Confirm the diagnosis with repeat hormone testing
Check for the underlying cause with a clinician
Evaluate for polycystic ovary syndrome
Evaluate for adrenal disorders
Review medications and supplements that may raise testosterone
Treat insulin resistance if present
Use weight management if overweight
Use combined oral contraceptives if appropriate
Consider anti-androgen medications if prescribed
Treat excess facial or body hair with cosmetic methods
Treat acne with appropriate dermatologic therapy
Address menstrual irregularity with hormone management
Consider fertility-focused treatment if pregnancy is desired
Seek urgent evaluation for rapid virilization or very high testosterone
Follow up regularly with an endocrinologist or gynecologist