Is high male hormone levels a sign of Polycystic Ovary Syndrome (PCOS)?

Patient's question:

Problem Description: The detection result shows small follicles in the ovaries, but there are no echo-free areas. If the endocrine test indicates high androgen levels (hyperandrogenism), does it necessarily mean that the condition is Polycystic Ovary Syndrome (PCOS)?

Doctor's answer:

Hello: Hyperandrogenism in women refers to a condition where androgen levels are excessively high and their activity is too strong. Typical symptoms include hirsutism, menstrual disorders, and infertility. In some cases, hyperandrogenism is caused by specific conditions such as adrenal and ovarian tumors, adrenal cortical hyperplasia, Cushing's syndrome, hyperprolactinemia, or medication. Our hospital specializes in treating infertility and primarily uses medication and surgical treatment for hyperandrogenism.
(1) Medication Treatment: The goal is to suppress androgen production or block androgen activity, control weight, and reduce hirsutism.
(2) Surgical Treatment: When medication is ineffective and there is no desire for further fertility, women with excessive androgens of ovarian origin may undergo bilateral oophorectomy. Women with polycystic ovary syndrome (PCOS) who wish to conceive can undergo laparoscopic electrocautery or laser ablation to remove polycystic ovaries, thereby reducing androgen levels and promoting ovulation.
We recommend that you visit our hospital to identify the underlying cause and seek early treatment. Wishing you good health!

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