Female Androgenetic Alopecia with Male Pattern Caused by an Androgen-Producing Tumor

January 2020 in “ International Journal of Trichology ”

Angelica Ruiz Dueñas, Luis Alberto Florentín Dueñas, Valeria Dayana Gómez Sánchez, Ivonne Deyanira García Rico

female androgenetic alopecia male pattern baldness androgen-producing tumor ovarian tumor Leydig cell tumor stromal luteoma hyperandrogenism testosterone alopecia hirsutism seborrhea FAGA-M male pattern hair loss hair loss high testosterone hair thinning excessive hair growth oily skin

TLDR Androgen-producing ovarian tumors can cause male-pattern hair loss in women.

The document described two cases of female androgenetic alopecia with male pattern (FAGA-M) caused by androgen-producing ovarian tumors. In the first case, a 62-year-old woman exhibited alopecia, hirsutism, and seborrhea, with elevated testosterone levels, leading to the discovery of a right ovarian Leydig cell tumor. Surgical removal resulted in significant improvement. The second case involved a 73-year-old woman with similar symptoms and an ovarian stromal luteoma, which was also surgically removed, resulting in partial improvement. The study highlighted the importance of considering hyperandrogenism and potential androgen-secreting tumors in postmenopausal women presenting with FAGA-M.

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