Can my hair improve with minoxidil only or do I need to get my testosterone down

Minoxidil is a commonly used topical treatment for androgenetic alopecia (AGA) and can be effective in promoting hair growth regardless of hormone levels. It works by prolonging the anagen phase of hair growth and improving blood flow to hair follicles. Many individuals see improvement in hair density and thickness with minoxidil alone, though it can take several months to see noticeable results.

If your testosterone levels are only slightly elevated and you're not yet diagnosed with polycystic ovary syndrome (PCOS), continuing with minoxidil might still yield positive results for your hair. However, if elevated testosterone or other hormonal imbalances are contributing to your hair loss, addressing these hormonal issues could enhance the effectiveness of your treatment and help maintain the results.

It's important to follow up with your healthcare provider regarding your hormone levels and any potential underlying conditions, such as PCOS, that may need to be addressed alongside your current treatment. They can provide guidance on whether additional treatments or lifestyle changes might be beneficial for your specific situation.

That’s an excellent and very relevant question — especially for women with androgen-related hair loss who may or may not have PCOS.

If your testosterone is only slightly elevated, and you’re already using topical minoxidil, you can still see meaningful improvement in hair density.
Minoxidil works locally, stimulating follicles directly to extend the growth phase (anagen) — its effect does not depend on systemic hormone levels.

However, if future testing confirms PCOS or persistent androgen excess, combining minoxidil with hormone-balancing therapy (such as spironolactone, oral contraceptives, or anti-androgen medication) can further stabilize hair loss and improve long-term results.

In summary:

You can safely continue minoxidil for now — it will still help.

If your hormonal imbalance is mild, it might not require aggressive suppression.

The key is to treat both scalp and systemic causes once your full hormonal profile is clear.

Consistency and patience are crucial — most women notice visible improvement between 6–9 months with minoxidil alone.

Dr. Arslan Musbeh
Hair Transplant Surgeon – Founder of Hairmedico
17+ years of experience in FUE, Sapphire FUE, and female hair restoration

This answer has been approved by Dr. Arslan Musbeh. It is not a medical advice.