Does TRT Cause Hair Loss?

Testosterone Replacement Therapy (TRT) can be life-changing for men with low testosterone. It can improve energy, mood, libido, and overall well-being. But one concern many men have before starting TRT is hair loss. Will TRT make you go bald? Is there anything you can do to prevent potential hair loss?

In this guide, we’ll look at what really causes hair loss while undergoing TRT, how you can prevent it, whether hair loss is reversible, and even the surprising ways TRT can sometimes help hair growth.

Does TRT Cause Hair Loss?

First, let’s clear up a common misconception: TRT itself doesn’t cause hair loss.

The real culprit behind male pattern baldness is the male sex hormone dihydrotestosterone (DHT), a derivative of testosterone. When you undergo TRT, your testosterone levels rise and so can your DHT levels. For men genetically predisposed to male pattern baldness, this can accelerate hair loss.

But not all men on TRT lose hair. Genetics play the biggest role in hair loss. If you’re prone to male pattern baldness, TRT may speed up the process, but it doesn’t cause it out of nowhere.

How to Avoid Hair Loss on TRT

If you’re worried about hair loss while undergoing TRT, here are some proactive steps you can take:

• Use DHT-blocking shampoos: These shampoos contain ingredients like ketoconazole or saw palmetto that may reduce DHT’s effect on hair follicles.
• Consider prescription medications: Finasteride or dutasteride can lower DHT levels systemically. However, these have their own side effects and should be discussed with your doctor.
• Focus on lifestyle: A healthy diet, regular exercise, adequate sleep, and stress management can support overall hair health.
• Work with your doctor: Before starting TRT, tell your provider about your concerns. They can tailor your treatment plan and monitor your symptoms to make any necessary adjustments to your dosage.