Hello and welcome to the new, more sexy blog! New look, and a new drug.
That's right, I'm done with Spironolactone. It helped with the acne and lightened up the male pattern hair growth on my body somewhat, but not my face. It still required daily shaving to hide. Not enough of an effect to want to stay on the medication. I'm ready to move on.
I always get so nervous when I go to the endocrinologist, more than any other doctor. And I know it's only going to be a chat to revise our strategy, so to speak, with some lab requisitions, which I'm getting used to now. As a bonus, I really like my endo, and I'm never worried about leaving with concerns unaddressed. Yet waiting in that room had me so wound up I could barely hold the book steady to read. Realized I've been reading the same book for a year now. In my defense, it's an enormous book.
And once again I was in that little room with the poster of the thyroid, and I told the endo how I was finding the doubled dose of Spiro, and again she seemed surprised and disappointed that I was not seeing a worthwhile effect. She gave me a req for an ultrasound for that pain I mentioned, and offered a stronger painkiller for it, but I really am not comfortable going on more medications than I have to. Then she mentioned a couple of other medications I could try (Cyproterone was a new one mentioned, I'll have to read about it a little as she said I would have to go on birth control with it), but recommended Finasteride again as it is so well tolerated, if less commonly prescribed to women, so I decided to give it a try. I'll do a post soon about what it is and what it does, for those who are curious. And from there we'll see what it really does.
Also of interest, I inquired about the possible increased effectiveness in laser therapy while on an androgen blocker, as I contemplated staying on Spiro a bit longer. She said my problem really doesn't seem to be high testosterone as much as increased sensitivity to it. She thinks I have idiopathic hirsutism, and I think it fits my situation best as well. I wasn't the least bit shocked. In any case, the answer to my question was just what I had experienced with laser in the past; though it might kill off the current hair follicles, even the most normal levels of testosterone will keep stimulating my skin to produce dark, terminal hair.
So on my to-do list in the next month or so are an ultrasound and a blood test to see if the new pills cause any liver toxicity. And in three months, a follow-up to see if the new direction is beginning to take effect. Finasteride apparently has a similar success rate to Spiro, so, no outlandish hopes. Let's just see what happens.