High testosterone levels can lead to a range of effects, varying depending on the individual's sex and age. These effects can range from cosmetic changes to more serious health concerns.
Effects of High Testosterone in Males
While testosterone is essential for male health, excessive levels can cause several issues:
- Excessive Hair Growth: Increased facial and body hair.
- Acne: High testosterone can stimulate oil production, leading to acne breakouts.
- Aggression and Mood Swings: May contribute to increased irritability, aggression, and mood fluctuations.
- Infertility: Surprisingly, high testosterone from external sources like supplements can suppress the body's natural testosterone production, leading to reduced sperm production and infertility.
- Prostate Enlargement: Long-term high testosterone levels can contribute to prostate enlargement (benign prostatic hyperplasia or BPH).
- Heart Problems: Increased risk of heart disease, including high blood pressure and cholesterol abnormalities.
- Gynecomastia: Development of breast tissue due to the conversion of excess testosterone to estrogen.
- Sleep Apnea: Increased risk of sleep apnea.
- Reduced Testicle Size: Chronic elevation due to external administration can shrink testicles.
- Fluid Retention: May cause bloating or edema.
Common Causes in Males: The most frequent cause of high testosterone in men is the use of anabolic steroids or testosterone supplementation. Less common causes include tumors of the adrenal gland or testicles.
Effects of High Testosterone in Females
High testosterone in women is more readily noticed and can have significant effects:
- Hirsutism: Excessive growth of facial and body hair, often in a male-pattern distribution.
- Acne: Increased sebum production leading to acne.
- Voice Deepening: A permanent deepening of the voice.
- Menstrual Irregularities: Irregular periods or absence of menstruation (amenorrhea).
- Infertility: Disrupts the normal hormonal balance required for ovulation.
- Enlarged Clitoris: (Clitoromegaly)
- Male-Pattern Baldness: Receding hairline and thinning hair on the scalp.
- Decreased Breast Size:
- Increased Muscle Mass:
Common Causes in Females: Polycystic Ovary Syndrome (PCOS) is the most common cause. Other causes include congenital adrenal hyperplasia (CAH), ovarian tumors, and adrenal tumors.
Diagnosis and Treatment
Diagnosis involves a blood test to measure testosterone levels. Treatment depends on the underlying cause and may include medications to lower testosterone levels, surgery to remove tumors, or lifestyle changes. It's crucial to consult a healthcare professional for proper diagnosis and management.