Dermatology Residency Education in Treatment of Testosterone-Induced Acne Vulgaris and Androgenic Alopecia in Transmasculine Individuals: A Cross-Sectional Survey of Academic Dermatologists

    May 2025 in “ Oxford Academix (Oxford) ”
    BS Andrew Nguyen, Neubauer, BS, Zachary J.K., Zaldonis, MD, Angela, Yang, MD, FAAD, Sherry X.
    TLDR Dermatology trainees lack standardized guidelines and education for treating testosterone-induced skin conditions in transmasculine individuals.
    This study highlights the lack of standardized guidelines and educational preparedness among dermatology trainees in managing testosterone-induced acne vulgaris (TiAV) and androgenic alopecia (TiAGA) in transmasculine and non-binary individuals undergoing gender-affirming hormone therapy (GAHT). With prevalence rates of 31.1% to 88% for TiAV and up to 63.3% for TiAGA, these conditions can cause significant psychological distress and exacerbate gender dysphoria. A national survey of dermatology residents and faculty was conducted to assess their educational exposure, clinical experience, comfort, and knowledge in treating these conditions, aiming to inform curricular development and enhance LGBTQIA+ dermatologic care.
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