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A woman with hirsutism from increased androgen exposure. Hyperandrogenism affects 5–10% of women of reproductive age. [11] Hyperandrogenism can affect both men and women but is more noticeable in women since elevated levels of androgens in women may facilitate virilization.
Levels of DHEA-S, a major adrenal androgen, throughout life in humans. [1]Adrenopause is the decline in secretion and levels of adrenal androgens such as dehydroepiandrosterone (DHEA) and dehydroepiandrosterone sulfate (DHEA-S) from the zona reticularis of the adrenal glands with age.
The ovaries and adrenal glands also produce androgens, but at much lower levels than the testes. Regarding the relative contributions of ovaries and adrenal glands to female androgen levels, in a study with six menstruating women the following observations have been made: [8]
Only certain organs in the body, such as the gonads and the adrenal glands, produce the androgen testosterone. Testosterone is converted into dihydrotestosterone, a chemically similar androgen, in cells containing the enzyme 5-alpha reductase. Both androgens exert their influence through binding with the androgen receptor.
Skeletal muscle androgen receptor expression increases with acute exercise in correlation to free testosterone. [24] When comparing men and women in the 30-, 50-, and 70-year age groups, young and middle aged men showed increased testosterone after exercise, with the latter also having increased cortisol. Elderly men showed no change. [25]
Plasma levels of DHEA in adult men are 10 to 25 nM, in premenopausal women are 5 to 30 nM, and in postmenopausal women are 2 to 20 nM. [25] Conversely, DHEA-S levels are an order of magnitude higher at 1–10 μM. [25] Levels of DHEA and DHEA-S decline to the lower nanomolar and micromolar ranges in men and women aged 60 to 80 years. [25]
Levels of DHEA-S, a major adrenal androgen, throughout life in humans [1] Adrenarche occurs starting at the age of 6 years. [4] [5] After the first year of life, the adrenal glands secrete very low levels of adrenal androgens. [1] Adrenarche begins on average between age 5 to 8 in girls and between 7 and 11 in boys, and precedes puberty by ...
With immunoassay-based techniques, testosterone levels in premenopausal women have been found to be about 40 ng/dL (1.4 nmol/L) and DHT levels about 10 ng/dL (0.34 nmol/L). [5] [74] With radioimmunoassays, the ranges for testosterone and DHT levels in women have been found to be 20 to 70 ng/dL and 5 to 30 ng/dL, respectively. [74]
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