What causes high testosterone in men and what to do?

Testosterone is a hormone secreted by the human body. It is very important for physical development. Both men and women have testosterone. The testosterone in men's bodies may increase due to some factors. Why does this happen?

Causes of high testosterone:

1. Precocious puberty: idiopathic male precocious puberty and familial male precocious puberty.

2. Adrenal gland diseases: adrenal cortical hyperplasia, adrenal cortical tumors (adenocarcinomas are significantly increased, and adenomas are also often increased).

3. Testicular diseases: testicular tumors, testicular feminization.

4. Others: pineal tumor, idiopathic hirsutism, hypothyroidism, androgen, HCG and estrogen treatment are moderate.

What to do if testosterone is high?

1. Drug treatment

Patients with high testosterone levels can be treated with medication aimed at inhibiting androgen production or anti-androgens, controlling weight and removing excess hair.

High testosterone is mainly treated with Diane 35. Drug treatment can counteract the effects of androgens and promote ovulation of follicles. It is generally taken for about 3-6 months. It needs to be taken from the first day of menstruation, and it should be taken for 21 consecutive days before stopping. During the treatment period, it is necessary to regularly check six hormones. After the six hormone tests, if it returns to normal, the drug can be stopped.

2. Surgical treatment

If the medication is ineffective and the androgen level is not significantly reduced, laparoscopic surgery should be considered. Under laparoscopy, the follicles are punctured to reduce androgen levels, thereby achieving the treatment goal.

(1) Patients who have given birth and have no plans to have more children can undergo resection surgery.

(2) Patients who wish to have children can undergo laparoscopic electrocautery or laser removal of polycystic ovary syndrome to reduce androgen levels.