Hirsutism: Difference between revisions
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[[ | {{SI}} {{Infobox medical condition | ||
| name = Hirsutism | |||
| image = [[File:PMC4103002_ircmj-16-9410-g001.png|250px]] | |||
| caption = Excessive hair growth on a woman's face, a common symptom of hirsutism | |||
| field = [[Endocrinology]] | |||
| synonyms = | |||
| symptoms = [[Excessive hair growth]] in areas where men typically grow hair | |||
| complications = [[Psychological distress]], [[acne]], [[menstrual irregularities]] | |||
| onset = [[Puberty]] | |||
| duration = Long-term | |||
| causes = [[Polycystic ovary syndrome]], [[Cushing's syndrome]], [[congenital adrenal hyperplasia]], [[androgen-secreting tumors]], [[medications]] | |||
| risks = [[Obesity]], [[family history]], [[ethnicity]] | |||
| diagnosis = [[Physical examination]], [[blood tests]], [[imaging studies]] | |||
| differential = [[Hypertrichosis]], [[androgen insensitivity syndrome]] | |||
| prevention = | |||
| treatment = [[Lifestyle changes]], [[medications]], [[hair removal techniques]] | |||
| medication = [[Oral contraceptives]], [[anti-androgens]], [[insulin sensitizers]] | |||
| prognosis = Varies depending on cause | |||
| frequency = Common | |||
}} | |||
'''Hirsutism''' is a condition characterized by excessive hair growth in women in locations where hair is typically more common in men, such as the face, chest, and back. It arises due to an increase in the level of androgens, or male hormones, or an increased sensitivity of hair follicles to these hormones. | |||
==Causes== | ==Causes== | ||
* Hirsutism is commonly associated with the following conditions: | * Hirsutism is commonly associated with the following conditions: | ||
| Line 8: | Line 27: | ||
* '''[[Androgen-secreting tumors]]''': Rare tumors in the ovaries or adrenal glands that produce androgens. | * '''[[Androgen-secreting tumors]]''': Rare tumors in the ovaries or adrenal glands that produce androgens. | ||
* Some medications such as [[Minoxidil]] and [[Danazol]] can also cause hirsutism. | * Some medications such as [[Minoxidil]] and [[Danazol]] can also cause hirsutism. | ||
==Clinical Presentation== | ==Clinical Presentation== | ||
* In addition to excessive hair growth, symptoms of hirsutism can include: | * In addition to excessive hair growth, symptoms of hirsutism can include: | ||
| Line 16: | Line 34: | ||
* Acne | * Acne | ||
* Increased muscle mass | * Increased muscle mass | ||
==Diagnosis== | ==Diagnosis== | ||
*Diagnosis of hirsutism involves a detailed medical history, physical examination, and possibly laboratory tests. The Ferriman-Gallwey score is often used to quantify the extent of hair growth. | *Diagnosis of hirsutism involves a detailed medical history, physical examination, and possibly laboratory tests. The Ferriman-Gallwey score is often used to quantify the extent of hair growth. | ||
*Lab tests may include measurements of blood androgen levels and other hormones. Imaging studies like [[ultrasound]] or [[MRI]] might be used if an androgen-secreting tumor is suspected. | *Lab tests may include measurements of blood androgen levels and other hormones. Imaging studies like [[ultrasound]] or [[MRI]] might be used if an androgen-secreting tumor is suspected. | ||
==Treatment== | ==Treatment== | ||
* Treatment of hirsutism aims to manage the underlying cause, reduce hair growth, and address cosmetic concerns. This may include: | * Treatment of hirsutism aims to manage the underlying cause, reduce hair growth, and address cosmetic concerns. This may include: | ||
| Line 26: | Line 42: | ||
* '''Hair removal methods''': These can range from shaving and waxing to more permanent methods like [[electrolysis]] and [[laser hair removal]]. | * '''Hair removal methods''': These can range from shaving and waxing to more permanent methods like [[electrolysis]] and [[laser hair removal]]. | ||
* '''Lifestyle changes''': Weight loss and healthy diet may be recommended, especially for women with PCOS. | * '''Lifestyle changes''': Weight loss and healthy diet may be recommended, especially for women with PCOS. | ||
==Prognosis== | ==Prognosis== | ||
With appropriate treatment and management, most women with hirsutism can achieve good control of their symptoms. However, the condition is typically chronic, and ongoing treatment may be needed to manage hair growth and other symptoms. | With appropriate treatment and management, most women with hirsutism can achieve good control of their symptoms. However, the condition is typically chronic, and ongoing treatment may be needed to manage hair growth and other symptoms. | ||
==See Also== | ==See Also== | ||
* [[Polycystic ovary syndrome]] | * [[Polycystic ovary syndrome]] | ||
* [[Hyperandrogenism]] | * [[Hyperandrogenism]] | ||
* [[Hormonal imbalance]] | * [[Hormonal imbalance]] | ||
==References== | ==References== | ||
* [[American Academy of Dermatology]]. (2023). Hirsutism. Retrieved from https://www.aad.org/public/diseases/hair-loss/types/hirsutism | * [[American Academy of Dermatology]]. (2023). Hirsutism. Retrieved from https://www.aad.org/public/diseases/hair-loss/types/hirsutism | ||
Latest revision as of 03:16, 6 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Hirsutism | |
|---|---|
| |
| Synonyms | |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Excessive hair growth in areas where men typically grow hair |
| Complications | Psychological distress, acne, menstrual irregularities |
| Onset | Puberty |
| Duration | Long-term |
| Types | N/A |
| Causes | Polycystic ovary syndrome, Cushing's syndrome, congenital adrenal hyperplasia, androgen-secreting tumors, medications |
| Risks | Obesity, family history, ethnicity |
| Diagnosis | Physical examination, blood tests, imaging studies |
| Differential diagnosis | Hypertrichosis, androgen insensitivity syndrome |
| Prevention | |
| Treatment | Lifestyle changes, medications, hair removal techniques |
| Medication | Oral contraceptives, anti-androgens, insulin sensitizers |
| Prognosis | Varies depending on cause |
| Frequency | Common |
| Deaths | N/A |
Hirsutism is a condition characterized by excessive hair growth in women in locations where hair is typically more common in men, such as the face, chest, and back. It arises due to an increase in the level of androgens, or male hormones, or an increased sensitivity of hair follicles to these hormones.
Causes[edit]
- Hirsutism is commonly associated with the following conditions:
- Polycystic ovary syndrome (PCOS): A hormonal disorder causing enlarged ovaries with small cysts on the outer edges.
- Cushing's syndrome: A condition caused by prolonged exposure to cortisol, the body's primary stress hormone.
- Congenital adrenal hyperplasia: A group of inherited conditions affecting the adrenal glands.
- Androgen-secreting tumors: Rare tumors in the ovaries or adrenal glands that produce androgens.
- Some medications such as Minoxidil and Danazol can also cause hirsutism.
Clinical Presentation[edit]
- In addition to excessive hair growth, symptoms of hirsutism can include:
- Irregular or absent menstrual periods
- Deepening of the voice
- Balding
- Acne
- Increased muscle mass
Diagnosis[edit]
- Diagnosis of hirsutism involves a detailed medical history, physical examination, and possibly laboratory tests. The Ferriman-Gallwey score is often used to quantify the extent of hair growth.
- Lab tests may include measurements of blood androgen levels and other hormones. Imaging studies like ultrasound or MRI might be used if an androgen-secreting tumor is suspected.
Treatment[edit]
- Treatment of hirsutism aims to manage the underlying cause, reduce hair growth, and address cosmetic concerns. This may include:
- Medications: These may include oral contraceptives, anti-androgens like spironolactone, and Metformin.
- Hair removal methods: These can range from shaving and waxing to more permanent methods like electrolysis and laser hair removal.
- Lifestyle changes: Weight loss and healthy diet may be recommended, especially for women with PCOS.
Prognosis[edit]
With appropriate treatment and management, most women with hirsutism can achieve good control of their symptoms. However, the condition is typically chronic, and ongoing treatment may be needed to manage hair growth and other symptoms.
See Also[edit]
References[edit]
- American Academy of Dermatology. (2023). Hirsutism. Retrieved from https://www.aad.org/public/diseases/hair-loss/types/hirsutism
- Mayo Clinic. (2023). Hirsutism. Retrieved from https://www.mayoclinic.org/diseases-conditions/hirsutism/symptoms-causes/syc-20354935
- National Health Service (UK). (2023). Hirsutism. Retrieved from https://www.nhs.uk/conditions/hirsutism/
