How to Prevent Hair Loss While Taking Testosterone?

12/17/2025

Key Takeaways

The DHT Connection: Hair loss during Testosterone Replacement Therapy (TRT) is primarily caused by the conversion of testosterone into Dihydrotestosterone (DHT).
Genetic Factors: Your genetic predisposition determines how sensitive your hair follicles are to hormonal shifts.
Proactive Care: Combining medical-grade topicals, oral DHT blockers, and PRP therapy offers the highest hair-preservation success rate.
Local Expertise: Patients in Brooklyn benefit from personalized protocols that account for diverse hair textures and urban environmental stressors.

Table of Contents show

Testosterone Replacement Therapy (TRT) is a transformative treatment for many men and women in Brooklyn, NY, aiming to optimize energy, mood, and physical performance. However, a common side effect of increased androgen levels is accelerated hair thinning. At Skin Glow Dermatology, Yelena Terushkin, PA-C, specializes in medical hair restoration strategies that allow you to enjoy the benefits of hormone optimization without sacrificing your hair.

Understanding Testosterone-Related Hair Loss and DHT

The biological link between testosterone and hair loss is the enzyme 5-alpha reductase. This enzyme is responsible for converting a portion of your testosterone into Dihydrotestosterone (DHT).

In individuals with a genetic sensitivity, DHT binds to receptors in the scalp, causing a process called “miniaturization.” During this process, the hair follicles shrink, produce thinner strands, and eventually stop growing altogether. This is why managing DHT is the cornerstone of any prevention strategy.

Skin Glow Dermatology - Book Your Consultation Online NYC — Best Brooklyn Dermatology Clinic, Skin Glow Dermatology

Clinical Procedures to Prevent Hair Loss While on Testosterone

For residents of Kings County looking for professional-grade results, we offer a tiered medical approach within our cosmetic dermatology department to stabilize the hair cycle and protect the scalp..

1. Medical DHT Blockers and Management

The most effective way to address hair loss at its source is to limit DHT production, whether systemic or localized.

Oral Medications: FDA-approved treatments such as Finasteride work by inhibiting the 5-alpha-reductase enzyme.
Topical Solutions: Custom-compounded formulas can deliver DHT blockers directly to the follicle, minimizing systemic absorption.
Hormonal Monitoring: Regular blood work at our Brooklyn office helps ensure your TRT dosage is optimized to reduce unnecessary DHT spikes.

2. Platelet-Rich Plasma (PRP) Therapy

PRP therapy is one of our most requested treatments for patients on TRT. It uses growth factors from your own blood to “jumpstart” follicles suppressed by hormones.

The Procedure: We draw a small amount of blood, spin it in a high-speed centrifuge, and inject the concentrated platelets into the scalp.
The Result: Increased blood flow and cellular repair that thickens existing hair and extends the growth phase.

3. Medical-Grade Microneedling

Microneedling creates controlled micro-channels in the scalp. This not only stimulates a healing response but also dramatically increases the absorption rate of prescribed topical treatments.

Frequently Asked Questions About Preventing Hair Loss

Will stopping testosterone regrow my hair?

If the hair follicles have only miniaturized, stopping or lowering your TRT dose may slow further loss. However, active regrowth usually requires clinical intervention, such as PRP or prescription topicals, to stimulate the follicle back into the growth phase.

How often should I get PRP for hair loss?

For most patients on testosterone therapy, we recommend an initial “loading phase” of 3 to 4 treatments spaced one month apart. Afterward, maintenance sessions every 6 to 12 months are typical to keep the follicles active.

Can hair loss from testosterone be reversed?

Yes, if caught in the early to middle stages. Once a follicle has completely scarred over—resulting in a smooth, shiny scalp area—it can no longer produce hair. Early intervention at our Brooklyn clinic is key.

Does testosterone cause hair loss if I have no family history of baldness?

Genetics plays the most significant role. If you lack the genetic sensitivity to DHT, you may not experience substantial thinning. However, some patients experience temporary “shedding” (Telogen Effluvium) due to the sudden shift in hormone levels when starting TRT.

Are there specific vitamins for hair health during hormone therapy?

Yes. We often recommend medical-grade supplements containing Biotin, Zinc, and Saw Palmetto. Managing the urban environment of Brooklyn—such as hard water and pollution—with clarifying scalp treatments also supports a healthy growth environment.

Does topical testosterone (gel) cause less hair loss than injections?

Not necessarily. Both delivery methods increase the total amount of testosterone in your body, which can be converted into DHT. The rate of conversion depends more on your individual metabolism and genetics than the method of administration.

Can I use Ketoconazole shampoo to block DHT?

Ketoconazole (Nizoral) has mild anti-androgen properties. While it is a helpful addition to a hair-care routine, it is rarely potent enough to counteract the significant hormonal changes associated with TRT on its own.

Schedule a Consultation in Brooklyn, NY

Protecting your hair while optimizing your health requires specialized dermatological care. Yelena Terushkin, PA-C, and the team at Skin Glow Dermatology utilize over a decade of experience to provide the most advanced hair restoration solutions in Brooklyn.

Call us at (718) 814-8606 or fill out the form on this page to schedule a consultation today. 480 Court St, Suite # 103, Brooklyn, NY 11231

Best Brooklyn Dermatologist Specialist - Skin Glow Dermatology - Yelena Terushkin

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Medical Disclaimer: The information provided in this blog is for educational purposes only and is not intended as medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition or hormonal therapy. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.

      
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   86 Google reviews 
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       Posted on Google  
   
   Christine Desanctis 
 27/08/2026
 
 
 Trustindex verifies that the original source of the review is Google. I will not trust anyone else with my face ever again. Yelena is a magician, she always makes me look and feel my most confident. In addition to being incredibly skilled she is also extremely professional, kind and attentive. I can’t thank her enough!!
  
 
      Posted on Google  
   
   Mary Sava 
 10/08/2026
 
 
 Trustindex verifies that the original source of the review is Google. Yelena is absolutely the best! I am thrilled with my results! From the moment I walked in, I felt so comfortable and confident that I was in the best hands. My face looks amazing—so natural, refreshed, and beautifully balanced. I couldn’t be happier with my experience and would highly recommend Yelena. I have been seeing Yelena since 2023 and will definitely be coming back! ❤️
  
 
      Posted on Google  
   
   Kim Anderson 
 06/08/2026
 
 
 Trustindex verifies that the original source of the review is Google. I cannot recommend Yelena Terushkin, PA-C highly enough. After another dermatologist at a different practice misdiagnosed my skin concerns, I sought a second opinion with Yelena. She identified both a melanoma and a basal cell carcinoma that had been missed, and I genuinely believe that decision changed my life. As frightening as the diagnosis was, Yelena handled every step with incredible compassion, professionalism, and empathy. She took the time to thoroughly explain my pathology results, walk me through each treatment option, answer every question I had, and ensure I understood exactly what came next. I never felt rushed, and I always felt like she truly cared about me as a person, not just a patient. She also emphasized the importance of routine skin checks moving forward, helping me understand that early detection is one of the most powerful tools we have in preventing serious outcomes. That education has completely changed the way I approach my health. I will always be grateful to Yelena for her expertise, her kindness, and her diligence. She caught what someone else missed, and because of her, I have the opportunity to move forward with treatment early. If you're looking for a dermatology provider who is exceptionally knowledgeable, compassionate, and meticulous, I cannot recommend Yelena Terushkin enough. She has earned my trust and gratitude for life.
  
 
      Posted on Google  
   
   Alejandra Espitia 
 07/07/2026
 
 
 Trustindex verifies that the original source of the review is Google. Yelena came highly recommended by one of my coworkers. Now after two microneedling sessions, I can honestly say that my skin looks smoother and healthier with noticeable improvement.
  
 
      Posted on Google  
   
   Ashley DiLalla 
 18/06/2026
 
 
 Trustindex verifies that the original source of the review is Google. LOVE this team and their expertise! My skin is truly glowing ❤️
  
 
      Posted on Google  
   
   Amy Black 
 02/06/2026
 
 
 Trustindex verifies that the original source of the review is Google. I finally tried microneedling after seeing coworkers get amazing results. The effect is WOW!! Dr. Terushkin warned me about a couple of days of redness but the results after that are totally worth it.
  
 
      Posted on Google  
   
   FRNCH FOLLY 
 01/06/2026
 
 
 Trustindex verifies that the original source of the review is Google. I just had a cyst removed; it was an amazing experience overall, doctor was kind, gentle and very emphatetic. Did a magnificent job closing me up as well; as I needed stitching and had previous bad experiences on the matter, I am utterly relieved by the craftsmanship. 5/5! I totally recommend
  
 
      Posted on Google  
   
   Mel CasadiBling 
 30/05/2026
 
 
 Trustindex verifies that the original source of the review is Google. I went for Botox and fillers and she has completely transformed my face in the best way. My forehead is now totally smooth with zero wrinkles, and my jawline looks so much more lifted and defined. She subtly reshaped my whole facial structure without it looking obvious or overdone at all. I still look like me, just a fresher, more rested version. The whole procedure was quick with literally zero discomfort, and her eye for detail is insane. I keep getting compliments and feel so much more confident. If you’re on the fence, just book it, she’s the real deal! 🙌
  
 
      Posted on Google  
   
   Kim Daniels 
 20/05/2026
 
 
 Trustindex verifies that the original source of the review is Google. I’ve been a patient for a long time, and will continue to trust my skin to Yelena. Love the friendly and helpful staff who are always prompt to respond.
  
 
      Posted on Google  
   
   Melissa Larose 
 12/05/2026
 
 
 Trustindex verifies that the original source of the review is Google. I have been seeing Yelena for medical weight loss over the past 6 months. She has helped me lose 40 lbs and is always available to answer questions or address any concerns.

Christine Desanctis

27/08/2026

I will not trust anyone else with my face ever again. Yelena is a magician, she always makes me look and feel my most confident. In addition to being incredibly skilled she is also extremely professional, kind and attentive. I can’t thank her enough!!

Mary Sava

10/08/2026

Yelena is absolutely the best! I am thrilled with my results! From the moment I walked in, I felt so comfortable and confident that I was in the best hands. My face looks amazing—so natural, refreshed, and beautifully balanced. I couldn’t be happier with my experience and would highly recommend Yelena. I have been seeing Yelena since 2023 and will definitely be coming back! ❤️

Kim Anderson

06/08/2026

I cannot recommend Yelena Terushkin, PA-C highly enough. After another dermatologist at a different practice misdiagnosed my skin concerns, I sought a second opinion with Yelena. She identified both a melanoma and a basal cell carcinoma that had been missed, and I genuinely believe that decision changed my life. As frightening as the diagnosis was, Yelena handled every step with incredible compassion, professionalism, and empathy. She took the time to thoroughly explain my pathology results, walk me through each treatment option, answer every question I had, and ensure I understood exactly what came next. I never felt rushed, and I always felt like she truly cared about me as a person, not just a patient. She also emphasized the importance of routine skin checks moving forward, helping me understand that early detection is one of the most powerful tools we have in preventing serious outcomes. That education has completely changed the way I approach my health. I will always be grateful to Yelena for her expertise, her kindness, and her diligence. She caught what someone else missed, and because of her, I have the opportunity to move forward with treatment early. If you're looking for a dermatology provider who is exceptionally knowledgeable, compassionate, and meticulous, I cannot recommend Yelena Terushkin enough. She has earned my trust and gratitude for life.

Alejandra Espitia

07/07/2026

Yelena came highly recommended by one of my coworkers. Now after two microneedling sessions, I can honestly say that my skin looks smoother and healthier with noticeable improvement.

Ashley DiLalla

18/06/2026

LOVE this team and their expertise! My skin is truly glowing ❤️

Amy Black

02/06/2026

I finally tried microneedling after seeing coworkers get amazing results. The effect is WOW!! Dr. Terushkin warned me about a couple of days of redness but the results after that are totally worth it.

FRNCH FOLLY

01/06/2026

I just had a cyst removed; it was an amazing experience overall, doctor was kind, gentle and very emphatetic. Did a magnificent job closing me up as well; as I needed stitching and had previous bad experiences on the matter, I am utterly relieved by the craftsmanship. 5/5! I totally recommend

Mel CasadiBling

30/05/2026

I went for Botox and fillers and she has completely transformed my face in the best way. My forehead is now totally smooth with zero wrinkles, and my jawline looks so much more lifted and defined. She subtly reshaped my whole facial structure without it looking obvious or overdone at all. I still look like me, just a fresher, more rested version. The whole procedure was quick with literally zero discomfort, and her eye for detail is insane. I keep getting compliments and feel so much more confident. If you’re on the fence, just book it, she’s the real deal! 🙌

Kim Daniels

20/05/2026

I’ve been a patient for a long time, and will continue to trust my skin to Yelena. Love the friendly and helpful staff who are always prompt to respond.

Melissa Larose

12/05/2026

I have been seeing Yelena for medical weight loss over the past 6 months. She has helped me lose 40 lbs and is always available to answer questions or address any concerns.