10/03/2026
Biomarker Breakdown | Dihydrotestosterone (DHT)
Dihydrotestosterone (DHT) is a potent androgen derived from testosterone through the action of the 5-alpha reductase enzyme.
Although often associated with male hormone health, DHT also plays an important role in female androgen balance.
DHT can influence:
- Hair growth and scalp hair loss
- Skin oil production and acne tendency
- Sexual development and androgen-related characteristics
- Prostate tissue activity in men
- Hormonal patterns seen in PCOS and menopause
When elevated, DHT may contribute to hair thinning, acne, androgen excess symptoms, or prostate-related changes.
When lower, it may reflect reduced androgen conversion, age-related changes, or hormonal suppression.
Because DHT is not routinely included in standard blood testing, it is often assessed when deeper hormonal insight is needed.
DHT can be added to blood tests or assessed within comprehensive hormone urine testing such as the DUTCH Complete.
Understanding hormone conversion can often explain symptoms that total testosterone alone cannot.