Excess Male Hormones? Can Female Hormones Help with Symptoms?

Is it an excess of male hormones?

Hello Dr.
Jan, I feel like I might have an excess of male hormones as I have more body hair, and my breast size is only an A cup.
Recently, I discovered that I have a slight Adam's apple.
I would like to ask if it is possible to take female hormones, such as placenta extract, to improve this situation? I hope to reduce body hair and possibly increase breast size, although I understand that the Adam's apple might not change.
Thank you!

Becky, 20~29 year old female. Ask Date: 2001/05/26

Dr. Zhan Deqin reply Obstetrics and Gynecology

1.
It is possible that there is an excess of androgens as you mentioned.
2.
You should have a thorough examination by a doctor, including blood tests and an ultrasound.
3.
Many conditions can be improved.

Reply Date: 2001/05/26

More Info

Excess male hormones, particularly androgens like testosterone, can lead to a variety of symptoms in individuals assigned female at birth. These symptoms may include increased body hair (hirsutism), a deeper voice, and changes in body fat distribution. In your case, it seems you are experiencing some of these symptoms, such as increased body hair and the development of a slight Adam's apple, which can be concerning and may affect your self-image and quality of life.

The use of female hormones, such as estrogen, can indeed help mitigate some of the symptoms associated with excess male hormones. Estrogen therapy can promote the development of secondary female sexual characteristics, such as breast development and a more typically feminine fat distribution. However, it is essential to approach this treatment under the guidance of a qualified healthcare provider, as hormone therapy can have significant effects on your body and overall health.

Before considering hormone therapy, it is crucial to undergo a thorough evaluation by an endocrinologist or a healthcare provider specializing in hormone-related issues. They can perform blood tests to assess your hormone levels, including testosterone, estrogen, and other relevant hormones. This evaluation will help determine the underlying cause of your symptoms, which could range from polycystic ovary syndrome (PCOS) to other endocrine disorders.

If your healthcare provider determines that hormone therapy is appropriate for you, they may prescribe estrogen or other medications that can help balance your hormone levels. In some cases, anti-androgens, such as spironolactone, may also be prescribed to help reduce the effects of excess male hormones, such as hirsutism. These medications can work in conjunction with estrogen therapy to provide a more comprehensive approach to managing your symptoms.

It is important to note that while hormone therapy can help with symptoms, it may not completely reverse all physical changes caused by excess male hormones, such as a prominent Adam's apple. However, many individuals find that hormone therapy significantly improves their overall well-being and helps them feel more aligned with their gender identity.

In summary, if you are experiencing symptoms of excess male hormones, it is advisable to consult with a healthcare provider who can guide you through the evaluation and treatment process. Hormone therapy, including the use of estrogen, can be beneficial in managing symptoms, but it should be approached with careful consideration and professional oversight. Your health and safety should always be the top priority when making decisions about hormone therapy.

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