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Auto-generated transcript of @sheydavadipour's video. Quoted here for educational fact-check commentary; original creator retains all rights to the video content.
- 0:00Eye testosterone and women, what are some symptoms and how can we lower it?
- 0:03So testosterone is commonly seen as one of our main male sex hormones, and though yes it is,
- 0:08it is also very important when it comes to women as well.
- 0:11As with men, it's very important when it comes to your muscle density, your immune function,
- 0:15and your sex drive, on many other things relating to ovulation fertility in our other sex hormones.
- 0:19As with any sex hormone, we want to make sure that our testosterone is in an optimal range.
- 0:23The most common presentation that I see of testosterone in women struggling with acne or
- 0:27hormonal imbalances is high testosterone.
- 0:29So some of the main ways that this can show up in the body are acne, oily skin, hair loss,
- 0:34but hair growth in areas that are unwanted or not normal for women.
- 0:38So this is going to include on areas like your chin, on your jawline, around your
- 0:42ariola, increased body odor, irritability, mood changes, disturbances in your sleep.
- 0:47So there are many causes to high testosterone, some of those things being PCOS, congenital
- 0:52adrenal hyperplasia, or getting off of the pill.
- 0:54So before you go ahead and treat it, it's important to figure out what your root causes and where
- 0:57it's coming from. There are many ways that we can naturally lower testosterone,
- 1:01including things like lifestyle changes in diet and supplements.
- 1:04This is going to include things like zinc, salt palmetto,
- 1:06spearmint tea, but again, until you find out what your specific root causes,
- 1:10please don't go and take random things that you see on the internet.
- 1:12Again, if you feel like you're exhibiting any of these symptoms, it may be possible that you
- 1:16have high testosterone, which could be contributing to your symptoms.
Does high testosterone really cause acne in women?
Quick answer
Androgen excess in women is a legitimate clinical entity most commonly associated with PCOS, which affects an estimated 8-13% of women of reproductive age according to the WHO. Elevated free testosterone, dihydrotestosterone activity, and reduced SHBG can all contribute to androgenic symptoms including acne, even when total testosterone falls within standard reference ranges. Accurate workup requires a full androgen panel and consideration of adrenal versus ovarian sources before any treatment, pharmaceutical or supplemental, is initiated.
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Cardiovascular Safety of Testosterone-Replacement Therapy
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Testosterone therapy in men with androgen deficiency syndromes: an Endocrine Society clinical practice guideline
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What this exact clip is really saying
This FormBlends review is specific to "Does high testosterone really cause acne in women?" from Doctor Sheyda | Acne Expert. We read the clip as a TRT social video fact-checks claim about Testosterone, then separate the useful signal from what a short social video cannot prove. The page-specific claim focus is: Androgen excess in women is a legitimate clinical entity most commonly associated with PCOS, which affects an estimated 8-13% of women of reproductive age according to the WHO.
The reason this review is not generic is the source wording and the canonical claim label "trt high testosterone is a common hormonal imbalance presentatio." In this clip, the useful excerpt is: "Eye testosterone and women, what are some symptoms and how can we lower it?" That wording changes the review because it points to Testosterone evidence, safety, and patient-fit context, not a one-size-fits-all protocol.
The source trail for this page is checked against Cardiovascular Safety of Testosterone-Replacement Therapy (2023), Testosterone therapy in men with androgen deficiency syndromes: an Endocrine Society clinical practice guideline (2010), and Functional testosterone deficiency in aging men: Clinical impact, diagnostic pathways, and treatment strategies (2026), plus the creator's own wording. Testosterone decisions still need an eligibility review, medication-interaction screen, access check, and quality-control review before anyone treats a social clip as medical advice.
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Claim being checked
Androgen excess in women is a legitimate clinical entity most commonly associated with PCOS, which affects an estimated 8-13% of women of reproductive age according to the WHO.
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Testosterone evidence, safety, and patient-fit context
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What it helps with
- Androgen excess in women is a legitimate clinical entity most commonly associated with PCOS, which affects an estimated 8-13% of women of reproductive age according to the WHO. Elevated free testosterone, dihydrotestosterone activity, and reduced SHBG can all contribute to androgenic symptoms including acne, even when total testosterone falls within standard reference ranges. Accurate workup requires a full androgen panel and consideration of adrenal versus ovarian sources before any treatment, pharmaceutical or supplemental, is initiated.
- Androgens including testosterone and DHT stimulate sebum production and contribute to acne, confirmed in a 2017 review by Zouboulis et al. in JEADV, but total testosterone alone is often not the full story.
- A complete androgen workup should include free testosterone, DHEA-S, and SHBG, not just total testosterone, since normal total levels with low SHBG can still produce androgenic symptoms.
What it may miss
- It may not cover eligibility, contraindications, medication interactions, lab history, or dose escalation.
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- Social video captions rarely show the full evidence base behind a claim.
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Start provider reviewWhat You'll Learn
- Androgens including testosterone and DHT stimulate sebum production and contribute to acne, confirmed in a 2017 review by Zouboulis et al. in JEADV, but total testosterone alone is often not the full story.
- A complete androgen workup should include free testosterone, DHEA-S, and SHBG, not just total testosterone, since normal total levels with low SHBG can still produce androgenic symptoms.
- PCOS affects 8-13% of reproductive-age women globally according to the WHO and is the most common cause of androgen excess, often driven by hyperinsulinemia rather than a standalone testosterone problem.
- A 30-day RCT (Grant, 2010, Phytotherapy Research, n=42) found spearmint tea reduced free testosterone in women with PCOS, but effect sizes were modest and acne-specific outcomes were not the primary endpoint.
- Saw palmetto lacks adequate human trial data in women specifically. Its anti-androgenic mechanism is plausible but evidence comes predominantly from male benign prostatic hyperplasia studies.
- Post-pill androgen rebound is real: SHBG levels suppressed by combined oral contraceptives can take 6-12 months to normalize after stopping, temporarily raising free testosterone bioavailability (Zimmerman et al., 2014, Contraception).
- The creator's advice to identify your root cause before supplementing is clinically sound. Androgenic acne from PCOS, CAH, and post-pill rebound have different mechanisms and respond to different interventions.
Our take · Written by FormBlends editorial team · Reviewed by FormBlends Medical Team · This is not a transcript. It is our independent review of the video above.
What did @sheydavadipour actually say?
The creator argues that high testosterone is a common hormonal imbalance she sees in women with acne, and that symptoms include oily skin, unwanted hair growth, mood changes, and sleep disturbances. She names PCOS, congenital adrenal hyperplasia (CAH), and going off the pill as root causes. She recommends zinc, saw palmetto, and spearmint tea as natural options, but gives credit where it is due by adding: "until you find out what your specific root cause is, please don't go and take random things." That caveat matters, and it is worth noting.
The overall framing is: identify the cause first, then address it. That is clinically reasonable advice, even if some of the specifics deserve scrutiny. The creator positions herself as a practitioner, which shapes how this video lands with 486,000+ viewers who may take the supplement list as a soft recommendation regardless of the disclaimer.
Does the science back this up?
Mostly, yes, with important nuance. The association between elevated androgens and acne in women is well-established, but "high testosterone" is an oversimplification of the androgen picture. The evidence on supplements like spearmint tea is real but modest, and saw palmetto has weaker data in women specifically.
Androgens, including testosterone and its more potent derivative dihydrotestosterone (DHT), stimulate sebaceous gland activity and follicular hyperkeratinization, both of which contribute to acne pathogenesis. A 2017 review by Zouboulis et al. in the Journal of the European Academy of Dermatology and Venereology confirmed androgens play a direct role in sebum overproduction. However, many women with hormonal acne have testosterone levels within the "normal" lab range, with the real issue being androgen receptor sensitivity at the skin level. That is a distinction this video skips entirely.
On spearmint tea: a small randomized controlled trial by Grant (2010) in Phytotherapy Research found twice-daily spearmint tea reduced free testosterone in women with PCOS over 30 days. Effect sizes were modest. Zinc has reasonable evidence for acne (Yee et al., 2020, Dermatology and Therapy), though it is generally more effective for inflammatory acne than androgenic acne specifically.
What did they get wrong (or right)?
The creator gets the basics right. The causes she lists, PCOS, CAH, and post-pill androgen rebound, are legitimate and supported by endocrinology literature. Post-pill androgen rebound is a real phenomenon, documented in studies like those by Zimmerman et al. (2014) in Contraception, where suppressed SHBG levels can take months to recover, effectively raising free testosterone bioavailability.
What she gets wrong, or at least incomplete: framing this purely as a "high testosterone" problem misses that androgen excess in women is often about free versus total testosterone, SHBG levels, and local androgen receptor sensitivity. You can have a normal total testosterone and still have androgenic symptoms. A clinician ordering labs needs to look at free testosterone, DHEA-S, and SHBG, not just a total testosterone panel.
Saw palmetto is listed without qualification. The evidence for saw palmetto in women is thin. Most human trials involve men with benign prostatic hyperplasia. Its anti-androgenic mechanism is plausible, but recommending it to women, particularly those who might be pregnant or trying to conceive, requires more caution than this video provides.
What should you actually know?
If you have acne along with irregular periods, unwanted facial or body hair, or scalp hair thinning, getting your androgens tested is a reasonable first step. But ask for a full panel: total testosterone, free testosterone, DHEA-S, SHBG, and ideally a morning cortisol if CAH is on the table. A single testosterone number without context can be misleading.
The creator is right that root cause matters. Treating PCOS-driven androgen excess looks different from treating post-pill rebound or CAH. PCOS management often involves lifestyle changes including insulin sensitivity, diet, and exercise, because hyperinsulinemia drives ovarian androgen production. That connection between insulin and androgens did not make it into this video, and it arguably should have, given how central it is to PCOS pathophysiology (Rosenfield and Ehrmann, 2016, Endocrine Reviews).
Supplements are not a substitute for diagnosis. Spearmint tea twice a day is low-risk and may modestly help if you have elevated androgens. Zinc is broadly reasonable for acne. But neither replaces figuring out why your androgens are elevated in the first place.
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About the Creator
Doctor Sheyda | Acne Expert · TikTok creator
486.7K views on this video
high testosterone is a common hormonal imbalance presentation that I see in women struggling with acne..with that being said, there are many ways to naturally support your body and lower it by getting down to your root cause! - #acne #acnehealing #healingacne #hormonalacne #hormonebalance #hormoneimbalance #hormonebalancing #hormonebalancehelp #hormonebalancetips #hormonalacnesolution #hormonalacnetips #clearskin #clearskintips #clearskinhacks #clearskintransformation #healingacnenaturally #acne
Frequently asked questions
Quick answers based on this video and our medical team review.
What does the video say about androgens including testosterone?
Androgens including testosterone and DHT stimulate sebum production and contribute to acne, confirmed in a 2017 review by Zouboulis et al. in JEADV, but total testosterone alone is often not the full story.
What does the video say about a complete?
A complete androgen workup should include free testosterone, DHEA-S, and SHBG, not just total testosterone, since normal total levels with low SHBG can still produce androgenic symptoms.
What does the video say about pcos affects 8-13% of reproductive-age women globally according to the?
PCOS affects 8-13% of reproductive-age women globally according to the WHO and is the most common cause of androgen excess, often driven by hyperinsulinemia rather than a standalone testosterone problem.
What does the video say about a 30-day rct (grant, 2010, phytotherapy research, n=42) found spearmint?
A 30-day RCT (Grant, 2010, Phytotherapy Research, n=42) found spearmint tea reduced free testosterone in women with PCOS, but effect sizes were modest and acne-specific outcomes were not the primary endpoint.
What does the video say about saw palmetto lacks adequate human trial data in women specifically.?
Saw palmetto lacks adequate human trial data in women specifically. Its anti-androgenic mechanism is plausible but evidence comes predominantly from male benign prostatic hyperplasia studies.
What does the video say about post-pill?
Post-pill androgen rebound is real: SHBG levels suppressed by combined oral contraceptives can take 6-12 months to normalize after stopping, temporarily raising free testosterone bioavailability (Zimmerman et al., 2014, Contraception).
Sources & references
Citations extracted from our medical team's review. Click any citation to search PubMed.
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Not medical advice. This video was made by Doctor Sheyda | Acne Expert, not by FormBlends. Our write-up above is an editorial review, not a medical recommendation. Talk to your doctor before making any decisions about medications or treatments.