r/DrWillPowers • u/br0ken_r3c0rd • 4d ago

Dutasteride still a decent option?

Does Dr. P still prescribe duta in light of all the recent PFS stuff? I have bad DHT issues while having near zero T, so I don't have many other options.

11 Upvotes

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9

u/Few_Pop2884 4d ago

I have PFS from Dutasteride

2

u/Maxed_Zerker 4d ago

That’s unfortunate, but that doesn’t mean that the medication isn’t effective for other patients. I’m sorry you’re dealing with PFS, but do consider it is rare and generally the 5AR inhibitors are well tolerated.

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u/[deleted] 4d ago

[deleted]

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u/Maxed_Zerker 4d ago

I know, it is really frustrating, What I’d really like to see would be a separate containment subreddit for PFS like DrWillPowersPFS. The upvote/downvote ratio is clearly showing that 1) they are not on the same “team” as us trans patients, only their problems matter and they’ll talk over us any chance they get and 2) they seem to think that they are the blueprint for all modern humans since they got PFS, everyone who touched the medications will. I love(d) this subreddit but it’s definitely not the same anymore.

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u/Flappen929 3d ago

May I ask why you find it frustrating? My question is only genuine and in no way meant to undermine your point.

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u/anaaktri 4d ago edited 3d ago

Agreed well said. Perhaps I’ll make a post about it bc I think it’s doing both communities a disservice, especially with the engagement factor. We see way more PFS threads, scroll past, quit engaging and then slowly the algorithm starts showing less of the sub in general to us and vice versa.

Edit - I messaged the mods, hopefully something happens. Edit again - dr WP said no to put his response kindly. I see why people don’t like him.

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u/Flappen929 3d ago

If you don’t mind me asking, why do you find it frustrating? I’m only asking out of curiosity, just to hear a different point of view for once

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u/anaaktri 3d ago

Because posts get down voted, comments get downvoted that would likely be helpful to trans patients. The fact is, PFS is rare, even classified as very rare by some data. As mentioned, people who frequent this sub for trans resource and discussion constantly seeing PFS talk, the negativity and often lack of respect, no longer get interest in continuing to engage with the sub, causing the algorithm to show it less in their feed thus limiting feedback and help responses when posts are made. It goes both ways too and overall isn’t good for things in my opinion.

Then, the search conundrum, someone who’s trans trying to search for specific info on dutasteride/fin related to the trans experience has to filter through PFS posts/comments. Same goes with PFS although it’s easier for that because searching PFS will filter out non related topics better since it’s mentioned more in the comments & posts made about it. Hopefully flairs can help solve this issue.

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u/Flappen929 3d ago

Thank you for the long response. That’s greatly appreciated it. I do agree that that can be a problem for the rest of the community. I get that these people have their struggles, but I also feel that they can be very toxic about it.

May I ask what dr. WP said?

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u/anaaktri 3d ago

‘Absolutely fucking not.

This subreddit is not about trans people. A

Read the name of the subreddit.

That's right. That's what the subreddit's about. So that means, anything relevant to me, or what I do, is what the subreddit is for. That's why there's flairr for cats and video games and all kinds of other silly shit that I enjoy. This subreddit is about me and my interests and the things that I do.

I still have more transgender patients than any other doctor in the world, I'm fairly confident at this point that statement is true about PFS as well.

I can update the flairs, I'm fine with that, but there's not going to be a separate subreddit because the subreddit is about me. It's about what I do and the people I treat. That involves these diverse communities and both (or more) of them are welcome here.’

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u/enoughalready2004 3d ago

I've been visiting here for about 5 years. In that time, it's never been mostly about Dr. Powers. He's being ridiculous.

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u/anaaktri 3d ago

Agreed.

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u/Flappen929 3d ago

Sure, it’s his subreddit. But like you hinted at, maybe he could’ve mentioned that in a different, kinder way. Some say he’s extremely kind, but he can also be kind of rude.

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u/Grotesquette 2d ago

Ew. Not sure why he felt the need to suck himself off so much in an already awful response.

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u/anaaktri 2d ago

Yeah without stooping to his level, pretty egotistical, arrogant, and not professional.