Do I Need to Stop Medication Before Testing Male Hormones? - Urology

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If a patient is undergoing testing for male hormones, is it necessary to stop medication beforehand?


Hello Doctor: I previously had issues with hair loss, and a dermatologist diagnosed me with androgenetic alopecia.
I have been taking Finasteride for over two years.
My appearance does not seem particularly bald, so another specialist suggested that I see a urologist to test my male hormones to confirm whether the hair loss is indeed caused by excess hormones.
This is to avoid mistakenly taking medication long-term.
Since Finasteride currently suppresses male hormones, I believe that testing my blood now may yield inaccurate results.
To ensure more accurate results, how many days before the blood test should I stop taking Finasteride?

Yihuo de KK, 30~39 year old female. Ask Date: 2010/03/03

Dr. Xu Weikai reply Urology


It is generally recommended to discontinue medication for at least one week for more accurate results.

Reply Date: 2010/03/03

More Info


When it comes to testing male hormones, particularly in the context of hair loss and the use of medications like Finasteride (known as "柔沛" in your context), it is crucial to understand how these medications can affect hormone levels and the accuracy of your test results.

Finasteride is a medication commonly used to treat male pattern baldness (androgenetic alopecia) by inhibiting the conversion of testosterone to dihydrotestosterone (DHT), the hormone primarily responsible for hair loss in men. Since your physician has suggested testing your male hormone levels to determine if hormonal imbalances are contributing to your hair loss, it is indeed important to consider how Finasteride may influence the results of such tests.

To ensure that your hormone levels are accurately reflected in the blood test, it is generally recommended to stop taking Finasteride for at least one week prior to the test. This duration allows your body to clear the medication and for your hormone levels to stabilize, providing a more accurate assessment of your testosterone and DHT levels. Some sources suggest that a longer cessation period may be beneficial, but one week is a commonly accepted guideline.

It is also important to note that the timing of the blood test can influence results. Hormone levels can fluctuate throughout the day, so it is typically advised to have the test done in the morning when testosterone levels are at their peak. Additionally, factors such as stress, diet, and sleep can also affect hormone levels, so it is advisable to maintain a consistent routine leading up to the test.

If you have been on Finasteride for an extended period, it is possible that your body has adapted to the lower levels of DHT, and stopping the medication might lead to a temporary increase in DHT levels. This is a normal physiological response, and it is essential to discuss any concerns with your healthcare provider. They can provide guidance on the best approach to take based on your specific situation and health history.

Furthermore, if you are considering stopping Finasteride, it is important to weigh the potential benefits of obtaining accurate hormone levels against the possibility of experiencing a resurgence of hair loss. Some individuals may choose to remain on the medication while monitoring their hormone levels over time, especially if they are satisfied with the results of the treatment.

In conclusion, to obtain accurate male hormone test results, it is advisable to stop taking Finasteride at least one week prior to the test. However, it is crucial to consult with your healthcare provider before making any changes to your medication regimen. They can help you navigate the complexities of hormone testing and treatment options for hair loss, ensuring that you make informed decisions that align with your health goals.

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