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====High androgen levels==== {{See also|Hyperandrogenism#Treatment}} Hyperandrogenism is a condition in women in which androgen levels are excessively and abnormally high.<ref name="RabeGrunwald2009" /> It is commonly seen in women with PCOS, and also occurs in women with [[intersex condition]]s like [[congenital adrenal hyperplasia]].<ref name="RabeGrunwald2009" /> Hyperandrogenism is associated with [[virilization]] β that is, the development of masculine [[secondary sexual characteristic]]s like male-pattern facial and body hair growth (or hirsutism), [[voice change|voice deepening]], increased [[muscle]] [[lean body mass|mass]] and [[physical strength|strength]], and [[broadening of the shoulders]], among others.<ref name="RabeGrunwald2009" /> Androgen-dependent skin and hair conditions like acne and pattern hair loss may also occur in hyperandrogenism, and [[menstrual irregularity|menstrual disturbance]]s, like [[amenorrhea]], are commonly seen.<ref name="RabeGrunwald2009" /> Although antiandrogens do not treat the underlying cause of hyperandrogenism (e.g., PCOS), they are able to prevent and reverse its manifestation and effects.<ref name="RabeGrunwald2009" /> As with androgen-dependent skin and hair conditions, the most commonly used antiandrogens in the treatment of hyperandrogenism in women are cyproterone acetate and spironolactone.<ref name="RabeGrunwald2009" /> Other antiandrogens, like bicalutamide, may be used alternatively.<ref name="RabeGrunwald2009" />
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