Treatmentof congenital adrenal hyperplasia (CAH) is low-dose hydrocortisone to down-regulate adrenal androgen production. □ Tip: The coming name change for PCOS may help to distinguish between adrenal-androgen PCOS and ovarian androgen PCOS. Instead, it’s driven by factors that affect the adrenal glands, such as stress. It quite a different condition from ovarian-androgen PCOS (see below), in that it’s not driven by insulin resistance or other factors that impair ovulation. Adrenal PCOS, which applies to about 10 percent of women with a PCOS diagnosis.Elevated prolactin, because it increases DHEAS.The test is 17-OH progesterone followed by genetic testing. It accounts for up to 9 percent of cases of androgen excess and is often misdiagnosed as PCOS. The genetic condition non-classic (or late-onset) congenital adrenal hyperplasia (CAH).High adrenal androgens can be caused by one of the following situations: ![]() If you have high adrenal androgen (DHEAS) but normal ovarian androgens (testosterone and androstenedione), then you have adrenal androgen excess. Adrenal androgen excess (including adrenal PCOS) Treatment of prolactin-induced androgen excess is with vitamin B6 and the herbal medicine Vitex. Treatment of the testosterone dominance of menopause is to reverse insulin resistance and maybe take body-identical estrogen and progesterone. Treatment of inflammatory hypersensitivity of the androgen receptor is to reduce chronic inflammation and consider taking an anti-androgen supplement such as natural progesterone. Treatmentof post-pill PCOS is to give it some time and consider taking a natural anti-androgen supplement. Treatment of androgen excess due to birth control is to stop taking a progestin with a high androgen index.
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