Excess Male Hormones: A Guide for Women with Irregular Cycles

Excessive male hormones???

Hello Doctor,
I have been suffering from irregular menstruation since childhood, and for the past 2 to 3 years, I have been worried about whether my period will come at all.
I previously visited a gynecology clinic where I received medication to induce menstruation, and the doctor performed an ultrasound, stating that my follicles were not releasing normally.
I was advised to receive injections for six months to regulate my cycle, but I discontinued due to a busy work schedule.
After receiving the induction injections, my period returned for a while, but the same issue occurred again.
This time, I went to Mackay Memorial Hospital for an examination.
In addition to the induction injections and ultrasound, I also had a blood test, and the results were normal.
My period returned for a while, but in recent months, the irregularity has started again.
I am confused as to why this is happening if everything is normal.
A few weeks ago, I read a news report stating that some girls in Hsinchu Science Park are experiencing endocrine disorders due to long hours of work, leading to excessive male hormones.
Some of the symptoms, such as acne and hirsutism, are similar to mine.
If I am indeed a patient with excessive male hormones, which gynecological unit should I consult to thoroughly address my issues?
Thank you, Doctor! I look forward to your prompt response.

SHIRLEY, 30~39 year old female. Ask Date: 2007/12/26

Dr. Wu Zinan reply Obstetrics and Gynecology

There are many causes of amenorrhea, such as thyroid disorders, prolactin levels, ovarian function, and psychiatric medications, among others.
Excess male hormones may require further evaluation at a medical center's gynecology or endocrinology department.

Reply Date: 2007/12/26

More Info

Excess male hormones, or androgens, can significantly impact women's health, particularly in relation to menstrual irregularities and other symptoms. Women typically produce lower levels of androgens compared to men, but when these levels become elevated, it can lead to a condition known as hyperandrogenism. This condition is often associated with polycystic ovary syndrome (PCOS), which is one of the most common causes of irregular menstrual cycles in women.

Symptoms of excess male hormones in women can include irregular or absent menstrual periods, acne, excessive hair growth (hirsutism), and thinning hair on the scalp. These symptoms arise because androgens influence various bodily functions, including the regulation of the menstrual cycle and the growth of hair follicles. In your case, the irregularities in your menstrual cycle, coupled with symptoms like acne and possibly hirsutism, suggest that you might be experiencing an imbalance in your hormone levels.

Given your history of irregular menstrual cycles and the treatments you've undergone, it's essential to approach this issue comprehensively. You mentioned that you received injections to induce menstruation and underwent ultrasound examinations, which indicated that your follicles were not maturing properly. This is a common issue in women with hormonal imbalances, particularly those with PCOS.

If you suspect that you have elevated male hormones, the first step is to consult with a healthcare provider, preferably an endocrinologist or a reproductive endocrinologist. They can conduct a thorough evaluation, including blood tests to measure hormone levels, particularly testosterone and other androgens. This will help determine if hyperandrogenism is indeed a factor in your symptoms.

In terms of treatment, there are several options available. Hormonal contraceptives, such as birth control pills, are often prescribed to help regulate menstrual cycles and reduce androgen levels. These medications can help manage symptoms like acne and excessive hair growth as well. Additionally, anti-androgen medications, such as spironolactone, may be prescribed to specifically target symptoms related to excess male hormones.

Lifestyle modifications can also play a crucial role in managing symptoms. Regular exercise, a balanced diet, and weight management can help improve insulin sensitivity and reduce androgen levels, particularly in women with PCOS. Stress management techniques, such as yoga or meditation, can also be beneficial, as stress can exacerbate hormonal imbalances.

It's important to note that while some women may experience improvements in their symptoms with lifestyle changes and medication, others may require more intensive treatment. Regular follow-ups with your healthcare provider are essential to monitor your hormone levels and adjust your treatment plan as needed.

In summary, if you suspect that you have excess male hormones contributing to your menstrual irregularities and other symptoms, seeking a thorough evaluation from a specialist is crucial. They can provide you with a tailored treatment plan that addresses your specific needs and helps restore hormonal balance, ultimately improving your quality of life.

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