Female Pattern Hair Loss

Question
Dear Dr. Thank you for always answering my questions. I appreciate your time. I am trying very hard to trust my Endo's advice but my hair loss progresses and makes me vulnerable to trying anything.

After my last labs, he called and said he wants me to take two drops of TESTOSTERONE transdermally. He says my testosterone is so low it is "undetectable" and that this could be making my hair loss worse. Everything Ive read says DO NOT take testosterone if you have AGA.

Currently taking 2mg.Estrace,100 Prometrium (3 mos).

And 150 mg. Spironolactone and 5% Rogaine (5 yrs)

Would you advise me to add this testosterone if I was your patient?

I'm worried he is more focused on my "balance" than my hair loss.(Between Ludwig Stage II and III)

Appreciate your opinion.


Answer
I would not advise Testosterone in a woman losing hair. You may have other causes but I would not add to the problem. The main reason women take supplemental testosterone is to make them feel more peppy, more libido, less depression. If you have no problems with these issues I can not see why it needs to be a bone of contention or a test of wills. It may be that the small dose will have no effect on your hair but if you do not need it for other well defined reasons then why take it.