Hyperandrogenism Treatment in India

Causes of Hyperandrogenism

An increase in androgen production or an alteration in how the body processes these hormones is a significant cause of hyperandrogenism. Finding out the exact cause is therefore essential because the causes of hyperandrogenism are not the same for every individual. 

Polycystic Ovary Syndrome (PCOS)

Polycystic ovary syndrome is a very common reason behind hyperandrogenism in women. Imbalanced levels of hormones lead to the increased production of androgens in the ovaries, which results in abnormal menstrual cycle, acne, unwanted hair growth, weight gain, and trouble ovulating.

Congenital Adrenal Hyperplasia (CAH)

Congenital adrenal hyperplasia is an inherited disorder that affects the adrenal glands. Deficiency of some enzymes leads to the overproduction of androgen hormones by the glands, causing symptoms during adulthood or even childhood. 

Cushing Syndrome

Cushing syndrome occurs due to excessive exposure of the body to cortisol over an extended period of time. This hormonal imbalance can also trigger overproduction of androgens, leading to irregular periods, excessive hair growth on the face, acne, unhealthy weight gain, and skin changes.

Androgen-Secreting Tumours

This is a rare case where tumours of the ovaries or adrenal glands start producing an excess of androgens. The onset of symptoms is usually faster and may involve sudden excessive facial or body hair growth, deepening of the voice, scalp hair loss, and changes in menstrual cycle. 

Ovarian Hyperthecosis

Ovarian hyperthecosis refers to the production of high androgen hormones by the ovarian tissues. It occurs more commonly among women approaching menopause or those who are already in their menopause phase.

Insulin Resistance and Metabolic Disorders

Elevated insulin levels can trigger the ovaries to increase the production of androgens. Insulin resistance is common in PCOS and leads to hormone imbalance, irregular periods, and problems with ovulation.

Treatment of Hyperandrogenism in India

Hyperandrogenism treatment can vary from medications, changing lifestyle to surgical intervention or even fertility interventions. Many women find significant relief with the help of a combination of therapies and follow-up care

Treatment Based on the Underlying Cause

First of all, to start any treatment, it is important to understand why there is an increase in androgen levels. Depending on what condition you have been diagnosed with, your doctor can suggest the following:

• Medications to regulate hormone levels
• Combined oral contraceptive pills to restore menstrual regularity
• Anti-androgen medicines to reduce excess hair growth and acne
• Insulin-sensitising medicines for women with insulin resistance
• Weight management through diet and exercise when appropriate
• Treatment for adrenal gland disorders or other hormonal conditions

Self-medication is not advisable since different causes require different kind of treatment.

Surgical Treatment Options

Surgery will be recommended only if there is a structural problem causing the overproduction of androgens. Surgery can be performed for:

• Ovarian tumors secreting androgen hormones
• Adrenal gland tumors
• Certain cases of ovarian hyperthecosis, especially if the symptoms are severe and other treatment methods have failed

The kind of surgical procedure to undertake will depend on the cause of the condition and the age and fertility plans of the individual.

Cosmetic Treatments for Excess Hair Growth

Many women seek cosmetic treatments alongside medical therapy because hormonal treatment takes several months to reduce unwanted hair growth.

Common cosmetic options include:

• Laser hair reduction
• Electrolysis
• Prescription creams that slow facial hair growth
• Temporary hair removal methods such as waxing, threading or shaving

Medical treatment helps prevent new hair growth while cosmetic procedures improve existing symptoms.

Fertility Treatment Options

Some females with hyperandrogenism may face problems with ovulation and hence face difficulties becoming pregnant.

Based on the underlying causes, the following treatments may be offered for fertility concerns: 

• Ovulation induction medications
• Lifestyle changes to improve ovulation
• Hormonal disorder management
• Intrauterine insemination (IUI)
• In vitro fertilisation (IVF), if other methods fail,ed or additional fertility problems exist

Treatment depends on the woman's age, ovarian reserve, and her reproductive assessment.

Why Choose Birla Fertility & IVF for Hyperandrogenism Treatment in India?

At Birla Fertility & IVF, we have a multidisciplinary team providing comprehensive care to find out the root cause and formulate an individualised treatment plan for hyperandrogenism. 

Here is the reason why many women trust Birla Fertility & IVF:

• India’s leading fertility specialists and gynaecologists
• A complete hormonal and fertility assessment 
• State-of-the-art diagnostic equipment for proper diagnosis
• Personalised treatment plans according to the root cause
• Specialisation in handling PCOS and other endocrine problems
• Access to advanced fertility treatments, including IUI and IVF
• Technological advancements and scientifically proven treatment protocol
• Patient-focused care throughout the treatment