So what is a mixed-type hyperandrogenism and what are the causes of its occurrence? Let's try to answer this question.
There are sex hormones in men, called androgens, they are produced in men by testes, and in women with ovaries. Also these hormones are produced in men and women in the adrenal glands.
These hormones ensure the development of secondary genitalia, control the growth and development of the genital organs in men, and also participate in the metabolism process, creating an anabolic effect. In the body, women androgens are the raw material for creating sex hormones - estrogens, and they also facilitate the process of ovulation. In the presence of a large number of androgens, the ovulation process is delayed, as it does not contribute to the complete maturation of the oocyte. Also, the presence of an excess of androgens help inhibit the production of progesterone, which can affect pregnancy and lead to miscarriage. In the body, the level of the main hormone androgen - testosterone is from 0.2 to 1 ng / ml.
Hyperandrogenia promotes the formation of male features in the female body, and the cause of its occurrence is an excessive amount of androgens. To the excess of androgens lead and adrenal and ovaries. Also, the cause of an excess of androgens can be a metabolic disorder.
Hyperandrogenism of the adrenal gland can occur with diseases of the pituitary gland and tumors of the adrenal glands. Ovarian hyperandrogenia occurs in the presence of a tumor in the ovaries or in the presence of polycystosis in the ovaries.
In some nations, hyperandrogenism may be in a state of norm, since they have a hypersensitivity to the hormone androgen since birth.
The main signs of hyperandrogenism of mixed type are hair loss or hairiness, a change in constitution or voice, as well as changes in the properties of the skin. With hair on the chest, back, hands and face of a person, hair grows rapidly. Moreover, in men, hair embolism on the chest can be accompanied by alopecia in the areas of the temple and forehead, with the voice becoming lower, and the skin becomes more porous, greasy, and also there can be acne. Also the body structure changes: the shoulder belt becomes wider, the thighs narrower, and the mammary glands decrease.
With hyperandrogenism of a mixed type, the menstrual cycle is broken in women, up to the absence of menstruation in general. This change in carbohydrate metabolism leads to the development of diabetes and obesity.
All these phenomena occur more with tumors of the ovaries and adrenals.
To determine the hyperandrogenia, the woman undergoes special studies of the hormonal background, X-ray and ultrasound examinations of the ovaries and adrenals.
In order to begin treatment you need to determine what caused it. If the hyperandrogenia of the mixed type is caused by a tumor, then it tries to remove it. For other reasons, more gentle methods of treatment are used-prescribe drugs, introduce hormones. But if there is no effect of drugs, then you have to use the services of a surgeon, up to the removal of parts of the organs.