If you suspect high testosterone, talk to your health care provider, who can perform a physical examination and laboratory tests, depending on your symptoms, for confirmation.
A woman with high testosterone may choose to treat the symptoms alone (like using an anti-acne medication or a serum to boost hair growth). There are also medical treatments—depending on the cause of the excess androgen production— which include surgery, or oral contraceptives alone or in combination with antiandrogens, or other combinations of hormone therapy .
Other side effects include increased risk of heart problems in older men with poor mobility, according to a 2009 study at Boston Medical Center. A 2017 study published in JAMA found that treatments increase coronary artery plaque volume. Additionally, the Food and Drug Administration (FDA) requires manufactures to include a notice on the labeling that states taking testosterone treatments can lead to possible increased risk of heart attacks and strokes. The FDA recommends that patients using testosterone should seek medical attention right away if they have these symptoms:
And finally, perhaps the most fundamental question of all: Even if female athletes with hyperandrogenism do have a unique and significant performance advantage, is it automatically unfair? At the end of the day, Karkazis believes that question is a social and cultural one. “It really is an open question about whether or not something is fair or unfair, leaving aside the science of it,” she said. “The science could still say there’s a link between [testosterone] and performance and we could still say, and that’s fine, it shouldn’t be understood as unfair.”