Dr. Shaikh Sadaf
Endocrinology
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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.
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?
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.
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Endocrinology
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