A potent androgen formed from testosterone in tissues such as skin and hair follicles.

Why it matters for PCOS

DHT (dihydrotestosterone) is an androgen stronger than testosterone. It is formed when the enzyme 5-alpha-reductase converts testosterone within local tissues, especially the skin and hair follicles. Because its effect happens at the tissue level, DHT is linked to the skin and hair symptoms of PCOS, including acne, oily skin, excess facial hair (hirsutism), and scalp hair thinning in women whose follicles are sensitive to androgens.

DHT is rarely measured routinely in PCOS blood tests, since doctors usually check testosterone instead. Some medicines that block androgen effects are prescription-only and need to be monitored by a doctor.

This glossary is education, not diagnosis. For your own situation, ask a doctor or pharmacist.