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.