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Understanding Hormonal Side Effects
March 31st, 2026

Does Spironolactone Lower Testosterone in Men?

Yes, spironolactone significantly lowers testosterone levels in men through multiple mechanisms. This potassium-sparing diuretic blocks androgen receptors and inhibits testosterone synthesis, leading to measurable decreases in circulating testosterone. Studies show spironolactone can reduce testosterone levels by 30-70% depending on dosage and duration of treatment. Men typically experience these hormonal changes within 2-4 weeks of starting therapy. The medication is sometimes prescribed off-label for conditions like male pattern baldness or excessive hair growth, but the testosterone-lowering effects can cause side effects including decreased libido, erectile dysfunction, and gynecomastia. Regular hormone monitoring is essential for men taking spironolactone to track these changes and adjust treatment as needed.

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