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A woman's severe hirsutism was caused by Leydig cell tumors in her ovaries, which improved after surgery.

Hirsutism is mainly caused by high androgen levels or sensitivity, with PCOS being the most common cause.

Removing an adrenal tumor can significantly reduce high androgen levels in postmenopausal women.

Blood tests can detect ovarian Leydig cell tumors when scans don't, and surgery can confirm and treat these tumors.

A thorough diagnostic process and teamwork are crucial for managing complex hyperandrogenism in postmenopausal women.

Androgens play a complex role in skin conditions like acne and hair loss in women, and normal blood levels don't always show true androgen status.

A 12-year-old girl with very high testosterone and insulin resistance improved with birth control pills, suggesting PCOS can cause high testosterone without tumors.

A postmenopausal woman's virilization was caused by a rare ovarian tumor that was hard to detect but was successfully treated with surgery.

A PET-CT scan successfully located a hard-to-find Leydig cell tumor in a woman with hormonal symptoms.

The document concludes that diagnosing PCOS requires a thorough approach, considering various symptoms and risks, and calls for improved methods to identify PCOS types and prevent diabetes.

Hormone imbalances can cause specific skin changes, which may help in early detection of endocrine disorders.

The woman's surgery lowered her testosterone and improved scalp hair loss but did not change her excessive body hair.

Treatment with a hormone agonist can reduce excess male hormones in postmenopausal women without surgery.

A woman's male-like symptoms and high testosterone were due to ovarian hilus-cell hyperplasia, which improved after surgery.

Women with PCOS are much more likely to have sleep problems and should be checked for them.

Hirsutism is more linked to high androgen levels than acne or hair loss, and a mix of hormonal tests is best for diagnosis; certain treatments can reduce symptoms.

Eating 500 fewer calories a day and making lifestyle changes can improve PCOS symptoms and reduce diabetes risk; more research is needed on its causes and treatments.

Androgens like testosterone affect skin health and can lead to conditions such as acne and hair loss, with various treatments available.

The oral contraceptive ethinylestradiol/chlormadinone acetate is effective in reducing acne and improving other skin conditions related to high androgen levels.

Most hirsutism patients had idiopathic hirsutism or PCOS, with hormonal imbalances and signs like acne and irregular periods.

Women with type 1 diabetes often have polycystic ovary syndrome and excess male hormones, which are frequently undiagnosed.

The document concludes that effectively managing PCOS requires a multifaceted approach.

Hormonal imbalances, often indicating conditions like PCOS, are common in women with hard-to-treat acne, and a treatment approach addressing these imbalances may be needed.

The case highlights the complexity of diagnosing high testosterone in older women and the need for thorough testing.

Sertoliform endometrioid carcinoma of the ovary, though rare, has a good prognosis when treated early.

The conclusion is that the best initial treatment for hirsutism is usually oral contraceptives, with the addition of antiandrogens or insulin sensitizers if needed, and topical eflornithine or laser treatments as supplementary options.

Eflornithine cream effectively reduces women's unwanted facial hair but hair returns if treatment stops.

Finasteride effectively reduces hair growth in women with polycystic ovary syndrome or idiopathic hirsutism.

Low-dose finasteride effectively reduces hirsutism without serious side-effects.

More adolescent girls in urban areas of India have Polycystic Ovary Syndrome compared to those in rural areas.