Features of Hyperandrogenism in Men

The study on hyperandrogenism in 100 men categorized them into four groups based on androgen levels, revealing that androgen levels could increase at any age. Older men showed higher total testosterone due to increased SHBG, while younger men with elevated DHT levels experienced androgenic alopecia and acne. Group 1 had higher prostate volume and age but fewer acne complaints, Group 2 had more acne but less alopecia, Group 3 exhibited severe hyperandrogenism symptoms, and Group 4 was characterized by alopecia. The study emphasized the need to assess SHBG and free testosterone for accurate diagnosis and treatment, noting limitations in sample representativeness and the indirect method for measuring free testosterone.