The Evaluation and Treatment of Androgen Excess

The document from September 2004 discusses hirsutism, a condition characterized by excessive hair growth, which is often caused by increased androgenic activity. Although hirsutism is typically a cosmetic concern, it can also be an early indicator of more serious conditions, such as androgen-producing tumors. The document notes that high androgen levels may lead to virilization, which includes symptoms like male pattern hair loss, clitoromegaly, a deeper voice, and increased muscle mass. Additionally, the document mentions that elevated androgens can be linked to lipoprotein abnormalities and are often found alongside other cardiovascular disease risk factors. It also highlights that hyperandrogenism is commonly associated with ovulatory issues, which can result in infertility, irregular menstrual cycles, endometrial hyperplasia, and potentially endometrial cancer.