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Hirsutism

What Is Hirsutism?

Hirsutism is a condition in which women develop excessive, coarse, dark hair in areas where men typically grow hair, such as the face, chest, abdomen, back, and chin. It is usually caused by increased levels of male hormones (androgens) or increased sensitivity of hair follicles to these hormones.

Common Symptoms

* Excessive coarse, dark hair on the face or body
* Hair growth on the upper lip, chin, chest, abdomen, back, or thighs
* Increased body hair over time
* Acne or oily skin (in some individuals)
* Irregular menstrual periods (in some cases)
* Thinning hair on the scalp (occasionally)

Common Causes

* Polycystic Ovary Syndrome (PCOS)
* Increased androgen levels
* Family history (genetic factors)
* Certain medications
* Adrenal gland disorders
* Ovarian disorders
* Rare hormone-producing tumors

Risk Factors

* Family history of hirsutism
* Polycystic Ovary Syndrome (PCOS)
* Obesity
* Hormonal disorders
* Certain medications

Diagnosis

Diagnosis may include:

* Medical history and physical examination
* Assessment of hair growth pattern
* Blood tests to evaluate hormone levels
* Imaging studies when indicated to identify underlying causes

When Should You See a Dermatologist?

Consult a dermatologist if:

* Excessive facial or body hair develops suddenly.
* Hair growth is increasing rapidly.
* Hirsutism is associated with irregular menstrual periods.
* You also experience severe acne, deepening of the voice, or scalp hair loss.
* The condition causes cosmetic concerns or affects your quality of life.

Important Facts

* Hirsutism is different from normal body hair and is often linked to an underlying hormonal imbalance.
* Early evaluation can help identify the underlying cause.
* Not all women with excessive hair growth have a serious medical condition.
* A multidisciplinary approach involving a dermatologist and, when needed, an endocrinologist or gynecologist may be recommended.