Regarding elevated androgen levels in males?
I would like to ask what symptoms are associated with elevated androgen levels? Recently, I discovered an issue with male pattern baldness in dermatology, and I'm a bit concerned that it might be caused by high androgen levels leading to hair loss.
Additionally, I have more body hair than average, including chest hair and abdominal hair, and my leg hair and beard are quite thick as well.
I'm wondering if there is any correlation with this.
Q, 10~19 year old female. Ask Date: 2023/07/29
Dr. Lin Jianliang reply Internal Medicine
Hello: High levels of male hormones in men can lead to excessive and dense body hair, as well as a robust beard.
Your symptoms may be related.
Reply Date: 2023/07/29
More Info
High testosterone levels in men can manifest through a variety of symptoms, and hair loss is one of the more noticeable effects. When testosterone levels are elevated, it can lead to an increase in dihydrotestosterone (DHT), a potent androgen that is primarily responsible for hair loss in genetically predisposed individuals. This condition is commonly referred to as androgenetic alopecia, or male pattern baldness, which typically presents as a receding hairline and thinning at the crown of the head.
In addition to hair loss, high testosterone levels can lead to several other symptoms. These may include:
1. Increased Body Hair: As you mentioned, having more body hair, including chest hair and facial hair, can be a sign of elevated testosterone. This condition is known as hirsutism, and while it is more commonly discussed in women, men can also experience changes in hair distribution due to hormonal fluctuations.
2. Acne and Oily Skin: Elevated testosterone can stimulate sebaceous glands, leading to increased oil production and potentially resulting in acne.
3. Mood Changes: Some men may experience mood swings, irritability, or increased aggression when testosterone levels are high.
4. Increased Muscle Mass: Testosterone is known for its role in muscle development, so higher levels may lead to increased muscle mass and strength.
5. Changes in Libido: While testosterone is often associated with increased libido, excessively high levels can sometimes lead to a decrease in sexual desire or performance issues.
6. Sleep Apnea: High testosterone levels have been linked to sleep apnea, a condition characterized by interrupted breathing during sleep.
7. Gynecomastia: In some cases, elevated testosterone can lead to an imbalance in estrogen levels, resulting in breast tissue enlargement in men.
Regarding your concern about hair loss, it is important to note that while high testosterone can contribute to hair thinning, the pattern and speed of hair loss can vary significantly among individuals. If you are experiencing rapid hair loss over a short period, it may be worth considering other factors such as stress, medical conditions, or medications that could also be contributing to this issue.
Stress, in particular, can have a profound impact on hair health. Conditions like telogen effluvium, which is a temporary form of hair loss often triggered by stress, can cause significant shedding. This type of hair loss typically resolves once the underlying stressor is addressed.
If you suspect that your hair loss is related to high testosterone levels, it may be beneficial to consult with a healthcare professional who can perform a thorough evaluation. This may include blood tests to measure hormone levels and assess for any underlying conditions that could be contributing to your symptoms.
In summary, high testosterone levels can lead to various symptoms, including hair loss, increased body hair, acne, mood changes, and more. If you are experiencing significant changes in your hair or other symptoms, it is advisable to seek medical advice for a comprehensive assessment and appropriate management.
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