Testosterone is a sex hormone that helps transmit chemical messages throughout the body. Although many associate this hormone with people with penises, people with vulvas also produce small amounts in their ovaries and adrenal glands. It can help strengthen bones and maintain proper ovarian function.

However, high testosterone levels in a person with a vulva can cause symptoms that affect physical appearance and reproductive health.

Learn about the symptoms, causes, and treatment options for high testosterone levels in people with vulvas.

Symptoms of High Testosterone Levels in Women

Testosterone is an important androgen hormone (also called sex hormone) present in both sexes in varying concentrations. Males have approximately 15 times more testosterone after puberty than females.

University of Rochester Medical Center. Total testosterone.

Symptoms of high testosterone in men is produced in the testes and is responsible for deep voice, libido, sperm production, body hair, and muscle growth. In women, testosterone is produced by the ovaries and adrenal glands and plays an important role in fertility, libido, and bone strength.

From unwanted body hair to decreased libido, high testosterone levels in women can manifest in many unpleasant and undesirable ways.

Here's a list of symptoms to watch for if you suspect you have high testosterone levels:

• Hirsutism (excessive hair growth on the upper lip, chin, jaw, chest, and back)
• Male pattern baldness
• Acne or oily skin
• Irregular menstrual cycles
• Clitoral enlargement
• Infertility
• Weight gain
• Blood sugar problems
• Mood swings (anxiety and depression)
• Increased muscle mass
• Deepening of the voice

If you notice one or more of these symptoms, consult a healthcare professional immediately to discuss hormonal problems, underlying conditions, and treatment options.

Normal Testosterone Levels in Women

The female body normally secretes significantly lower levels of testosterone than men. Normal levels in women range from 15 to 70 nanograms per deciliter (ng/dL), while in men they are generally between 280 and 1100 ng/dL. Hormone concentrations vary from day to day and throughout the day.

Woman's Age (years) Normal     Testosterone Level (ng/dL)
10-11                                              < 7-44
12-16                                              < 7-75
17-18                                              20-75
19+                                                 8-60

What is the effect of testosterone in women?

In the female body, the ovaries and adrenal glands normally release small amounts of testosterone into the bloodstream. Testosterone contributes to maintaining bone mass, producing new blood cells, maintaining libido, and regulating mood. The combined effect of testosterone and estrogen promotes the growth, repair, and maintenance of female reproductive tissue.

Why do testosterone levels increase in women?

In most cases, high testosterone levels in women are usually due to an underlying medical condition, such as polycystic ovary syndrome (PCOS) or congenital adrenal hyperplasia.

In some cases, the cause may be an intersex condition, where the individual has chromosomal, hormonal, or physiological sex variations that do not fit the typical binary definition of male or female. In extreme cases, high testosterone levels in women may be a sign of a more serious medical condition, characterized by the presence of tumors in the ovaries or adrenal glands.

Frequently Asked Questions About High Testosterone in Women

What happens if a woman has high testosterone levels?

High testosterone levels in women, called hyperandrogenism, can lead to conditions such as polycystic ovary syndrome (PCOS), hirsutism, acne, irregular menstrual cycles, and emotional disturbances. It can also affect fertility and metabolic health. Treatments are available.

Is high testosterone in women treatable?

Yes, high testosterone in women is treatable. A combination of lifestyle changes, hormone therapy, and, in severe cases, surgery can effectively manage this problem. Consulting a healthcare professional is essential for personalized treatment.

What is the treatment for high testosterone in women?

Treatment of high testosterone in women generally involves a multifaceted approach. It may include lifestyle changes, hormone therapy (such as birth control pills or anti-androgen medications), and, in severe cases, surgical procedures such as ovarian drilling. Consulting with a healthcare professional is essential for personalized care.

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