9 months on finasteride, topical minoxidil, estrogen, spironolactone (M to F)

TI was starting my transition and noticed my mpb was beginning to progress faster, even though I was blocking my testosterone. On top of my temples receding, I also started showing signs of retrograde alopecia. My doctors still don’t know if it was telogen effluvium with an unknown cause or my androgenic alopecia worsening from stress. I got bloodwork done and my DHT levels had actually risen from when I first started my transition. So that’s why we added finasteride onto of the spiro.

I have seen minoxidil do this as well. The hairs are growing fairly forward on your hairline, too forward to reflect more than your original juvenile (female) hairline. I suspect this is a side effect of minoxidil reinforced by Estrogen. Do you have new hair growth in any other place on your body? If so, it suggests a minoxidil effect; if not, it would reflect a combined minoxidil and Estrogen effect. It would be interesting to see your 10-year-old hairline. That would shed light on where your hairline should be with all the changes you are precipitating.