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Polycystic ovary syndrome is found in 6.5% of unselected Caucasian women in Spain.

The guide recommends specific methods for diagnosing PCOS and various treatments for its symptoms, while considering the health impacts on adolescents.

Apple polyphenol, especially oligomeric procyanidins, can reduce fat absorption and lower blood fat levels.

Low iron and L-lysine levels can cause hair loss in women, and increasing these nutrients can reduce hair shedding.

Adding anti-Müllerian hormone to PCOS criteria lowers the number of women diagnosed.

Iron deficiency may be related to hair loss, but there's not enough evidence to recommend iron screening or supplements for all hair loss patients.

Biotinidase deficiency has various symptoms and can be treated with biotin supplements.

Isotretinoin is highly effective in treating severe acne, rosacea, and gram-negative folliculitis.

High androgen levels in young women with PCOS are linked to higher blood pressure.

About 2.2% of women with symptoms of high male hormones have a mild form of congenital adrenal hyperplasia, and measuring a specific hormone level can accurately diagnose it.

Diffuse alopecia in women may be related to androgens and iron deficiency, and basic hormone and nutrient screening is useful.

Hormones, especially androgens, play a big role in acne, but most acne sufferers don't have a hormone disorder. Hormonal treatments, including birth control pills, can be very effective for women whose acne doesn't improve with regular treatments.

The update highlights that non-classic congenital adrenal hyperplasia is common in women with excess male hormones, requires specific hormone tests for diagnosis, and has various treatment options depending on age and symptoms.

Testosterone treatment in trans men increases body and facial hair and may lead to hair loss over time, but severe skin issues are rare.

Dihydrotestosterone gel improved well-being and sexual function in older men without negatively affecting prostate health.

Certain genetic variations in the AR and ERβ genes can affect androgen levels in women.

Finasteride reduces hair growth better, but spironolactone has more side effects.

Taking low-dose spironolactone and metformin together works better for PCOS symptoms than either drug alone.

Polycystic ovarian shape is a genetic sign of PCOS and its hormonal and metabolic features can be inherited.

Many young women who donate blood have hormonal disorders like excess male hormones and PCOS.

Men with coeliac disease may have hormone imbalances that could affect sexual function, but these can improve with better gut health.

The document concludes that careful evaluation is key to diagnose and treat women with hair loss, with tests for thyroid, iron, and hormones as needed.

Women with acromegaly often have irregular periods due to hormone imbalances and growth hormone effects.

The transscrotal testosterone patch normalizes hormone levels in men with AIDS and weight loss but does not improve weight, body mass, or quality of life.

Alopecia areata involves immune system imbalances that may lead to depression and anxiety.

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.

Short-term testosterone therapy in women seems safe with few mild side effects, but long-term effects need more research.

A systematic approach is crucial for managing hair loss in women.

Patients with acanthosis nigricans often have insulin resistance and signs of increased male hormones, but treatment targeting these male hormones is generally ineffective.

The conclusion is that hirsutism should be diagnosed and treated because it affects quality of life and may signal other health problems.