Hyperandrogenism: What It Is and How to Manage It

Ever notice extra hair, sudden acne, or a deeper voice and wonder why? Those could be signs of hyperandrogenism – a condition where the body makes too much androgen, the hormone family that includes testosterone. It’s not just a cosmetic issue; the excess hormones can affect mood, metabolism, and fertility. Let’s break down what triggers this imbalance and what you can do right now to feel better.

What Causes Hyperandrogenism and How Do You Spot It?

There are a few common culprits. Polycystic ovary syndrome (PCOS) tops the list for many women. The ovaries start producing more androgens than normal, leading to irregular periods and the symptoms mentioned above. Adrenal gland disorders, certain medications, and rare genetic conditions can also raise androgen levels.

Typical signs include:

• Excess facial or body hair (hirsutism)
• Persistent acne, especially on the jawline or back
• Thinning scalp hair
• Irregular or missed periods
• Weight gain around the belly

If you check a few of these boxes, it’s worth talking to a doctor. Blood tests can measure testosterone, DHEA‑S, and other hormones to confirm the diagnosis.

Practical Ways to Treat Hyperandrogenism

Treatment isn’t one‑size‑fits‑all. Doctors often start with lifestyle tweaks because they can lower insulin resistance, which fuels androgen production. Here’s what works:

• Balanced diet: Aim for low‑glycemic carbs, plenty of veggies, and lean protein. Cutting sugary drinks can make a noticeable difference.
• Regular exercise: A mix of cardio and strength training improves insulin sensitivity. Even a 30‑minute walk five times a week helps.
• Weight management: Losing just 5‑10% of body weight can lower androgen levels in many people with PCOS.

If lifestyle changes aren’t enough, doctors may prescribe medications. Birth‑control pills are a common first step because they reduce ovarian androgen output. Anti‑androgen drugs like spironolactone block the hormone’s effect on the skin and hair. In some cases, insulin‑sensitizing meds such as metformin are added to tackle the root insulin issue.

Natural options also get some attention. Inositol supplements, particularly myo‑inositol, have shown promise in reducing androgen levels and improving menstrual regularity. Vitamin D, zinc, and omega‑3 fatty acids support overall hormone health, but they work best alongside medical advice.

Remember, every body reacts differently. Keep a simple log of symptoms, diet, and any meds you start. This helps you and your healthcare provider see what’s working and adjust the plan quickly.

Bottom line: hyperandrogenism can feel overwhelming, but with a mix of smart diet, steady activity, and the right medical support, you can bring hormone levels back to a comfortable range. Start with one small change today—maybe swapping a soda for water or adding a short walk—and watch how your body begins to respond.