Hirsutism

Increased hair growth or hirsutism is today one of the most important problems for modern women, as the aesthetic rules of our time impose a model of woman with face and body from which hair is absent.

Hypertrichosis – hirsutism is the medical term referring to the presence of normal hair rather than fluff in hormone-dependent areas of the female body such as the face, neck, back, abdomen and chest.

In the diagnostic approach of patients with hirsutism, one should consider the following causes:

PCOS syndrome

When women present clinical and/or biochemical hyperandrogenemia together with ovarian dysfunction and/or polycystic ovarian morphology. (PCOS)

Idiopathic hyperandrogenemia

When women present clinical and biochemical hyperandrogenemia but have regular ovulation cycles, normal duration and normal ovarian morphology.

Idiopathic hirsutism

When women appear with hirsutism but have normal androgen concentrations, they have regular ovulation cycles and normal ovary morphology.

NCCAH

Non classic congenital adrenal hyperplasia

Tumors

Androgen producing tumors

Hormone disturbances

Hypothyroidism, hyperprolactinemia, Cushing syndrome

Drugs

Steroids and anabolics

The treatment of hirsutism is the treatment of the hormone disorder if present and local treatment.