Ovarian overproduction of androgens: when to get help
Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Seek urgent or emergency care for:
Sudden, severe pelvic or lower abdominal pain
Pelvic pain with fainting, severe weakness, vomiting, or heavy bleeding
Severe pain or bleeding during a known or possible pregnancy
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Request prompt medical assessment if symptoms develop over a few months, become much more noticeable, or begin after menopause.
Rapid voice deepening, increased muscle mass, clitoral enlargement, or quickly advancing hair growth need timely investigation.
These symptoms do not necessarily come from androgen excess, but they can signal ovarian twisting, internal bleeding, ectopic pregnancy, or another condition needing urgent assessment.
3
Does any of this apply?
Book an appointment
Arrange a routine appointment if you develop persistent unwanted coarse hair, acne, scalp hair thinning, or irregular periods.
You should also seek advice if you regularly go long periods without menstrual bleeding or are having difficulty becoming pregnant.
Every sign above is quoted from the sofidex article on Ovarian overproduction of androgens. If you are not sure, err upward — it is always reasonable to be checked.