Androgen Excess : Symptoms, Diagnosis & Treatment Options

Written by Medicover Team and Medically Reviewed by Dr V Sita Lakshmi , Gynecologists

Androgen excess is a condition that can affect both males and females, presenting a variety of symptoms and underlying causes. Understanding this condition is crucial for effective diagnosis and treatment.

We delves into the causes, symptoms, and treatments for androgen excess, providing a complete overview for those seeking to comprehend this complex medical issue. Although these hormones are present in both genders, they are typically found in higher levels in males.

What are the Different Types of Androgen Excess?

Excess androgen may occur due to different underlying conditions. While not classified into fixed types, the source of the hormonal imbalance often determines the category:

• PCOS-Related Androgen Excess
• Adrenal Gland Disorders (e.g., CAH)
• Tumour-Related Overproduction
• Steroid-Induced Hormonal Imbalance

Each type has distinct clinical patterns and requires a prepared treatment approach.

What Are the Symptoms and Warning Signs of Androgen Excess?

When the body produces too much androgen, it can manifest in noticeable ways. Recognising these signs early can support timely intervention and avoid further complications.

Common Symptoms

• Oily skin and persistent acne
• Irregular menstrual cycles in women
• Thinning scalp hair or male-pattern baldness
• Weight gain or difficulty losing weight

Severe Symptoms

• Deepening of the voice in women
• Increased muscle mass
• Mood swings or heightened aggression
• Infertility in both sexes

Experiencing irregular periods, unwanted hair growth, or sudden hair loss and it's important to seek medical advice for hormone evaluation.

What are the Common Causes and Risk Factors of Androgen Excess?

Understanding what contributes to high androgen levels can aid in prevention and early care.

Causes

• Polycystic Ovary Syndrome (PCOS)
• Congenital Adrenal Hyperplasia (CAH)
• Cushing's Syndrome
• Androgen-secreting ovarian or adrenal tumours
• Long-term use of anabolic steroids

Risk Factors

• Family history of endocrine disorders
• Obesity or insulin resistance
• Chronic stress
• Sedentary lifestyle
• Prolonged use of corticosteroids

When to See a Doctor?

Don't delay a medical consultation with a gynecologist if you experience:

• Irregular periods lasting more than 3 months
• New or worsening facial hair or acne
• Unexplained weight gain
• Fertility concerns

High-risk groups include women with a family history of PCOS or endocrine disorders, individuals with obesity, or those with existing metabolic syndrome.

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How is Androgen Excess Diagnosed?

Diagnosing excess androgen begins with a detailed health history and symptom analysis. Medicover's endocrinology team employs the following diagnostic tools:

Common Diagnostic Tests

• Blood tests to evaluate levels of testosterone, DHEAS, and androstenedione
• Pelvic ultrasound to assess for polycystic ovaries
• CT or MRI scans to identify adrenal or ovarian tumours

What are the Treatment Options for Androgen Excess?

Treatment plans are guided by the cause, symptom severity, and the patient's long-term health goals.

Medical Treatments

• Oral contraceptives to regulate hormones in PCOS
• Anti-androgens like spironolactone to reduce unwanted hair growth
• Metformin for managing insulin resistance
• Corticosteroids for adrenal-related hormone issues

Surgical Options

• Removal of androgen-secreting tumours (if identified)

Therapies and Support

• Cosmetic interventions such as laser hair removal and skin therapy for acne
• Nutritional counselling and weight management

Recovery Timeline

Treatment response varies by individual. Most patients notice improvements in 3-6 months, but long-term care may be needed for hormonal balance.

Medicover's Approach: Our specialists prioritise holistic, evidence-based treatment. From in-house labs to expert dietitians and dermatologists, every service is aligned for full-spectrum care.

Your health is everything - prioritize your well-being today.

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What is the Recovery Process After Androgen Excess Treatment?

Post-Treatment Care Includes

• Periodic blood hormone checks every 3-6 months
• Gynaecology or endocrinology follow-ups based on the cause
• Skincare support for acne-related issues

Lifestyle Recommendations

• Balanced, low-sugar diet to reduce insulin spikes
• Moderate exercise 4-5 times a week
• Stress reduction techniques like yoga or meditation

With consistent treatment and lifestyle changes, symptoms can be well managed and, in some cases, fully reversed.

Medicover provides ongoing counselling, follow-ups, and support programs to guide you through recovery.

What Precautions Can Help Prevent Androgen Excess?

Prevention

• Maintain a healthy weight
• Avoid excessive intake of processed sugars
• Get regular hormone and metabolic screenings, especially if there is a family history
• Avoid misuse of anabolic steroids

Complications if Untreated

• Infertility
• Type 2 diabetes
• Cardiovascular risks
• Increased risk of endometrial cancer

Our Experience Treating Excess Androgen

At Medicover, we provide personalised and empathetic care to individuals affected by hormone-related conditions like excess androgen.

With access to top specialists, precise diagnostics, and individual therapies, we help patients regain balance and confidence.

Whether it's managing PCOS or addressing rare hormonal tumours, our focus is always on restoring health with compassion and expertise.