Testosterone therapy can exacerbate symptoms, and other factors are important to consider, expert said.
San Diego — Transmasculine patients with acne require unique care that not only is sensitive but also reflects an understanding about factors that can affect their skin such as hormone therapy, a dermatologist told colleagues in a session at the, assistant professor of dermatology, Emory University, Atlanta, Georgia. "These are patients who are suffering and reporting that they're having mental health impacts" related to acne.
Transmasculine patients may develop acne in areas across the body "in places that you normally won't see by just looking at the patient," Yeung said. Excoriation in addition to comedones, papules, pustules, and nodules can be common, he added.of transgender men that linked higher levels of acne to higher levels of serum testosterone, higher body mass index, and current smoking.
Yeung said he and his colleagues emphasize the importance of breathable material in binders and suggest to patients that they not wear them when they're in "safe spaces."As for treatment of acne in transgender patients, Yeung cautioned colleagues to not automatically reject isotretinoin as an option for transgender patients who have a history of depression. Dermatologists may be tempted to avoid the drug in these patients because of its link to suicide, he said.
"Remember that sexual behavior is different from gender identity," Yeung said. A transmasculine person with a uterus and vagina, for example, may still have vaginal intercourse with males and potentially become pregnant. "So, we need to assess what kind of sexual behavior our patients are taking part in."
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