Utah Master Esthetician Practice Exam

What hormonal imbalance can lead to hirsutism and acne in women?

1. Estrogen

2. Progesterone

3. Androgen

4. Dihydrotestosterone

The correct answer is: Androgen

Hirsutism and acne in women are often associated with an increased level of androgens, which are male hormones present in both men and women, although at different levels. Androgens include testosterone and other related hormones, and they play a significant role in hair growth and oil production in the skin. When a woman has an imbalance where androgen levels are abnormally high, this can lead to excessive hair growth in areas typical for males (hirsutism) and can also increase sebum production, contributing to acne breakouts. In contrast, estrogen and progesterone are primarily female hormones that help regulate reproductive functions and have different roles in skin health. Elevated levels of estrogen alone do not typically lead to these symptoms. Dihydrotestosterone, while a potent androgen and related to androgenic activity, is a byproduct of testosterone conversion and also contributes to similar effects. However, the primary term used for hormonal imbalance leading to hirsutism and acne typically refers directly to androgens overall. Therefore, an excessive amount of androgen is the key factor in these conditions for women.