Doctor insights on:
Does Spironolactone Lower Testosterone In Men
Common side effect: Spironolactone is considered a testosterone-blocker. While it is a blood pressure medication, it has side effects of breast development, decreased erections - particularly morning erections. Many transgender people use spironolactone as they are transitioning from male to female. LGromkoMD ...Read more
Can spironolactone lower your androgens to low? Dhyi and andro labs below normal, testosterone normal. Is this desired or can it cause problems?
No: Spironolactone blocks androgen effect by blocking Androgen receptors but it does not lower Androgen level. It is commonly used to relief symptoms of Androgen excess like hirsutism (excessive body & facial hair). Be careful it is teratogenic (may cause birth defects) and should be used with a reliable method of contraception. ...Read more
High bioavailable testosterone. Will spironolactone lower it? How about finasteride? Total Testosterone normal. Can flutamide help and at what dose?
Here's some...: Have you been compulsively to perfect your body? Reviewing your profile incites me to raise this question. With so much involvement in your care, you should collect, reserve, & bring all related questions to your treating Dr. For balancing between medical necessity and professional possibilities before further acting upon with medication. Online inquiry will not suffice to address your Q. ...Read more
It doesn't: Spironolactone is a diuretic that also happens to block testosterone receptors in hair follicles. Since many women with P COS experience some degree of hirsutism as a result of the elevated testosterone common with PCOS the Spironolactone is prescribed to block the receptors to prevent those hair changes. The testosterone production can be decreased by suppressing the ovaries with OCP's. ...Read more
Since spironolactone is a testosterone blocker, would that be bad for the body or decreases testosterone level.
Does not lower level: Spironolactone is not a "testosterone" blocker per say. It designed to block aldosterone receptors from being activated. It is not perfect and does have some anti-masculine side effects (gynecomastia). If a doctor prescribed your medication for blood pressure control, prior heart attack, heart failure, or liver disease it is more likely to make you live longer and better than not. ...Read more
Taking 100 mg Spironolactone daily and testosterone is still too high. Are there additional methods for lowering androgens in women?
Does spironolactone actually increase basal levels of estrogen or does it just block androgens, decreasing testosterone?
Spironolactone: 26F NY asks: Does spironolactone actually increase basal levels of estrogen or does it just block androgens, decreasing testosterone? ANS: complex: decrease T production by testis, increases T conversion to E2 so more estrogen and displaces T from SHBG. Binds with T receptors thus acting like anti T. I specialize in BP and diet and drug RX. Happy to do 2nd opinion. ...Read more
Can spironolactone help reduce androgenetic alopecia even if my testosterone is normal? If so, what dose do you recommend?
I'm a 20 yr old female recently put on spironolactone for acne most likely because of high testosterone. What should I expect?
A good result: Don't try to figure out the cause of one's acne. High or normal for a woman, spironolactone suppresses androgens that promote acne. This illness is a serious personal and professional liability. Your physician should be commended for thinking of this medicine, which is often overlooked as an option. ...Read more
Anything else besides Spironolactone, Finasteride, Metformin & bcps that help acne & block testosterone from PCOS? Do work but can't tolerate them.
In my opinion there are too many meds on the list.
Please discus this with your primary doctor.
If she/he continues with the number of meds you mention, please see someone with a bit mores sense.
Not surprised you can't tolerate medical items.
Please keep me informed. ...Read more
I'm on testosterone cypionate injections to increase free testosterone. I developed cystic acne and getting a lot of body hair. My doc prescribed spironolactone. Isn't that counter productive?
Testosterone level high. I have pcos. I refused BC so doc gave me aldactone 50mg a day. How long before it lowers my testosterone. Will period return?
Transgender-man2fem-is there a bloodworkless way to tell weakness/fatigue caused by electrolyte imbalance (aldactone) vs muscle loss/low testosterone?
No: For what you've listed, you need labs eg blood needs to be drawn. However, do know that there are other reasons for weakness & fatigue such as medications, supplements (see http://www. Usatoday. Com/story/news/nation/2014/05/09/tests-find-synthetic-stimulants-iforce-nutrition-dexaprine-xr/8905197/ for example of adulterated stuff), thyroid, depression, etc. Best to discuss your concerns w/your doc. ...Read more
Defitely yes: Testosterone levels can decrease with acute or chronic stress or anxiety. Theory is that the stress or "flight and fright" hormoes, epinephrine, nor-epinephrine and cortisol. This lowers the anabolic (tissue build up) process and inhibits testosterone production. This is reversed after stress and anxiety are relieved. ...Read more
Yes but. . .: Abilify (aripiprazole), like all antipsychotics, has some effect on the pituitary but possibly less than Risperdal (risperidone), which can decrease testosterone production by increasing prolactin. See answer to this question: https://www. Healthtap. Com/#user_questions/248515-do-respiridone-and-abilify-reduce-testosterone-or-increase-estrogen. Tell your doc about your concerns & ask for options. ...Read more
Shouldn't. . .: Thyroid controls metabolism but not sexual development or maturation. Pituitary controls both thyroid & testes but if he's only missing thyroid, then testes should be ok. However, if testosterone is low, need to figure out why. Low t might be due to testicular issue (coincident w/thyroid) or be due to pituitary problem (see above) or perhaps liver (via excess iron - hemochromatosis), etc. Go c doc. ...Read more
Does it happen that thyroxine replacement therapy lower estradiol in Men? Or does the replacement affect the level of testosterone aromatization?
Replacement: To my knowledge thyroxine does not lower estradiol, nor does if affect testosterone aromatization. Is your thyroxine replacement helping you? What are the problems you are having with testosterone? Please give me some more information and I will try and resolve some concerns. ...Read more
How can using drugs decrease testosterone? Will a man be able to have kids if he was using drugs for over 15 yrs?
Testosterone decreases1.5-1.8% every year after age 40. It's not just about sex and sex drive!
testosterone is important in many areas including bone health, energy level, Insulin resistance and depression among many other areas. There have been studies linking low testosterone with increased risk of all cause mortality. ...Read more
Confusing question: I'm not sure what you are asking. Men are different than women because they have high testosterone levels which affect muscle strength and development as well as some brain changes. Women have naturally low testosterone but high estrogen levels. "Drive" or motivation is not necessarily related to hormone levels. Don't let anyone give you testosterone to increase your "drive" ...Read more
Lower than young men: I know, not the answer you wanted, but it's true. When looking at large groups of men, older men tend to have lower t levels than younger men. But there are also some older men w/higher t than some younger men & vice versa. Normal reference ranges also depend upon lab, equipment used & test ordered. Individual results vary w/time of day. More important than typical t level is how you feel. ...Read more
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