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Can DHT be increased after taking Finasteride and Minoxidil?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have had an expanded male hormone panel done, and I would like to discuss the results with an endocrinologist. My estradiol and DHT are reportedly high, and everything else is normal. Currently, I am on 3 % topical Finasteride and 6 % Minoxidil.
Answered by Dr. Shaikh Sadaf

Education:

MBBS

Professional Bio:

Dr. Shaikh Sadaf is a Specialist in Diabetology and Endocrinology dedicated to providing comprehensive care for patients with hormonal and metabolic disorders. With two decades of clinical experience, she is skilled in managing diabetes, thyroid conditions, and a wide range of endocrine issues. Having trained internationally and earned prestigious memberships from leading medical colleges, Dr. Sadaf combines global expertise with a compassionate, patient-centered approach. She focuses on personalized treatment, preventive care, and long-term wellness to help patients achieve better health outcomes.

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Hello,

Welcome to icliniq.com.

Yes, you have a high DHT (dihydrotestosterone) and estradiol level, but you are also on an anti-androgenic medication such as Finasteride and Minoxidil, which explains this rise. These medications used for hair loss and prostate can cause this rise, but it is only temporary and will revert back to normal after a couple of months of discontinuing these medications.

Patient's Query

Hello doctor,

Why would my DHT be high while taking topical Finasteride? Is it an unhealthy level of estradiol? What should be done to decrease estradiol?

Answered by Dr. Shaikh Sadaf

Education:

MBBS

Professional Bio:

Dr. Shaikh Sadaf is a Specialist in Diabetology and Endocrinology dedicated to providing comprehensive care for patients with hormonal and metabolic disorders. With two decades of clinical experience, she is skilled in managing diabetes, thyroid conditions, and a wide range of endocrine issues. Having trained internationally and earned prestigious memberships from leading medical colleges, Dr. Sadaf combines global expertise with a compassionate, patient-centered approach. She focuses on personalized treatment, preventive care, and long-term wellness to help patients achieve better health outcomes.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome back to icliniq.com.

Finasteride is anti-androgenic, and it breaks down testosterone. If testosterone breaks down, the breakdown products, such as DHT (dihydrotestosterone), eventually increase. Also, if anti-androgenic is used, the opposite hormone, such as estradiol, will rise naturally. Now since this is a temporary and mild rise, the testosterone has remained within the normal range, and the DHT and estradiol will revert back to normal once you discontinue the medication you are on right now. Nothing can be done to decrease the estradiol as long as you are still taking the medication.

Medically reviewed by iCliniq medical review team
Published At August 22, 2022
Reviewed At June 10, 2024

Education:

MBBS

Professional Bio:

Dr. Shaikh Sadaf is a Specialist in Diabetology and Endocrinology dedicated to providing comprehensive care for patients with hormonal and metabolic disorders. With two decades of clinical experience, she is skilled in managing diabetes, thyroid conditions, and a wide range of endocrine issues. Having trained internationally and earned prestigious memberships from leading medical colleges, Dr. Sadaf combines global expertise with a compassionate, patient-centered approach. She focuses on personalized treatment, preventive care, and long-term wellness to help patients achieve better health outcomes.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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Dr. Shaikh Sadaf
Dr. Shaikh Sadaf

Endocrinology

Education:

MBBS

Professional Bio:

Dr. Shaikh Sadaf is a Specialist in Diabetology and Endocrinology dedicated to providing comprehensive care for patients with hormonal and metabolic disorders. With two decades of clinical experience, she is skilled in managing diabetes, thyroid conditions, and a wide range of endocrine issues. Having trained internationally and earned prestigious memberships from leading medical colleges, Dr. Sadaf combines global expertise with a compassionate, patient-centered approach. She focuses on personalized treatment, preventive care, and long-term wellness to help patients achieve better health outcomes.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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