Category: hair loss
What should I test when using Finasteride for hair loss?
Medications called finasteride and dutasteride are used to treat hair loss, which is caused by a substance called DHT. These medications help reduce hair loss by blocking the production of DHT. It is important to use these medications under the supervision of a doctor because of possible side effects such as sexual problems, emotional changes, and hormonal disturbances. You should also have your blood tested regularly to make sure the medications are not causing other health problems.
If you suffer from hair loss believed to be caused by DHT (dihydrotestosterone), a doctor may prescribe several medications that help influence this process. Two of the most common medications are:
Finasteride: This is a prescription medication often prescribed to treat hair loss in men. It works by blocking the conversion of testosterone to DHT. As a result, it can reduce further hair loss and in some cases can even promote hair growth.
Dutasteride: This drug is similar to finasteride, but may be more effective at blocking the production of DHT. It is often prescribed when finasteride is not effective. However, Dutasteride may have more side effects compared to finasteride.
These medications are especially effective against androgenic alopecia, a form of hair loss caused in part by DHT. It is important to use these medications only when prescribed and under the supervision of a physician because of possible side effects and interactions with other medications.
When using medications such as finasteride and dutasteride, which inhibit the production of DHT to combat hair loss, it is important to monitor certain blood levels and be aware of possible side effects. Here are some key points:
Important blood values to monitor
Liver function: Since drugs such as finasteride and dutasteride are metabolized by the liver, it is important to check liver enzymes regularly to make sure the liver is not overloaded.
PSA (Prostate Specific Antigen): It is especially important for men to monitor PSA levels because these medications can lower PSA levels. A sudden change in PSA can indicate problems, including prostate cancer.
Hormone levels: Sometimes monitoring of testosterone and estrogen levels can be useful to assess hormonal balance and adjust as needed.
- DHT: Finasteride works by inhibiting the enzyme 5-alpha-reductase, which is responsible for converting testosterone into dihydrotestosterone (DHT). By blocking this conversion, finasteride effectively lowers the levels of DHT in the body.
This lowering of DHT is exactly how finasteride helps treat hair loss, particularly male pattern baldness (androgenetic alopecia), because high levels of DHT are linked to shrinking of hair follicles which ultimately leads to hair loss.
Possible side effects
Finasteride and dutasteride may have the following side effects:
Sexual side effects: Reduced libido, erectile dysfunction, and problems with ejaculation are some of the most common side effects.
Psychological effects: There have been reports of depression and anxiety in some users.
Hormonal disturbances: Changes in hormone levels can lead to symptoms such as sensitive breasts and breast enlargement in men.
Impact on fertility: In some men, the drug may affect sperm quality, potentially reducing fertility.
It is important that patients starting these medications be followed medically on a regular basis, not only to assess effectiveness, but also to identify and address any side effects early on. If you are considering starting such treatment, always discuss thoroughly with your doctor what tests are needed and what symptoms you should be monitoring. Want to get a DHT test? Check out our offerings here.
