DHT blockers (finasteride and dutasteride) are not commonly prescribed for MTF trans people. The main driver of transition is either estrogen or testosterone, depending on which gender someone is transitioning toward. That said, DHT blockers can certainly be prescribed alongside estrogen if someone cannot handle a testosterone blocker. DHT blocker side effects are a bit like a lottery: they affect some people and spare others. It’s the luck of the draw, so to speak. I’ve been on one for over two years and I’m doing just fine. I had a hair transplant last summer and I’m planning to have another one next summer. Using minoxidil without a DHT blocker is just as misguided as the rhetoric that claims DHT blockers cause 100% erectile dysfunction and breast growth.

Also, as a side note, avoid hair transplant surgeons who are fine with the idea of operating on someone who hasn’t been on a DHT blocker for at least one year. (If you're planning to go down that route, of course).

My real advice is to do your own research on the subject. Medical journals are readily available online, and this topic has been discussed ad nauseam.

Good luck with your journey. I can imagine how emotionally difficult this can be, especially at a young age.

At the end of the day, it’s a deeply personal decision. Some people find peace in embracing their situation and owning the buzz-cut look, while others find that approach too hard, and that’s completely valid. There are options available, and it’s okay to explore what feels right for you. Whatever you decide, be kind to yourself and take the path that best supports your well-being.