Dihydrotestosterone (DHT) Blood Test, LC/MS
The Dihydrotestosterone (DHT) Blood Test measures DHT levels in the blood to help determine the cause of male pattern hair loss and prostate problems.
As with male pattern baldness, female pattern baldness comes from hormone imbalances, specifically dihydrotestosterone imbalances, or DHT. This hormone is similar in structure to testosterone, but it is significantly more potent [3]. DHT can attach to receptors on the hair follicles, causing the follicles to shrink.
If your dermatologist suspects that the cause of your hair loss could be a disease, vitamin deficiency, hormone imbalance, or infection, you may need a blood test or scalp biopsy. These tests can be done in your dermatologist's office.
Only riboflavin, biotin, folate, and vitamin B12 deficiencies have been associated with hair loss. Vitamin B2 (riboflavin) is a component of two important coenzymes: flavin mononucleotide (FMN) and flavin adenine dinucleotide (FAD) [22].
If hormone imbalances due to menopause, for example, cause hair loss, doctors may recommend some form of hormone therapy to correct them. Some possible treatments include birth control pills and hormone replacement therapy for either estrogen or progesterone.
Androgen Excess
Women who have thin hair with no bald patches may have a hormonal imbalance caused by excess levels of androgens, a class of hormones that includes testosterone. Signs of androgen excess include hair loss and baldness; hair growth on the face, chest, or abdomen; and irregular menstrual periods and acne.
It doesn't reverse it so why do many trans women experience a reversal of their prior hair loss once they begin HRT? It's believed that the addition of estrogen for trans women may make the difference when used in combination with DHT blockers.
As these hormone levels drop, hair may begin to grow more slowly and become thinner. Over time, the decrease in estrogen and progesterone causes an increase in the activity of male hormones (called androgens) that the body makes. Androgens cause the hair follicles on the head to shrink, which leads to hair loss.
It typically happens a few months after your body goes through something physically or emotionally stressful. It can also result from sudden hormonal changes. Hair loss due to telogen effluvium is usually temporary, and your hair often grows back without treatment once you no longer have that stress.
Hormonal imbalances can lead to hair thinning or loss in men and women. People usually associate hair loss with high levels of estrogen or testosterone, but problems with the thyroid can have the same effect. If thyroid hormone levels are too low or high, it can cause hair loss.
HRT, is an effective treatment for hair loss in both men and women. It works by replacing hormones that may be causing the hair loss with those that promote healthy hair growth. HRT can be administered orally, through injections, or through topical creams.
Hormone issues
Although most people think of estrogen or testosterone when they think of a hormone imbalance, issues with your thyroid can also lead to hair thinning. Once your hormonal imbalance is corrected, your hair should begin to grow again -- plus you'll probably feel more energetic and better overall.
Low progesterone and estrogen are also often to blame for thinning hair during menopause. Hair loss from menopausal hormone deficiencies can take many forms. Most women notice thinning throughout their scalps, which may be visible when you part your hair or you might notice a thinner pony tail.
What Does Thyroid Hair Loss Look Like? Thyroid hair loss often looks like a general thinning across your scalp or eyebrows. Thyroid hair loss might develop slowly; patients with hypothyroidism or hyperthyroidism notice a gradual thinning of their hair rather than localized bald spots or missing patches.
There is a wide range of conditions that can bring on hair loss, with some of the most common being pregnancy, thyroid disorders, and anemia. Others include autoimmune diseases, polycystic ovary syndrome (PCOS), and skin conditions such as psoriasis and seborrheic dermatitis, Rogers says.
DHT, a derivative of the male hormone testosterone, is the enemy of hair follicles on your head. Simply put, under certain conditions DHT wants those follicles dead. This simple action is at the root of many kinds of hair loss.
“Vitamins are essential for healthy hair growth and may help in preventing hair shedding and thinning,” says Michele Green, M.D., a cosmetic dermatologist in New York. “The best vitamins for hair growth include B vitamins, vitamin D, vitamin E, zinc, biotin and iron.
Both vitamin D deficiency, as well as vitamin D excess, may cause hair loss.”
A blood test is one of the most common ways to test hormone levels. This test can detect testosterone, estrogen, cortisol, and thyroid levels. You should order a test that's specific to your gender, as a women's hormone test will look for different levels of sex hormones than a men's test.
Women with too much dihydrotestosterone may develop increased body, facial and pubic hair growth (called hirsutism), stopping of menstrual periods (amenorrhoea) and increased acne. Abnormal changes to the genitalia may also occur in women with too much dihydrotestosterone.
Progesterone levels drop as women approach menopause, which can lead to an abundance of estrogen that triggers excessive hair shedding and ultimately hair loss. Our trained doctor at Seattle Regenerative Medicine Center can diagnose your hair loss by taking a medical history and examining the scalp and follicles.
Estrogen is related to hair growth — and hair loss. During pregnancy, for example, a woman's estrogen levels are higher than normal, which signals more hair follicles to "grow" and fewer to "rest." While estrogen levels are high, women have full, thick hair.