Dihydrotestosterone (DHT) (referred to as androstanolone or stanolone when used medically) can also be used in place of testosterone as an androgen. The availability of DHT is limited; it is not available in the United States or Canada, for instance, but it is available in certain European countries, including the United Kingdom , France , Spain , Belgium , Italy , and Luxembourg .  DHT is available in formulations including topical gel, buccal or sublingual tablets, and as esters in oil for intramuscular injection.  Relative to testosterone, and similarly to many synthetic AAS, DHT has the potential advantages of not being locally potentiated in so-called androgenic tissues that express 5α-reductase (as DHT is already 5α-reduced) and of not being aromatized into an estrogen (it is not a substrate for aromatase).
Using appropriate tests for monitoring hormone therapy is crucial in establishing the appropriate dosing regimen. This reduces the chance of undesirable side effects and maximizes beneficial effects. For example, excessive use of androgens (testosterone, androstenedione, DHEA, and testosterone derivatives) can activate subclinical prostate tumors which are androgen-dependent. Monitoring is especially important in older males. By the age of 70, at least 50% of men have subclinical prostate cancer. These men are especially susceptible to prostate growth stimulation by androgens.
Q. What types of hormonal changes caused by fibromyalgia? Fibromyalgia affects hormones because I feel pain in my back bone. What types of hormonal changes caused by fibromyalgia? A. Have you ever checked your back pain with a doctor? It may or may not be due to fibromyalgia. Low serotonin levels, low growth hormone levels, and low levels of neuropeptide Y, a component of the feel-good hormone neurotransmitter norepinephrine have been associated with fibromyalgia. Elevated levels of substance P acts as a neurotransmitter and signals the body to experience pain. These pains have also been observed in the spinal cord of fibromyalgia patients.