Which medication is often prescribed for conditions related to excess androgen production?

Spironolactone is frequently prescribed for conditions related to excess androgen production due to its role as an androgen receptor antagonist and a potassium-sparing diuretic. It helps to reduce the levels of male hormones (androgens) in various conditions such as polycystic ovary syndrome (PCOS) and hirsutism. By blocking the effects of androgens on tissues, spironolactone can effectively alleviate symptoms such as excessive hair growth and acne, making it a common choice for managing hyperandrogenism.

Other medications listed have different primary uses. Prednisone is a corticosteroid often utilized to reduce inflammation and suppress immune responses, rather than targeting androgen production. Metformin is primarily used for managing insulin resistance and type 2 diabetes but can indirectly help with hormonal balance in cases of PCOS; however, it is not specifically an androgen blocker. Clomiphene is primarily a fertility medication that stimulates ovulation and does not focus on reducing androgen levels. This context highlights why spironolactone is the ideal choice for addressing excess androgen production.