Increased testosterone in women: symptoms and causes of an excess of male hormones
If women have increased male hormones, this can not be ignored. Before starting treatment, it is necessary to find out exactly what reason caused the increase.
Male sex hormones (androgens) are present in the body of both men and women, but in women they are produced in much smaller quantities. The main male sex hormone in humans is testosterone, which is produced in women by the ovaries (in men, by the testes), adrenal cortex, and subcutaneous fat.
Most of the testosterone (97-99%) circulates in the blood in a bound state, i.e. in connection with albumin and globulin proteins. In the body of a woman, testosterone is a substrate for the synthesis of estrogen, stimulates the maturation of follicles. With the onset of menopause, the concentration of testosterone in the blood of females decreases.
In the body of a woman, androgens perform a number of important functions, which include:
- influence on the psychological and emotional state,
- bone strengthening, muscle development,
- participation in the formation of blood cells.
An increase in male sex hormones (hyperandrogenism) in females is a fairly common pathology of the endocrine system. According to statistics, 10–20% of women (4–8% of girls in their teens) face this problem.
Hyperandrogenism is divided into two types:
- absolute - with an increase in the concentration of androgens in the blood,
- relative - with a normal content of androgens, but their enhanced metabolism into more active forms or excessive susceptibility of target organs to them.
Causes of excess male hormones in women
Testosterone levels physiologically increase in women during pregnancy, after childbirth, the concentration of this hormone, as a rule, returns to normal.
A significant predominance of androgens over estrogens is caused by increased production of androgens in the body of females or an increase in their effect on target tissues. Contributing to the development of pathology can reduce the concentration of sex hormone-binding globulin.
Some causes of excess male hormones in women are presented in the table.
Usually transmitted through one generation
Neoplasms in the body
Tumors of the ovaries, adrenal glands
Uncontrolled use of oral contraceptives
The effect of ultraviolet radiation on the body
Including a long stay in direct sunlight, frequent visits to the solarium
Increased male hormones in women: symptoms
If an excess of androgens is produced in women, this can have the following manifestations:
- male type hair growth (excessive hair growth on the face, in the chest, abdomen),
- increased hair loss on the head,
- excessive sebum production and inflammation of the sebaceous glands, which leads to rashes on the skin (most often on the face and neck, less often on the shoulders, back, chest),
- menstrual irregularities (amenorrhea, hypomenorrhea, abundant discharge during menstruation is possible),
- clitoral enlargement
- nervousness, irritability, panic attacks, unmotivated aggression,
- sleep disturbances
- voice change (becomes lower and grosser)
- a change in figure (the appearance of deposits of adipose tissue in the male type, i.e. in the abdominal region),
- general deterioration in health.
Excess male hormone in women: what is the reason?
Testosterone is a necessary component of a harmonious hormonal background. In the female body, he is responsible for the state of muscles and bones, regulates the sebaceous glands. The hormone is involved in the formation of the sexual background, provides activity, high performance, protects against depression.
What does it mean - such a change in hormonal levels? Endocrinologists note several main causes of an excess of testosterone in the female body. Among them:
- hereditary predisposition. It is believed that pathology is transmitted through a generation, with the achievement of puberty, the adrenal glands begin to produce increased levels of male sex hormone amid a decrease in estrogen levels.
- Ovarian disease responsible for the production of estrogen.
The problem may be related to dysfunction, benign or malignant neoplasms.
An increase is observed at the time of ovulation and during pregnancy. Much depends on the age of the woman.
During premenopause, the amount of testosterone may decrease, but after menopause, the number of male sex hormones gradually increases amid a decrease in estrogen levels.
What is the danger of hyperandrogenism?
If the overabundance of male hormones in the female body is not treated in a timely manner, the progression of the pathology can lead to the development of the following pathologies:
- polycystic ovary,
- violation of the sensitivity of receptors to insulin, the occurrence of diabetes.
Hyperandrogenism in girls can lead to a late onset of menstruation, underdevelopment of the chest, and virilization of the external genitalia.
Symptoms accompanying an increase in testosterone
An increase in the amount of male sex hormone manifests itself quite quickly. Testosterone significantly changes a woman's appearance. Among the main signs:
- increased male body hair. Active growth of facial hair begins: above the upper lip, cheeks and chin. The fluffy hair on the body becomes darker and stiffer.
- The hair on the head becomes more oily, quickly dirty. Intensive loss is noted, the hair is thinning, bald spots and bald patches on the temples or forehead are possible.
- The code on the face and body dries and peels, conventional cosmetics are not able to solve the problem.
- The voice becomes low and rude.
- The clitoris increases in size, while its sensitivity may decrease.
- The physique changes, the waist becomes wider, body fat from the hips moves to the abdomen, arms and shoulders.
- A woman is gaining weight due to muscle growth.
In addition to noticeable changes in appearance, there are other manifestations:
- significantly increased libido and sexual activity.
- Monthly periods become irregular or disappear.
- Discomfort when urinating.
- The smell of the skin becomes unpleasant, possibly increased sweating.
- Behavior becomes inadequate, outbreaks of rudeness and poorly controlled aggression are characteristic.
Who to contact when changing hormonal levels?
- If you suspect an increase in the amount of testosterone, you need to contact a therapist and take a blood test. Before a visit to the doctor, you need to avoid stress and abandon physical activity. Blood is donated on certain days of the menstrual cycle (from 3 to 5 or from 8 to 10).
- After receiving the test results, the patient receives a referral to an endocrinologist and gynecologist. Particular attention is required during pregnancy. Too high testosterone levels can cause it to fade or complicate childbirth.
- After diagnosis, a woman is prescribed treatment. Typically, glucose, digostin and dexamethasone, which are injected, are included in the therapeutic course. Mandatory diet with the inclusion of soy products, meat protein, milk, vegetable oils.
An increase in the amount of testosterone in the female body is a pathology that can negatively affect appearance and health. With the timely detection of a problem, you can adjust the hormonal background and avoid serious consequences. After treatment, regular monitoring is necessary, blood tests will have to be done at least 1 time per year.
You will learn more information about increased testosterone in women from this video:
Indications for the appointment of laboratory determination of androgen levels can be:
- hyperplasia of the adrenal cortex,
- polycystic ovary syndrome,
- oily seborrhea,
- the presence of hormone-producing tumors of the adrenal glands and ovaries,
- monitoring of ongoing antiandrogen treatment.
When signs of hyperandrogenism appear, the examination includes:
With excessive hair growth, differential diagnosis with an ovarian cyst may be required.
Blood for laboratory tests is donated in the morning on an empty stomach, after the last meal should take 8-12 hours. Before the study, it is recommended to exclude fatty foods from the diet.
The norm of total testosterone in women is 0.38-1.97 nmol / L. Different laboratories may have different methods and standards.
How to reduce male hormones in the female body
Trying to independently reduce the level of androgens is strongly discouraged. If you suspect the development of the pathological process, you need to contact a qualified specialist and undergo an examination (the doctor will give a direction with the names of all the necessary studies).
With this pathology, patients can receive antiandrogen therapy. If the patient is diagnosed with adrenal hyperandrogenism, glucocorticosteroids are used. In the presence of neoplasms, antitumor treatment is performed.
A diet is shown, especially for obesity, regular, but moderate physical activity, helping to reduce body weight and improve the general condition of the patient. At the same time, it is advisable to abandon power sports if the patient is engaged in them, because they stimulate the production of testosterone.
Cosmetic procedures, although not part of the treatment, but, improving the psychological state of the patient, also help normalize hormonal status.
In order to prevent hormonal disruptions, it is recommended:
- timely treat diseases that can lead to an increase in androgen levels,
- Have a regular physical examination
- to refuse from bad habits,
- eat balanced
- avoid physical and mental stress,
- provide sufficient rest and a night’s sleep,
- maintain normal body weight.
We offer you to watch a video on the topic of the article.
Education: 2004-2007 First Kiev Medical College, specialty Laboratory Diagnostics.
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An increase in free testosterone occurs on a number of internal and external factors. Exogenous factors usually affect the hormonal background of a woman through food and the environment. Endogenous are considered age-related features, pregnancy and lactation, chronic diseases of organs or systems.
If the imbalance of hormones is temporary, then this is unlikely to affect the general state of health, however, if increased testosterone is systemic, then complications will not be long in coming. The main causes of increased testosterone in women are:
pathology of the kidneys (functional disorders of the adrenal cortex),
long-term drug treatment, inadequate drug therapy,
oncological processes in the body,
damage to the ovaries of any genesis,
uterine fibroids or polyposis,
hyper- or hypothyroidism and disruption of the endocrine system,
Cushing's syndrome, Conn (with an excessive concentration of glucocorticoids),
A history of diabetes, rare genetic diseases are also indirect causes of hyperandrogenism. If the violation of the volume of the hormone is stable for more than a year, then the first symptomatic manifestations appear.
Typically, a woman feels internal breakdowns in her own body, especially when it comes to negative changes in her appearance and psycho-emotional state. When the first symptoms appear, it is important to consult a doctor for a full examination of the hormonal background and overall health. The first doctor becomes a gynecologist, after which you may need to consult an endocrinologist and other specialists in the recommended profile.
The main symptoms are:
dysfunction of the ovaries,
amenorrhea, menstrual irregularities,
hair growth in atypical localization along with male hair loss on the head,
increased sexual activity (tendency to promiscuity),
profuse sweating with a characteristic odor,
problems with conceiving and bearing a child.
In women, the voice is noticeably coarser, the figure is changing. Subcutaneous fat breaks its usual concentration and goes to the abdomen. Woman is changing psychologically: aggression appears, the desire to commit adventurous acts, take risks. Behavior becomes dominant, the girl wants to be the first in everything. Such changes greatly change family relationships, communication with children.
When is increased testosterone in women the norm?
In several cases, increased testosterone is the norm, which is determined by natural changes in the body. There are two main reasons for the norm:
pregnancy in any trimester,
In the first case, the body is at the peak of its possible load, all resources are involved in bearing a healthy, full-fledged child. Gynecologists do not even test for increased testosterone in pregnant women. However, if there were difficult births, deviations in the development of the child, a strong change in the figure, then after delivery, tests should be taken for testosterone levels.
In the second case, when a girl becomes a woman physically and mentally, testosterone is also increased. In girls with increased testosterone, aggressive behavior is increased, there is a tendency to suicide, oily skin with traces of acne, acne, secondary sexual symptoms quickly appear.
The puberty is difficult in the life of any teenager. Parents should pay special attention to any changes in the behavior and mental state of the child. With prolonged preservation of unpleasant symptoms, hormone therapy is acceptable to normalize the ratio of androgens and estrogens.
The main methods of reducing testosterone in women
Normally, the level of testosterone in the blood of a teenage girl reaches 3.09 pg / ml, in an adult woman - 3.09 pg / ml, and from 40 years old, the level of testosterone decreases significantly and after 60 years it barely reaches 1.8 pg / ml After an accurate diagnosis of hyperandrogenism, treatment tactics will depend entirely on the cause the occurrence of pathology.
With a decrease in testosterone against a background of high insulin, the following measures are recommended:
intense physical activity in the absence of contraindications (to increase tissue sensitivity to insulin and strengthen muscle structures),
T3 hormone replacement therapy to improve thyroid function,
drug therapy to increase tissue sensitivity to insulin (alpha-amylase inhibitors, metaformin, SGLT-2 inhibitors),
a systematic course of dietary supplements (Berberine, magnesium, chromium, alpha-lipoic acid).
Replacement therapy can be lifelong, so women should be patient and understanding about the entire treatment process.
The norm of the hormone in the blood
Testosterone is considered the main male hormone. In healthy women, it is produced in small quantities. The places of formation are the adrenal cortex and ovaries. Required for:
- follicular maturation and their reverse development,
- sex drive
- strengthening muscles and bones,
- active work of the sebaceous glands on the face and scalp,
- the formation of estrogen (female hormones),
- ensure the release of the luteinizing hormone of the pituitary gland, which is needed for ovulation (the release of an egg from the ovarian follicle),
- normal body weight
- fat metabolism and lower cholesterol,
- general tone and good mood.
|Age||The level of testosterone, nmol / l|
|0 days - 1 year||0 — 2,31|
|Up to 6 years||0 — 1,22|
|Under 11 years old||0,5 — 1,80|
|Up to 15 years||0,85 — 4,45|
|Under 18 years old||1,36 — 4,75|
|From 18 years||0,32 — 3,76|
|Pregnancy||3.5 times higher than before conception|
|Taking contraceptives||0,45 — 2,89|
|Menopause||0,42 — 4,50|
Change in the ratio of estrogen and progesterone
Before starting therapy to reduce the concentration of testosterone are recommended:
hypothyroidism treatment if necessary (T4 analysis),
liver treatment in the presence of pathologies,
taking bio-identical hormones,
regular intake of dietary supplements (bio-identical progesterone, methylsulfonylmethane).
Before starting treatment, any disturbances in the endocrine system and liver structures should be excluded. Without professional diagnostics, self-diagnosis is impossible.
If testosterone is elevated in a woman, then the causes are most often associated with polycystic ovary. It can be in the form of a lesion of the glands themselves - Stein-Leventhal syndrome or occurs due to diseases: the pituitary gland (a lot of prolactin), the hypothalamus, and a decrease in thyroid function. The second group of diseases is the proliferation of the adrenal cortex (congenital hyperplasia). Enhanced hormone formation can also cause:
- tumors of the ovaries, adrenal glands, mammary glands,
- genetic predisposition
- too intense sports
- food with an abundance of fatty and sweet foods, overly strict diets,
- the use of contraceptives containing progesterone,
- insulin resistance - reduced tissue response to insulin in diabetes, prediabetes, metabolic syndrome, obesity,
- fading of the ovaries - menopause, early exhaustion (testosterone is formed by the adrenal glands),
- liver disease.
Testosterone can be formed in normal quantities, but if there is not enough globulin, which binds and transports it, then an excess of the active (free) form appears. Such a violation occurs with:
- increased formation of cortisol by the adrenal cortex (Itsenko-Cushing's syndrome),
- lack of thyroid hormones,
- kidney and liver diseases.
Free testosterone is temporarily increased in women taking medications for the treatment of epilepsy, Parlodel, Klostilbegit, Danol, anabolic steroids.
Testosterone is transported with blood cells, after which it is converted to a more active form - dihydrotestosterone, and in the liver to a ketosteroid.
Men need the hormone for the following functions:
- presence of hair on the body and face,
- muscle growth
- timbre of voice - makes it lower,
- affects the degree of aggressiveness.
The female body has many differences from the opposite sex, but there are also similarities, including the production of this hormone, only in small doses.
Muscle formation in women under the influence of testosterone
It is produced in the adrenal glands and ovaries to participate in the following vital processes:
- brain function adjustment,
- the structure of the skeleton, muscle and bone masses,
- follicle formation in the ovaries,
- improvement of the psychological state,
- normalization of the functionality of the sebaceous glands.
How to lower testosterone naturally
You can do without medications and surgery only if the growth of the hormone has arisen against the background of overloads, malnutrition, and the use of medications. In such cases, it is recommended:
- Normalize the duration of night sleep - at least 8 hours.
- Nutrition with adequate intake of protein and vitamins.
- Sports activities should be of moderate intensity, training without strength exercises is useful - walking, running, yoga, swimming, dancing (especially Arabic, Indian), Pilates, medical gymnastics.
- Herbs - peony root, licorice, sage grass, hop cones. They are brewed at the rate of a teaspoon per 100 ml of water (insist 15 minutes). Licorice root should be taken before breakfast, and the rest of the herbs (one or pick) are brewed before bedtime. The course of treatment is 1 month.
- Massage, acupuncture.
- Walking in nature for at least an hour.
- Regular sexual contacts.
Standard Female Testosterone Norms
There is no universally valid standard. At each stage of the life of the body, a different amount of testosterone is required, which could ensure the full functioning of all the organs of a particular person.
The units of measurement in laboratory tests and medical tests are nanomoles (nmoles) per liter of plasma, or nanograms (ng) per milliliter.
The ratio of ng to nmol is approximately 1: 3. The latter designation (nmoles) is more common. Free testosterone is measured in picomoles per milliliter.
The norm of indicators is divided into several categories.
- In the form in which the hormone circulates.
For girls with an age of more than 10 years, the total value is 0.45–3.75 nmol / L. The standard indicator for free testosterone is 0.29-3.18 pg / ml.
In comparison, the norm for men is from 5.76 to 28.14 nmol / l.
- According to the phase of the cycle. In this category, a decrease in hormone levels is noted. The lowest standard value is present at the end of critical days (0.29-1.73 pg / ml). With the follicular phase (heavy bleeding), the level increases slightly - 0.45 to 3.17 pg / ml. In the period between ovulation and menstruation (luteal phase), the coefficient is 0.46-2.48.
- By age. In the fertile period, the amount of free testosterone is 0.5-4.1 pg / ml, and after menopause, the standards drop to 0.1-1.7. A similar coefficient is observed in children under 10 years of age.
Important! In different people, the testosterone norm may differ, since its required amount is purely individual at each stage of life.
How does the increased hormone content in girls appear and what threatens it
If there is an excess of testosterone in women, this means an upset hormonal balance in the body.
Facial hair due to increased testosterone levels
This diagnosis is sometimes determined by external symptoms:
- hair loss on the head, increasing their fat content and the rate of contamination,
- sleep disorder
- increased hair growth on the face and body (antennae may appear),
- deterioration in skin moisture,
- change in body proportions - they begin to resemble male ones,
- increase in physical strength and libido,
- unstable emotional state, up to attacks of aggression,
- enlarged clitoris
- the voice gets rougher
- menstrual disorders up to the absence of ovulation.
With an abnormally small testosterone content, there is constant fatigue flowing into depression, increased sweating and lack of sexual desire.
If you find any of the symptoms or their combination, consult your doctor and get tested for the hormone. You need to do it at the end of the menstrual cycle, abstaining from alcohol and smoking.
Blood test for testosterone
Note! Some of the traits may be related to nationality or heredity.
Most often, this problem worries women, not men, as it threatens to become an obstacle to conception.
Based on medical research, hyperandrogenic infertility is determined in different girls, including the most feminine, while in masculine ladies with an excess of unwanted hair, it may be absent.
External data cannot be considered the only method for determining whether there is an excess of "male" hormones in the body. Therefore, a medical analysis is required to determine the level of the substance.
If the excess of male hormones in women has been confirmed, then it is reduced to the required number and maintained until an interesting situation appears.
In some situations, control continues for several months at this stage, as during the gestation of the child, the hormonal background changes, and the presence of testosterone increases.
Important! If you do not observe this indicator, an excess of the hormone threatens a miscarriage.
Medications to normalize hormone levels
Medicines are indicated in most cases of hormonal imbalance. The exception is tumor processes requiring surgery. The main group of drugs is birth control pills with antiandrogenic effect. These include: Diane 35, Yarina, Angela, Model anti.
At least 6 cycles of use are usually recommended, then the result is evaluated. With inefficiency, Androkur is prescribed. The general course of taking the tablets lasts (if necessary) for more than one year.
If the cause of excess testosterone is increased activity of the adrenal cortex, then Dexamethasone is used to suppress the formation of the hormone. It can be prescribed for adrenogenital syndrome during preparation for pregnancy, as well as in the first months of bearing a child to prevent miscarriage.
With mild thyroid insufficiency, vitamins with iodine are used, and if there is obvious hypothyroidism (little thyroxine is formed), then Eutirox is indicated. When the cause of hormonal failure is an increased level of pituitary prolactin, then Parlodel or Dostinex is indicated.
If the hormone level has increased against the background of obesity and insulin resistance, then the doctor may prescribe Metformin, calorie restriction, increased physical activity, fasting days. It is important to normalize weight, since with its excess it is difficult to restore the balance of male and female steroids.
High Testosterone Products
Diet can be combined with non-drug treatments or drugs. In order to lead to normal elevated total testosterone, the following must be present in the diet:
- lean chicken, turkey,
- sea fish,
- tofu soy cheese
- legumes - lentils, green peas, red beans,
- fresh vegetables and fruits, except potatoes, bananas, grapes,
- moderate-fat dairy products,
- seafood, seaweed,
- green tea, natural brewed coffee (up to 2 cups per day).
With obesity, prediabetes, polycystic ovary, hypertension, it is important to exclude fatty meat, sweets, and flour products from the diet. Limit sweet fruits, carbonated drinks with sugar, alcohol. Sharp and salty dishes, canned food are not useful.
What are the reasons for increasing testosterone
Factors are divided into two types - external and internal. Why the level of the hormone rises, the most common causes are highlighted.
- Ovarian diseases, in particular, the formation of tumors, due to which the substance loses its ability to transform.
- Wrong diet, consisting of a large number of simple carbohydrates and fats.
- The use of barbiturates, steroids and contraceptives with hormones in the composition.
- Deviations in the pituitary gland, responsible for the functionality of the endocrine glands involved in the formation of testosterone.
- Hereditary factor.
- Increased activity of the adrenal glands that produce the hormone is more than required.
- The period of ovulation and pregnancy, especially in the third trimester. In this case, the coefficient does not increase critically, and soon normalizes itself.
Note! Lack of hormone and related diseases are often observed among fans of vegetarian food and girls who are on a strict diet with a minimal presence of carbohydrates.
The consequences of increased testosterone in women
In the event that for a long time there is increased testosterone in women, and treatment is not prescribed, then the risk of tumor processes in the ovaries, uterus, adrenal glands, and pituitary gland increases. Such violations are especially dangerous in the premenopausal period, as well as for those planning pregnancy.
Patients may encounter not only problems in conception and early gestation, but also an increased risk:
- late toxicosis
- late fetal death,
- missed pregnancy
- gestational diabetes (blood sugar rises in the 2nd trimester),
- severe course of childbirth.
The consequences of elevated levels of male hormones can be prevented if a diagnosis is made in a timely manner and a course of therapy is carried out.
Look at the video if testosterone is dangerous for women:
Also, an excess of the hormone can be normalized thanks to special nutrition.
This diet involves a restriction in the use of sweets, especially cakes and sweets, as they increase the flow of insulin, which stimulates the functioning of the ovaries. Instead of store sweets, honey is allowed to be consumed in small doses.
Reducing the problem will help the inclusion in the daily diet of dairy products with high fat content. They contain phytoestrogen, which can be called an analogue of female hormones.
Fish and seafood to normalize testosterone in the blood
In addition, include in the menu:
- homemade fruits and vegetables
- vegetable oils
- fish and seafood,
- fresh white bread.
Coffee is allowed once a day, in the morning. Limit salt intake to no more than 3 g per day. It is better to refrain from drinking alcohol.
You can also try to take some herbs - marin root, sacred vitex, licorice root, etc.
Correct planning of the day will help reduce testosterone levels, which will include an alternation of therapeutic exercises and time for rest.
It is important to get enough sleep at least eight hours a day, and it was found that the body relaxes best between 22:00 and 02:00 hours, so at this time you need to sleep, not stay awake and start your eight-hour sleep only after two hours nights.
Exercises to Reduce Testosterone
Physical activity has the ability to establish the functionality of the whole organism, however, be careful with strength training, which, on the contrary, stimulate the production of the hormone. Replace them with dancing, aerobic sports and yoga.
The latter option is especially good for female hormones. It is important to conduct classes regularly, without stopping even after restoration of testosterone levels.
Before starting the procedure, you still need to determine the cause of the appearance of the excess hormone, since it is required to treat the disease, and not its consequences.
Only an experienced doctor can affect the work of the hormonal system, since this mechanism is very susceptible and can respond to incorrect treatment with serious problems. Timely therapy will help restore the hormonal background and maintain its level for a long time.
How to increase hormone naturally
To improve hormonal levels are recommended:
- stress management
- regular sex life
- normalization of body weight
- nutrition with sufficient intake of zinc, animal protein,
- the use of herbs - ginseng tincture, aloe extract, nettle tea,
- the use of dietary supplements - Yohimbine, Tribestan, DHEA (only after consulting a doctor), vitamin E.
The most affordable method to increase hormone in a natural way is physical activity. For young women, classes in the gym, strength exercises are recommended. In old age, an alternative may be alternating muscle tension in the body and keeping this condition as comfortable as possible.
Pills to increase testosterone in women
Interest in testosterone preparations among gynecologists is gradually increasing. Currently, there are examples of the use of medicines:
- after menopause
- for the treatment of fibroids,
- with uterine bleeding,
- for women with sexual coldness,
- in the treatment of urinary incontinence,
- in order to prevent uterine prolapse, anemia.
For this, the Androderm patch, Androgel gel, hormone injections were used. Testosterone boosting tablets have not been used. Dosages are minimal, treatment is carried out under the control of the level of male steroids in the blood.
One of the new treatment regimens for menopausal hormone deficiency is the introduction of a gel with testosterone into the vagina and the use of the drug Livial. It helps reduce the level of protein that binds a male steroid. As a result, the content of the active form of testosterone in the blood rises. Self-medication is strictly prohibited.
Level Normalization Products
In order to increase the formation of the hormone by means of nutrition, it is recommended to include more often in the menu:
- nuts, especially pine nuts,
- fresh vegetables and herbs, onions, garlic,
- moderate-fat meat and fish,
- peaches, apricots,
- quail eggs,
- sunflower seeds,
- whole grain oatmeal
Products that increase testosterone should not be combined with sources of phytoestrogens - beer, soy, coffee, wine.
And here is more about hormone tests for acne.
Increased testosterone in women causes changes in appearance and menstrual irregularities, infertility. The consequences of a prolonged increase in hormone levels include the pathological course of pregnancy, the risk of tumor formation.
For treatment, medications, diet, and natural methods are used. It has been found that low testosterone can also alter women's well-being. To normalize its content in the blood, hormone replacement therapy and non-pharmacological agents are used.
Hormone tests for acne are performed to identify the cause of the imbalance in the body. They are recommended for acne in women and men. How to do it right? What hormones does a gynecologist, endocrinologist, andrologist want to check?
Not as famous as testosterone or prolactin, DHEA hormone plays an important role. He is responsible for the development of sexual characteristics in children, in women and men affects reproductive ability. When pregnancy is lowered. Why is dehydroepiandrosterone sulfate elevated, decreased in adults and children?
A rather significant role in the body is played by the androgen hormone. It affects sexual function and physique, as well as the absorption of glucose in women and men, although it is considered a male hormone. What hormones are andrenogenes? Why are the indicators increased?
Due to external and internal factors, hormonal imbalance can occur, both in women and men. You can check the body only by a detailed examination, and by the symptoms you can suspect it. Treatment includes the use of hormone replacement therapy, lifestyle changes.
The hormone prolactin in men is no less important than in women. It affects many processes in the body. Normally, it can be increased in children by age. Reduced occurs while taking drugs. Symptoms of increased - discharge from the nipples, gynecomastia. The consequences are impotence, loss of vision with a tumor. In order to correctly take prolactin, preparation is important in men.
SIGNS OF AN INCREASED TESTOSTERONE IN WOMEN
Symptoms of increased testosterone play an important role in the diagnosis. Gynecologists often meet women with high (but normal) testosterone, which at the same time has all the symptoms of elevated male hormone.
Due to the role of testosterone in the sexual development of men, many symptoms of too much of this hormone in women are associated with a condition called virilization, that is, the development of male physical characteristics.
What does a woman with increased testosterone look like (list of symptoms):
- excessive increase in muscle mass, sudden weight gain or difficulty with losing weight,
- cessation of menstruation,
- hair loss (especially when other hormones are normal and there are no disorders in the thyroid gland) and male pattern baldness,
- acne, acne, blackheads, discoloration, very oily skin (deep cystic acne, usually along the chin line),
- excessive body hair growth,
- changes, sudden mood swings, including depression, irritability, aggression,
- lower voice
- an imbalance of other hormones, including the ratio of estradiol and progesterone, other androgens, such as DHEA, and thyroid hormones,
- enlarged clitoris
- breast atrophy
- increased desire.
These symptoms can cause both increased total testosterone and high free testosterone, which is an active form of the hormone.
Many of these signs are nonspecific. This means that they are similar to signs of impaired other hormones in women. For example, problems with the thyroid gland can also lead to weight gain, acne and hair loss.
If you suspect an increased level of testosterone, a woman must necessarily pass an analysis for the content of hormones in the blood. It is important to compare the symptoms in time with laboratory tests and examination, so as not to miss the onset of the disease and correctly diagnose.
WHEN WOMEN'S TESTOSTERONE IS INCREASED: REASONS FOR HORMONE IMBALANCE
Doctors usually treat low hormone levels by prescribing replacement therapy. The increased hormone content in the body responds worse to “treatment”, as it usually requires a long search for the root cause of the disorder.
Increased Testosterone in Women: Causes of High Hormone Levels
- Insulin insensitivity
The relationship between insulin resistance, high blood sugar and testosterone in women is very strong. Elevated insulin levels are harmful to health and can lead to both low and high testosterone. In men, insulin resistance usually causes low testosterone levels, but in women, insulin resistance can both increase (more often) and decrease (less often) male hormone. As insulin increases, testosterone rises, estrogen increases, and progesterone decreases. In some women, this causes small facial hair growth, while others experience more serious symptoms, such as darkening of the skin, fat deposits in the abdominal region and sudden mood swings.
As a rule, the higher the level of insulin on an empty stomach, the more noticeable the symptoms of increased testosterone in a woman will appear.
Check your HbA1c (glycated hemoglobin) levels, fasting insulin levels, and free and total testosterone. If a woman has elevated testosterone and insulin, this means that the latter, of course, contributes to hormonal imbalance.
Girls who have increased testosterone and insulin resistance also have a risk of developing PCOS.
- Polycystic Ovary Syndrome
The most common cause of high testosterone in women is PCOS. It is not always clear whether high testosterone provokes the development of PCOS or, conversely, polycystic ovary causes an increase in testosterone. But, undoubtedly, these two phenomena are inextricably linked.
If a woman suffers from symptoms of high testosterone and still has hypothyroidism, stress, or insulin resistance / diabetes, there is a high chance that PCOS is a potential underlying cause of hormonal imbalance or may occur as a consequence in the future.
- Thyroid Disease and Decreased SHBG
The levels of sex hormones and thyroid hormones are closely related to each other. When thyroid function slows down - as with hypothyroidism - the content of hormone-binding globulin (SHBG, CCH, SHBG) decreases. SHBG binds excess hormones in the blood. This is important for maintaining hormonal balance. When hormones such as testosterone begin to increase for some reason, but SHBG is high, it can bind testosterone and minimize the effects and signs of excess. Without globulin, excessive hormone production can be a serious problem.
In healthy women, 80% of testosterone in the blood is associated with CVH. However, with a decrease in SHBG, significantly more testosterone is free and active and causes the corresponding symptoms and problems.
- PMS, PMDD, decreased progesterone and increased estradiol
All hormones in a woman’s body are interconnected and affect each other. When one hormone is not normal, it ultimately leads to an increase or decrease in other hormones in the female body. The exact mechanism is unclear, but a relationship has been established between the amount of testosterone and the level of progesterone and estrogen in women.
Women with PMS and PMDD — conditions caused by elevated estrogen levels — often have high DEA sulfate and testosterone. At the same time, during menopause (when progesterone and estradiol are very low), testosterone in women, as a rule, is closer to the lower limit of normal. For this reason, doctors have recently begun to believe that changes in the levels of estrogen and progesterone somehow affect the level of testosterone.
- Lack of physical activity
The lack of exercise does not directly lead to high testosterone levels, but activity does help prevent (i.e., serves as prevention) an increase in this androgen. Most likely, this is due to the effect of exercise on the amount of insulin. Sport helps lower insulin levels by improving the sensitivity of cells to it.
Exercise can also prevent the abnormal distribution of fat (in the upper body and upper limbs) associated with hormonal imbalance.
- Fasting after workouts
If a girl often trains and after that does not eat anything, her testosterone level can increase. After intense exercise, certain hormones increase, including cortisol (the “stress hormone”) and testosterone.
After training, cortisol falls naturally, but increased testosterone does not so easily decrease. It remains very high and decreases much more slowly if a woman does not eat anything after playing sports. If a girl trains regularly or daily, this can cause chronically high testosterone.
This disorder is less common, but can also provoke an increase in testosterone, which is also formed from its predecessors, such as progesterone, DHEA, androstenedione, pregnenolone. Anything that enhances any of these hormones can increase a woman's overall testosterone.
In addition, some diseases can lead to increased DEA and testosterone. These include:
- adrenal hyperplasia,
- increased stress (adrenal fatigue),
- excessive intake of progesterone / pregnenolone / DHEA,
- insulin resistance.
Hormones do not act in isolation, changing one of them will affect the others. For this reason, it is recommended that serum DHEA levels be assessed in addition to cortisol levels in the assessment of blood testosterone levels in women.
Stress negatively affects the female body. It can cause hypothyroidism and a concomitant decrease in SHBG. Stress can also lower estrogen and progesterone levels in the blood, which help control and keep testosterone normal.
Stress, in addition, causes the growth of DEA sulfate, which is a male sex hormone produced by the adrenal glands. This is not testosterone, but he is one of his closest “relatives”, which acts in a chemically similar manner and often causes the same disorders and symptoms.
- High leptin (leptin resistance)
Leptin is a hormone secreted from fat cells that must control appetite, metabolism and send a signal to the brain to burn fat. With leptin resistance, the brain does not receive a signal, the metabolism slows down, the brain makes the woman think that she is hungry all the time, and the body refuses to burn fat.
In addition to problems with weight loss, high leptin is also associated with increased testosterone levels.High levels of leptin are also observed in women with polycystic ovary, and many women with leptin resistance also have insulin resistance (which further increases testosterone).
High insulin = Large leptin = Increased testosterone
A large amount of insulin and leptin does not allow you to lose weight, and high testosterone cause all the side effects listed above.
- Overweight or Obesity
Excess fat can also cause an increase in testosterone. Fat cells themselves increase androgen levels in women. Studies show that this is caused by increased activity of the enzyme 17-beta-hydroxysteroid dehydrogenase.
Fat cells also increase insulin resistance, which leads to a further excess of androgens. Therefore, in addition to the main therapy, in order to normalize testosterone levels, overweight women are always recommended to lose weight, follow a diet and choose the right diet.
If the woman’s clinical history has previously had kidney problems, it’s important to consult a nephrologist to examine the adrenal glands, which also produce testosterone. The following measures should be taken:
increase in the amount of salt consumed (preferably sea),
normalization of the emotional background (frequent walks, fresh air, sports, positive techniques in psychology),
the exclusion of alcohol, caffeine and tobacco,
stop taking amphetamines,
normalization of sleep, rest and wakefulness (sleep should be at least 8 hours),
systemic treatment of kidney disease (adequate replacement therapy).
The increase in salt volume will restore the electrolyte balance, especially in relation to the concentration of sodium. It is recommended to drink medicinally-table mineral water daily, having previously released gas bubbles from it.
High leptin concentration
When diagnosing this condition, you will need to resort to the following measures:
reduction of carbohydrates and fructose in the diet,
compensation for thyroid disease,
intense physical activity,
drugs that enhance sensitivity to leptin,
Supplements (Omega-3 fish oil, leucine, other additives).
The main drugs for the treatment of hyperandrogenism are Cyproterone, Digostin, Digitalis, Dexamethasone. It is important to understand that the start of treatment should be based on laboratory data. For the final manifestation of hyperandrogenism, symptoms alone are not enough.
Increased female testosterone symptoms and apparent excess
Signs of increased testosterone are fairly easily recognizable. Let's get a look:
- Character change. Tender female qualities are replaced by aggressiveness, rigidity. A woman becomes more volitional, unceremonious, rude, more active and physically resilient. Even the gait is changing.
- Active hair growth. Well, beautiful curls grew. So, on the contrary, the hair on the head falls out and breaks, the hair thinns significantly, bald patches appear. But where we are least pleased with hair, it grows a lot - on the face, arms, legs, in the bikini area, even on the chest and stomach. They are thick and dark.
- Obesity. And excess weight is deposited in the male type, abdominal - more on the stomach, shoulders, arms.
- The figure becomes more like a man's - shoulders increase, and the waist and chest are smoothed. Like the photo of overdone bodybuilders.
- Voice coarsening, lower timbre.
- The skin becomes thicker and fatter. Acne and acne appear, especially in the cheeks and chin.
- The smell changes to a sharper one. The woman begins to sweat more.
- Insomnia appears.
- Hypersexuality develops. That is, desire becomes stronger, obsessive thoughts about sex appear. The clitoris increases in size even to the point that it is secreted from the labia.
- The menstrual cycle is broken. Excess testosterone prevents the follicle from ripening, and therefore, menstruation appears irregularly. And they can even disappear completely. From here the next point comes out.
- Infertility. If pregnancy occurs, then the ability to bear the fetus is minimal. Either a miscarriage or intrauterine growth retardation occurs.
- Reproductive organ diseases. Tumors of the uterus, ovaries, mammary glands, even up to oncology. Especially in women after 40 years.
Terrible symptoms, right? Does this mean testosterone is our enemy? Not at all.
To better understand how this all works, we will analyze the role of this hormone in more detail.
Why does a woman need male hormone?
Why is testosterone considered male? It is he who is responsible for the development of masculinity in men. Persistence, activity, endurance, composure, discretion, secondary sexual characteristics (well, you understand), libido, potency, brutal hairiness of the body, growth of bones and muscles, low voice - all these men owe testosterone.
However, the female body also synthesizes this hormone. In much smaller quantities, true. And why? Women need testosterone for the full functioning of the reproductive system and for sexual desire. These are its main functions, but not all.
What else affects testosterone in the body of a woman:
- Absorption of calcium by bones,
- The normal development of muscles, their elasticity,
- Fat metabolism, maintaining harmony, absorption and excretion of free cholesterol,
- Timeliness of menstruation, ovulation, follicle development in the ovaries,
- Energy, performance,
- The work of the sebaceous glands, preventing dry skin,
- Development of the mammary glands, normal lactation (breastfeeding),
- Thought processes
- Good mood, confidence,
- And, as I said above, attraction, sensitivity of the body, sexual receptors.
Testosterone is synthesized from cholesterol. In men - in the testes, in women - in the ovaries. And a little in the adrenal cortex of both of them. And then it binds to proteins (albumin, globulin, hemoglobin), and 2% of the total amount remains in free form.
What needs to happen for the system to crash? We look.
So, what reasons can cause excess:
- Genetics. Unfortunately, this is inherited.
- Improper nutrition. Both extremes: hunger, malnutrition, tight diets, and vice versa, overeating, abuse of fatty foods. Often elevated testosterone occurs in vegans. Especially among those who are passionate about raw food.
- Physically hard work, overloading the body. Sometimes this happens to girls who fanatically engage in the gym, work hard for training,
- Ovarian tumors, polycystic,
- Adrenal tumors, hyperplasia,
- Tumors or abnormalities in the pituitary and hypothalamus - glands that build up the ovaries,
- Taking hormonal contraceptives,
- Steroid abuse
- Cessation of menstruation, menopause,
- Pregnancy, especially the third trimester,
- Liver disease
- Obesity. An interdependent relationship - and adipose tissue increases testosterone, and vice versa,
- Passion for tanning and tanning beds.
What is good - most often, elevated testosterone levels are noticeable immediately. It can be seen "by eye", and even more so, by tests for hormones. But, if you do not notice in time that testosterone "went uphill," the consequences develop.
What threatens excess:
- Cancerous tumors
- Cushing's Syndrome.
And this, including all those symptoms that we spoke about first.
I don’t want a mustache, right? So let's treat.
Ways of treatment:
- Elimination of the cause. First of all, we treat a provoking disease. If everything is due to a tumor, it is most often removed.
- Drug treatment. Hormonal drugs with estrogen and progesterone are prescribed. Plus antiandrogens that suppress testosterone production.
- Diet. Products that can lower testosterone levels are added to the diet. Which: meat, fish, seaweed, milk, cream, sour cream, butter and vegetable oils, soybeans, natural sweets (honey, sugar, pastille), freshly squeezed juices, pickles, white bread. Legumes, rice, millet. From vegetables - especially potatoes, from fruits - apples, cherries, red grapes. And drink strong coffee and green tea.
- Folk remedies. These are herbs rich in analogues of female sex hormones (phytoestrogens): licorice root, flax seeds, peppermint, clover, sage, tincture of peony roots, oats, hops.
- Physiotherapy: massage, acupuncture.
- Sport. Yoga leads - develops femininity, restores hormonal levels. In general, any “female” sport will be only a plus: dancing, gymnastics, Pilates, etc. The main thing is not to overdo it. Against the background of high testosterone, you can pump up a "male" torso. And even more to increase this hormone.
- Stress management. A sound, long sleep, meditation or prayer, long walks. Regularly overworking people are more likely to have a hormonal failure. And in general, try to be distracted more often, to travel somewhere.
- Regular sex. Firstly, this is a surge in female sex hormones. Secondly, stress relief. Thirdly ... That's cool, what can I say. The main thing is with your loved one.
That's all, I think.
If you have questions while reading the article, leave comments, I will analyze it with pleasure.
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