Treatment options for high testosterone depend on the underlying cause of the imbalance, which can range from natural hormonal variations to conditions such as polycystic ovary syndrome (PCOS) in women, adrenal or testicular disorders, or even the misuse of anabolic steroids. In men, treatment is usually only needed if testosterone levels are abnormally elevated and causing symptoms such as aggression, acne, infertility, or cardiovascular strain.