I spoke with my pharmacist about saw palmetto berry extract and blocking DHT topically, and he thought it was worth trying. Initially, I’d purchased saw palmetto berries to make a strong tea from that I could add to one of my thick conditioners. However my pharmacist thought I’d get more benefit from a tincture. Today I started using saw palmetto berry extract tincture: 9 drops diluted in 1/2 cup of water, massaged into my scalp. I’ll use this daily throughout my 3-month trial of DHT. (UPDATE: 9 drops was not enough. I wound up using 30-60 drops daily.)

I don’t plan on using DHT longer than 3-months. I’ve taken photos and measurements of myself pre-DHT and will repeat this monthly. Whether positive or negative, I’ll report my findings here. Every body responds differently to hormones, but with more anecdotal information, we’ll start to get a better idea about if DHT cream is something that’s worthwhile for trans men to use to encourage genital growth.

Have you used DHT cream? Please leave a comment and let me know how it worked for you!

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