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Reviewed by the Scan Dose Research Team and Clinical Advisory Board

DHEA

MODERATE EVIDENCESupplementLast updated April 2026

SCAN DOSE SUMMARY

DHEA is a steroid hormone precursor produced by the adrenal glands — levels peak at age 25 and decline approximately 2% per year. Our research shows moderate evidence for adrenal insufficiency treatment and vaginal atrophy in postmenopausal women, but limited evidence for anti-aging, exercise performance, or testosterone boosting in healthy adults. It's a hormone — not a vitamin — and inappropriate supplementation can cause significant hormonal disruption.

EVIDENCE GRADES

Adrenal insufficiency (replacement)Strong — established medical use
B+
Vaginal atrophy (intravaginal)Strong — FDA-approved as prasterone (Intrarosa)
B+
Depression (elderly)Moderate — some positive trials
C+
Bone density (postmenopausal)Moderate — modest benefits
C+
Anti-aging / general wellnessWeak — large RCTs mostly negative
C-
Testosterone increase (healthy men)Not supported at standard doses
D
Exercise performanceNot supported
D

OPTIMAL DOSAGE

  • Adrenal insufficiency: 25-50mg/day (physician-supervised)
  • Postmenopausal support: 10-25mg/day
  • Vaginal atrophy: 6.5mg intravaginal (prescription)
  • Depression adjunct: 50-100mg/day
  • Do NOT self-dose without hormone testing — DHEA is a hormone precursor that converts to both testosterone AND estrogen
Scan a supplement containing DHEA

DRUG INTERACTIONS

Estrogen therapy / HRTSevere

DHEA converts to estrogen; additive estrogenic effects

Testosterone therapySevere

Additive androgenic effects

Tamoxifen / aromatase inhibitorsSevere

DHEA converts to estrogen — directly opposes anti-estrogen cancer therapy

Insulin / diabetes medicationsModerate

DHEA may affect insulin sensitivity; variable effects

CYP3A4 substratesMinor

DHEA is metabolized via CYP3A4; competition possible

LithiumModerate

DHEA may increase lithium sensitivity

SAFETY PROFILE

Drug Interactions

Side Effects

  • In women: Acne, facial hair growth, deepened voice, menstrual irregularity (androgenic effects)
  • In men: Gynecomastia (conversion to estrogen), acne, hair loss
  • Both: Oily skin, mood changes, insomnia
  • Hormone-sensitive cancers: DHEA may fuel breast, prostate, ovarian, and endometrial cancers via estrogen/testosterone conversion

Pregnancy & Lactation

  • CONTRAINDICATED — DHEA is a steroid hormone; effects on fetal development unknown but potentially harmful

WADA Status

PROHIBITED — DHEA is on the WADA Prohibited List (anabolic agents)

HOW SCAN DOSE SCORES THIS

Automatic WADA prohibition flag for athletes
Hormone-sensitive cancer screen: if user profile includes breast/prostate/ovarian/endometrial cancer → CONTRAINDICATED
Estrogen/testosterone therapy users: automatic severe interaction alert
Products marketed as "anti-aging" without hormone testing context: flag
Blood test recommendation before and during supplementation
Any product combining DHEA with other hormones (pregnenolone, etc.): flag for complexity

CLINICAL REFERENCES

1.

Arlt W. DHEA replacement therapy. *Best Pract Res Clin Endocrinol Metab.* 2006.

(2006). PMID: 16670164

2.

Nair KS et al. DHEA in elderly women and DHEA or testosterone in elderly men. *N Engl J Med.* 2006.

(2006). PMID: 16571093

3.

Labrie F et al. Intravaginal dehydroepiandrosterone (prasterone) for vaginal atrophy.

PMID: 23042808

4.

Rutkowski K et al. Dehydroepiandrosterone: hypes and hopes.

PMID: 25022952

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Reviewed by the Scan Dose Research Team and Clinical Advisory Board | Last updated: April 2026

Not medical advice. Based on published clinical research and systematic reviews.

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