Reproductive endocrinology

Signs of Potential Androgen Excess Across the Lifespan in a US-based Digital Cohort Study

J Clin Endocrinol MetabPublished Cohort study

Authors' conclusion

In this large cohort, signs of potential AE varied by demographic and health factors. These results could provide a new understanding of how potential AE may appear differently in diverse groups, informing future work to develop more inclusive evaluation at a population level.

Study context

Population
Participants enrolled November 2019 to December 2022 in a US digital cohort; age range 18–86 years
Participants
24,435 participants
Outcome
Prevalence of self-reported signs of potential androgen excess: possible hirsutism (thick coarse hair on ≥4 of 8 body locations), chin hair, hair loss on top of head, moderate to severe acne
Methodological detailsdigital cohort, self-reported
  • Digital cohort
  • Self-reported

Main finding

As reported in the abstract

Prevalence of signs of potential androgen excess

Possible hirsutism

6.9%

Several/a lot of hair on the chin

12.6%

Significantly reduced hair/visible scalp on top of head

1.7%

Moderate to severe acne

31.8%

Observational data: associations, not effects.

Further findings

Variation by age

Possible hirsutism and moderate to severe acne decreased with age; chin hair and hair loss on the head increased with age

Possible hirsutism by ethnicity

Hispanic
11.2%
South Asian
16.9%
Non-Hispanic White
6.3%

Possible hirsutism by BMI

Higher BMI associated with higher prevalence of possible hirsutism

Moderate to severe acne and PCOS

More common among those with PCOS

Hormonal contraception

Possible hirsutism and hair loss less common among participants using hormones for contraception

Original publication

Signs of Potential Androgen Excess Across the Lifespan in a US-based Digital Cohort Study. J Clin Endocrinol Metab. Published 10 October 2024. doi:10.1210/clinem/dgae674

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