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Hyperandrogenism or androgen excess is a common endocrine disorder of women of reproductive-age, with a prevalence of 5-10%. The majority of patients with hyperandrogenism will have polycystic ovary syndrome.linical manifestations of hyperandrogenism include hirsutism, acne, androgenic alopecia, and virilization. Hirsutism, defined as excessive growth of terminal hair in women in a male-like pattern, is the most commonly used clinical diagnostic criterion of hyperandrogenism.
Women produce more growth hormone than men, but growth hormone production is linked to estrogen levels. If a woman has low estrogen levels, she will also have low growth hormone. This typically occurs when women are in menopause, so growth hormone replacement therapy should include bioidentical hormone replacement of estrogen and progesterone. Most women begin to experience the signs of approaching menopause in their 40s, but it can start in a womanâs 30s or even earlier.