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Reasn for high TESTOSTERONE with SPIRONOLACTONE in transgender.

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I'm a transgender woman, pre-op, I'm taking spironolactone (200 mg per day) estrodiol (2 mg per day) and finistride (5 mg per day). My testosterone levels are 236 ie. Very high, what could possibly be the reason, also they were 87 back in October

Category: Endocrinologist

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Dr. J Muthukrishnan
Category: Diabetologist
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 21 Doctors Online

Expert:  Dr. J Muthukrishnan
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Hello,
Thanks for your query at DoctorSpring.com.
You need to check the DHT levels too, and Free Testosterone.
The dose of Estradiol may need to increase.
Spironolactone and Finasteride do not reduce testosterone levels.
Please revert to me with the lab reports so that I can advice you
Feel free to discuss
Regards

Dr. J Muthukrishnan
Category: Diabetologist
Experience: 
Fellowships/Training: 
1. 10th Asia-Pacific Pediatric Endocrine Society  Fellows meeting, Seoul, Korea, Oct 2008
2. Eighth ICMR Course on Genetics and Genetic Counseling – Jul 2008 – SGPGI, Lucknow
3. Annual Certificate Course on Endocrinological Laboratory Techniques at National Institute of Nutrition (ICMR) Hyderabad,India, ( Aug-Sep 2006) 
Fellowship: Endocrinology, Diplomate of National Board, National Academy of Medical Sciences, New Delhi, 2008, Medwin Hospital, Hyderabad
Senior Residency: Diplomate of National Board (General Medicine), National Academy of Medical Sciences, New Delhi, 2002
Residency: MD, General Medicine, 1997-2000, Armed Forces Medical College, 2nd position in University
Medical School: MBBS, Armed Forces Medical College, 1992
Dr. J Muthukrishnan and 4 other Medical Specialists are ready to help you

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