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Hirsutism

Definition:
Hirsutism is excess hair growth in women and children.

Whether or not hair growth is abnormal depends on:

  • A person's idea of "normal"
  • Family tendencies
  • Ethnic background
Causes:
True hirsutism may be due to:
  • Polycystic ovary syndrome
  • Defects in the enzymes made by the adrenal glands
  • Ovarian tumors
  • Adrenal tumors
  • Some forms of Cushing's syndrome
  • Luteoma of pregnancy
  • Excess growth hormone
  • Certain drugs, including:
    • Minoxidil
    • Cyclosporine
    • Phenytoin
    • Anabolic steroids
    • Diazoxide
    • Progestin-containing medications
Risk Factors:
A risk factor is something that increases your chance of getting a disease or condition.

Risk factors include:

  • Family members with hirsutism
  • Lack of ovulation
  • Disorders of the adrenal glands
  • Use of androgens
  • Older age
Symptoms:
Symptoms and signs of some disorders associated with hirsutism may include:
  • Excess hair growth (on the face, arms, legs, or chest)
  • Abnormal or absent menstrual periods
  • Decreased breast size
  • Male-pattern baldness (in a woman)
  • Deepened voice
  • Increased size of clitoris
  • High blood pressure
  • Enlarged adrenal glands
  • Enlarged ovaries
Diagnosis:
The doctor will ask about your symptoms and medical history, and perform a physical exam. Tests may include:
  • Blood Tests–to measure the amounts of certain hormones
  • Stimulation or Suppression Tests–to measure how hormone levels in the blood respond to changes
  • X-ray–a test that uses radiation to take a picture of structures inside the body
  • Ultrasound–a test that uses sound waves to examine the inside of the body
  • CT Scan – a type of x-ray that uses a computer to make pictures of the inside of the body
  • MRI scan–a test that uses magnetic waves to make pictures of the inside of the body
Treatment:
Treatment is directed at the underlying cause of the hirsutism and may include:

Medications
These may include:
  • Spironolactone
  • Finasteride (Proscar, Propecia)
  • Flutamide
  • Oral contraceptives
  • Glucophage (Metformin)
Local Hair Removal
Methods of removing hair include:
  • Shaving
  • Chemical treatment (depilatories)
  • Waxing
  • Electrolysis
  • Laser treatment
  • Bleaching
Treatment of Other Conditions
If you are diagnosed with a condition that may be causing hirsutism, proper treatment may resolve the hirsutism.

Prevention:
Hirsutism may be prevented by treating the underlying cause.
 
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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