A Comparative Study of Cutaneous Manifestations of Hyperandrogenism in Obese and Non-Obese Taiwanese Women

    Jen-Hung Yang, Shun Long Weng, Ching Yin Lee, Szu-Yuan Chou, Chia-Hsiang Hsu, Meng-Ting Hsu
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    TLDR Obese women had more testosterone and less acne, but similar hair growth compared to non-obese women.
    In a study involving 627 Taiwanese women of reproductive age, researchers found that obese women had higher serum total testosterone levels but a lower incidence of acne compared to non-obese women. This was true for both groups with and without hyperandrogenemia. However, the prevalence of hirsutism did not differ significantly between obese and non-obese women. The study, which included 417 non-hyperandrogenemia cases and 210 hyperandrogenemia cases, with 105 obese and 312 non-obese women, suggests that obesity may affect the clinical presentation of hyperandrogenism, specifically by reducing the prevalence of acne but not affecting hirsutism, despite higher androgen levels.
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