Article ; Online: Clinical management of androgen excess and defect in women.
Expert review of endocrinology & metabolism
2024 Volume 19, Issue 1, Page(s) 21–35
Abstract: Introduction: Hyperandrogenism and hypoandrogenism are complex disorders involving multiple-organ systems. While androgen excess is a well-characterized condition, androgen deficiency still needs diagnostic criteria, as there are no specific cutoffs.: ...
Abstract | Introduction: Hyperandrogenism and hypoandrogenism are complex disorders involving multiple-organ systems. While androgen excess is a well-characterized condition, androgen deficiency still needs diagnostic criteria, as there are no specific cutoffs. Areas covered: We highlight the most recent findings on the role of androgens in female pathophysiology, investigating clinically relevant conditions of androgen insufficiency or excess throughout a woman's life, and their possible therapeutic management. Expert opinion: Combined oral contraceptives (COCs) should be considered as first-line therapy for the management of menstrual irregularity and/or clinical hyperandrogenism in adolescents with a clear diagnosis of polycystic ovary syndrome (PCOS). There are limited evidence-based data regarding specific types or doses of COCs for management of PCOS in women; however, the lowest effective estrogen dose should be considered for treatment. Despite evidence regarding safety, efficacy, and clinical use, testosterone therapy has not been approved for women by most regulatory agencies for treatment of hypoactive sexual desire disorder (HSDD). The long-term safety for treatments with testosterone is still to be evaluated, and this review highlights the need for more research in this area. |
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MeSH term(s) | Adolescent ; Female ; Humans ; Hyperandrogenism/drug therapy ; Androgens/therapeutic use ; Polycystic Ovary Syndrome/complications ; Polycystic Ovary Syndrome/drug therapy ; Polycystic Ovary Syndrome/diagnosis ; Testosterone/therapeutic use ; Estrogens |
Chemical Substances | Androgens ; Testosterone (3XMK78S47O) ; Estrogens |
Language | English |
Publishing date | 2024-01-01 |
Publishing country | England |
Document type | Journal Article ; Review |
ISSN | 1744-8417 |
ISSN (online) | 1744-8417 |
DOI | 10.1080/17446651.2023.2279537 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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