Hirsutyzm
Objawy

Hirsutyzm to kliniczny stan charakteryzujący się nadmiernym wzrostem ciemnych, grubych włosów u kobiet w lokalizacjach typowych dla męskiego owłosienia, takich jak górna warga, broda, klatka piersiowa, plecy, brzuch oraz wewnętrzna powierzchnia ud. Występuje u 5-10% kobiet w wieku rozrodczym, z wyższą częstością w populacjach bliskowschodnich, południowoazjatyckich i śródziemnomorskich. Nasilenie hirsutyzmu ocenia się za pomocą zmodyfikowanej skali Ferrimana-Gallweya, gdzie wynik >7 wskazuje na patologię, a nasilenie klasyfikuje się jako łagodne (<15 pkt), umiarkowane (15-25 pkt) lub ciężkie (>25 pkt). Hirsutyzm może współistnieć z objawami wirylizacji (np. pogłębienie głosu, łysienie typu męskiego, powiększenie łechtaczki), co wymaga pilnej diagnostyki w kierunku zaburzeń hormonalnych lub guzów wydzielających androgeny. Towarzyszące objawy, takie jak nieregularne miesiączki, insulinooporność, otyłość brzuszna czy acanthosis nigricans, mogą wskazywać na zespół policystycznych jajników (PCOS) lub inne endokrynopatie, w tym zespół Cushinga.

Co to jest hirsutyzm?

Hirsutyzm to stan, w którym u kobiet występuje nadmierny wzrost grubych, ciemnych włosów w miejscach charakterystycznych dla typu męskiego owłosienia. Dotyczy to przede wszystkim twarzy (górna warga, broda, baki), klatki piersiowej, pleców, brzucha, dolnej części pleców, pośladków oraz wewnętrznej powierzchni ud. W tych obszarach, gdzie normalnie u kobiet występuje delikatne, jasne owłosienie (tzw. meszek), pojawia się ciemne, grube i wyraźne owłosienie.12

Hirsutyzm jest stosunkowo częstym schorzeniem, które dotyka około 5-10% kobiet w wieku rozrodczym. Występowanie hirsutyzmu różni się w zależności od pochodzenia etnicznego – kobiety pochodzenia bliskowschodniego, południowoazjatyckiego i śródziemnomorskiego są bardziej podatne na rozwój hirsutyzmu niż kobiety innych grup etnicznych.34

Objawy hirsutyzmu

Głównym objawem hirsutyzmu jest nadmierny wzrost włosów w charakterystycznych miejscach. Nasilenie hirsutyzmu może być różne – od łagodnych przypadków po zaawansowane formy.56

Podstawowe objawy

Podstawowym objawem hirsutyzmu jest wzrost ciemnych, grubych włosów w następujących miejscach:78

  • Górna warga (wąsik)
  • Broda i linia żuchwy
  • Okolice baków
  • Klatka piersiowa, w tym okolice brodawek sutkowych
  • Dolna i górna część brzucha (w tym linia biała)
  • Dolna i górna część pleców
  • Ramiona i barki
  • Pośladki
  • Wewnętrzna powierzchnia ud

W łagodnej postaci hirsutyzmu kobieta może zauważyć znaczący wzrost włosów na górnej wardze, brodzie, okolicach baków, wokół brodawek sutkowych czy na dolnej części brzucha. W bardziej zaawansowanych przypadkach włosy mogą pojawić się na górnej części pleców, ramionach, mostku i górnej części brzucha.910

Wirylizacja

W niektórych przypadkach hirsutyzm może być związany z procesem wirylizacji, czyli rozwojem innych męskich cech płciowych u kobiet. Objawy wirylizacji mogą rozwijać się stopniowo i obejmują:111213

  • Pogłębienie głosu
  • Łysienie typu męskiego
  • Trądzik i tłusta skóra
  • Zmniejszenie wielkości piersi
  • Zwiększona masa mięśniowa
  • Powiększenie łechtaczki

Objawy wirylizacji są szczególnie niepokojące i powinny skłonić do natychmiastowej konsultacji lekarskiej, gdyż mogą wskazywać na poważne zaburzenia hormonalne lub nawet guzy wydzielające androgeny.14

Dodatkowe objawy

Oprócz nadmiernego owłosienia i objawów wirylizacji, hirsutyzm może być związany z innymi objawami, które zależą od przyczyny podstawowej:1516

  • Nieregularne miesiączki lub ich brak (amenorrhea)
  • Skąpe miesiączki (oligomenorrhea)
  • Niepłodność
  • Zwiększone libido
  • Otyłość, szczególnie w okolicy brzucha
  • Zaburzenia lipidowe
  • Insulinooporność
  • Nadciśnienie
  • Rogowacenie ciemne (acanthosis nigricans) – brodawki w fałdach skórnych, będące markerem insulinooporności

W przypadku zespołu Cushinga mogą pojawić się dodatkowe objawy, takie jak:17

  • Otyłość, szczególnie w okolicy brzucha
  • Nadciśnienie
  • Cukrzyca
  • Ścieńczenie skóry

Progresja hirsutyzmu

Hirsutyzm zwykle rozpoczyna się w okresie dojrzewania, ale może też wystąpić później. Jeśli hirsutyzm pojawia się przed lub po okresie dojrzewania, może to wskazywać na problemy hormonalne wymagające dokładnej diagnozy lekarskiej.1819

Przebieg choroby

Hirsutyzm jest zazwyczaj stanem przewlekłym, który może utrzymywać się przez całe życie, jednak jego nasilenie i przebieg zależy od przyczyny podstawowej.2021

Progresja hirsutyzmu może przebiegać następująco:

  • W przypadku większości form hirsutyzmu, nadmierne owłosienie rozwija się stopniowo przez miesiące lub lata
  • Hirsutyzm związany z zespołem policystycznych jajników (PCOS) może nasilać się powoli w miarę upływu lat
  • W przypadku hirsutyzmu idiopatycznego (bez uchwytnej przyczyny) progresja może być wolniejsza
  • Szybkie pojawienie się hirsutyzmu w ciągu kilku miesięcy, zwłaszcza w połączeniu z objawami wirylizacji, może wskazywać na guz wydzielający androgeny i wymaga natychmiastowej konsultacji medycznej2223

Ocena nasilenia hirsutyzmu

Do oceny nasilenia hirsutyzmu stosuje się najczęściej zmodyfikowaną skalę Ferrimana-Gallweya, która ocenia dziewięć obszarów ciała wrażliwych na androgeny.2425

W tej skali każdemu obszarowi przypisuje się punkty od 0 (brak włosów) do 4 (rozległe owłosienie) w zależności od gęstości włosów. Następnie oblicza się wynik całkowity, który jeśli przekracza 7 (przy maksymalnej wartości 36), jest uznawany za nieprawidłowy i wskazujący na hirsutyzm.26

Nasilenie hirsutyzmu klasyfikuje się następująco:

  • Łagodny hirsutyzm: wynik poniżej 15 punktów
  • Umiarkowany hirsutyzm: wynik 15-25 punktów
  • Ciężki hirsutyzm: wynik powyżej 25 punktów27

Wpływ na jakość życia

Hirsutyzm może mieć znaczący wpływ na jakość życia kobiet, powodując:2829

  • Dyskomfort emocjonalny i stres psychiczny
  • Obniżenie samooceny i negatywny obraz własnego ciała
  • Trudności w kontaktach społecznych
  • Objawy lęku i depresji
  • Unikanie sytuacji społecznych

Badania wykazały, że hirsutyzm jest często związany z obniżoną jakością życia oraz objawami lęku i depresji, niezależnie od otyłości czy diagnozą PCOS.3031

Przypadki wymagające konsultacji lekarskiej

Nadmierne owłosienie u kobiet wymaga konsultacji lekarskiej, szczególnie w następujących przypadkach:3233

  • Gwałtowny lub szybki rozwój owłosienia w ciągu kilku miesięcy
  • Pojawienie się objawów wirylizacji (pogłębienie głosu, łysienie typu męskiego, zwiększona masa mięśniowa, zmniejszenie wielkości piersi, powiększenie łechtaczki)
  • Hirsutyzm rozpoczynający się przed lub po okresie dojrzewania
  • Współwystępowanie nieregularnych miesiączek
  • Obecność innych niepokojących objawów, takich jak bóle miednicy, nadciśnienie, cukrzyca

Wczesna diagnoza i leczenie hirsutyzmu są istotne, gdyż mogą zapobiec długoterminowym powikłaniom zdrowotnym, zwłaszcza jeśli hirsutyzm jest objawem podstawowego zaburzenia hormonalnego, takiego jak zespół policystycznych jajników.3435

Potencjalne konsekwencje nieleczonego hirsutyzmu

Nieleczony hirsutyzm może prowadzić do następujących konsekwencji:363738

  • Pogłębienie problemów psychologicznych, takich jak depresja, lęk, niska samoocena
  • W przypadku PCOS – problemy z płodnością i nieregularne cykle menstruacyjne
  • Zwiększone ryzyko zaburzeń metabolicznych, takich jak insulinooporność i cukrzyca typu 2
  • Zwiększone ryzyko chorób sercowo-naczyniowych i dyslipidemii
  • W przypadku hirsutyzmu pomenopauzalnego – zwiększone ryzyko osteoporozy i złamań

Czas trwania i odpowiedź na leczenie

Hirsutyzm jest zazwyczaj stanem przewlekłym, który wymaga długotrwałego leczenia i monitorowania.3940

Czas cyklu mieszka włosowego

Ważnym aspektem w leczeniu hirsutyzmu jest zrozumienie cyklu życia mieszka włosowego:4142

  • Mieszki włosowe rosną przez około 6 miesięcy przed wypadnięciem
  • Pełny cykl życia mieszka włosowego trwa około 6 miesięcy
  • Z tego powodu efekty leczenia hirsutyzmu mogą być widoczne dopiero po kilku (6-9) miesiącach stosowania terapii
  • Większość leków musi być przyjmowana przez co najmniej 6 miesięcy, aby zauważyć znaczące zmniejszenie wzrostu włosów

Często lekarze czekają 9-12 miesięcy przed oceną skuteczności leczenia hirsutyzmu.4344

Długoterminowe perspektywy

Długoterminowe perspektywy dla kobiet z hirsutyzmem zależą od przyczyny podstawowej:4546

  • Większość przyczyn hirsutyzmu tworzy tendencję do dożywotniego nadmiernego wzrostu włosów
  • Wiele kobiet ma zadowalającą odpowiedź na leczenie medyczne, jeśli kontynuują terapię przez kilka miesięcy lub dłużej
  • W przypadku hirsutyzmu związanego z PCOS, leczenie może wymagać modyfikacji stylu życia, kontroli masy ciała oraz długotrwałej farmakoterapii
  • Niektóre przyczyny hirsutyzmu (takie jak guzy wydzielające androgeny) mogą być wyleczone poprzez leczenie chirurgiczne, radioterapię lub kombinację tych metod

Warto podkreślić, że hirsutyzm wymaga kompleksowego podejścia do leczenia, które może obejmować zarówno terapię farmakologiczną, jak i metody usuwania włosów, aby osiągnąć optymalny rezultat dla pacjentki.4748

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  1. 15.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Hirsutism – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hirsutism/symptoms-causes/syc-20354935
    Hirsutism (HUR-soot-iz-um) is a condition in women that results in excessive growth of dark or coarse hair in a male-like pattern face, chest and back. […] Hirsutism is excess hair most often noticeable around the mouth and chin. […] With hirsutism, extra hair growth often arises from excess male hormones (androgens), primarily testosterone. […] Hirsutism is stiff or dark body hair, appearing on the body where women don’t commonly have hair primarily the face, chest, lower abdomen, inner thighs and back. People have widely varying opinions on what’s considered excessive. […] When high androgen levels cause hirsutism, other signs might develop over time, a process called virilization. Signs of virilization might include: Deepening voice, Balding, Acne, Decreased breast size, Increased muscle mass, Enlargement of the clitoris.
  • #2 Excessive hair growth (hirsutism)
    https://www.nhs.uk/conditions/hirsutism/
    Hirsutism is where women have thick, dark hair on their face, neck, chest, tummy, lower back, buttocks or thighs. See a GP if it’s a problem for you. It might be caused by a medical condition that can be treated. […] Hirsutism is linked to hormones called androgens. It can happen if the level of these hormones increases or if your body becomes more sensitive to them. […] The most common cause is polycystic ovary syndrome (PCOS). This is a condition affecting the ovaries that can also cause symptoms such as acne and irregular periods. […] If you have hirsutism, your GP may suggest: losing weight if you’re overweight this can help control hormone levels. […] A change in your hormone levels is a common cause of hirsutism.
  • #3 Excessive Hair Growth (Hirsutism) | Boston Children’s Hospital
    https://www.childrenshospital.org/conditions/excessive-hair-growth-hirsutism
    Hirsutism is when women experience excessive hair growth on parts of the body where men usually grow hair. About 8 percent of women in the United States have some form of excessive hair growth. […] Women of Middle Eastern, South Asian, and Mediterranean ancestry are more likely to develop hirsutism than women of other ethnicities. About half of women with hirsutism produce high levels of male hormones called androgens from their ovaries and adrenal glands. Hormonal disorders, such as polycystic ovary syndrome (PCOS), may cause this to happen. […] Hirsutism occurs in 80 percent of women who have PCOS. […] If the hirsutism is caused by excessive levels of the male hormone testosterone, your daughter may experience: Deepening voice, Irregular menstrual periods, Acne, Increased muscle mass, Decreased breast size.
  • #4
    https://continentalhospitals.com/diseases/hirsutism/
    Hirsutism is a condition that affects many individuals, particularly women. It is characterized by excessive hair growth in areas of the body where hair is typically minimal or absent. This includes the face, chest, back, and abdomen. Hirsutism occurs when there is an overproduction of androgens, which are male hormones. […] One of the primary symptoms of hirsutism is the growth of thick, dark hair in areas typically seen in men, such as the face, chest, back, and abdomen. This excessive hair growth may also extend to other parts of the body like the arms and legs. […] Hirsutism can be caused by various factors including hormonal imbalances such as polycystic ovary syndrome (PCOS), adrenal gland disorders, certain medications, or even genetic predisposition. […] If you or someone you know is experiencing excessive hair growth in male-pattern areas such as the face, chest, and back, consulting a Gynecologist is crucial to investigate potential underlying causes like hirsutism.
  • #5 Hirsutism: Symptoms, causes, diagnosis, and treatment
    https://www.medicalnewstoday.com/articles/182659
    Hirsutism refers to coarse or colored hair that grows on the face and body of some females. […] Hirsutism is the excessive growth of thick body hair in women. […] A woman with the mildest form of hirsutism may notice significant growth of hair on the upper lip, chin, sideburn area, and around the nipples or lower abdomen. […] More advanced hirsutism will cause mature hair to grow on the upper back, shoulders, chest, and upper abdomen and usually begins during puberty. […] If hirsutism starts before or after puberty, the cause could relate to hormonal problems, and a doctor should evaluate the symptoms. […] Besides excessive hair growth, a woman with hirsutism may also experience other symptoms, including oily skin, acne, hair loss, known as alopecia, a receding hairline, an enlarged clitoris, and a deeper voice.
  • #6 Hirsutism in Women (Excess Body Hair Growth) | Cedars-Sinai
    https://www.cedars-sinai.org/health-library/diseases-and-conditions/h/hirsutism-in-women-excess-body-hair-growth.html
    Hirsutism is excess hair growth on the body or face. For women, the hair may grow in areas where men often have a lot of hair but women often dont. This includes the upper lip, chin, chest, and back. Its caused by an excess of male hormones called androgens. All women naturally produce small amounts of androgens. But high levels of these hormones can lead to hirsutism. […] Symptoms can occur a bit differently in each person. They include darker or thicker hairs growing on parts of the body such as: Upper lip, Chin, Jawline, Chest, Back, Buttocks. […] The symptoms of hirsutism can look like other health conditions. See your healthcare provider for a diagnosis. […] Hirsutism is often a long-term (chronic) condition. But you can manage it by working with your healthcare provider to create a treatment plan.
  • #7 Hirsutism in Women (Excess Body Hair Growth) | Cedars-Sinai
    https://www.cedars-sinai.org/health-library/diseases-and-conditions/h/hirsutism-in-women-excess-body-hair-growth.html
    Hirsutism is excess hair growth on the body or face. For women, the hair may grow in areas where men often have a lot of hair but women often dont. This includes the upper lip, chin, chest, and back. Its caused by an excess of male hormones called androgens. All women naturally produce small amounts of androgens. But high levels of these hormones can lead to hirsutism. […] Symptoms can occur a bit differently in each person. They include darker or thicker hairs growing on parts of the body such as: Upper lip, Chin, Jawline, Chest, Back, Buttocks. […] The symptoms of hirsutism can look like other health conditions. See your healthcare provider for a diagnosis. […] Hirsutism is often a long-term (chronic) condition. But you can manage it by working with your healthcare provider to create a treatment plan.
  • #8 Hirsutism Causes, Symptoms, and Treatments
    https://www.upmc.com/services/womens-health/conditions/hirsutism
    Hirsutism is a medical condition that causes women to have excessive hair growth in a male pattern on their face, chest, and back. […] The main symptom of hirsutism is stiff or dark hair appearing on the body where women don’t commonly have hair. Primarily, this includes the face, chest, lower abdomen, inner thighs, and back. […] When hirsutism is caused by high androgen levels, other signs may develop over time. This process is called virilization. […] Signs of virilization include: Acne. Balding. Decreased breast size. Deepening voice. Enlargement of the clitoris. Increased muscle mass. […] Call your doctor if you experience excessive or rapid hair growth on your face or body, or signs of virilization, over a few months. […] Hirsutism treatment often focuses on hair removal, rather than on what’s causing the abnormal hair growth. Many women feel self-conscious, embarrassed, and anxious about hirsutism and PCOS facial hair. […] Weight loss may improve unwanted hair growth. People with hirsutism and PCOS should consider making lifestyle changes to improve their overall health.
  • #9 Hirsutism Guide: Causes, Symptoms and Treatment Options
    https://www.drugs.com/health-guide/hirsutism.html
    Hirsutism is excessive hair growth in certain areas of a woman’s face and body, such as the mustache and beard area, that creates a „male pattern” of hair. […] A woman with the mildest form of hirsutism may notice significant growth of hair that is mature (the same color as scalp hair) on the upper lip, chin, sideburn area, around the nipples or lower abdomen. More advanced hirsutism will cause mature hair to grow on the upper back, shoulders, sternum and upper abdomen. It most often begins during puberty. If hirsutism starts before or after puberty, the cause could be hormonal and the woman should be evaluated by a doctor. […] Most causes of hirsutism create a tendency to have lifelong excessive hair growth. However, many women will have a satisfactory response to medical treatment if they continue the therapy for several months or longer. […] If you have excessive, male-pattern hair growth or unusually rapid growth of male-pattern hair in a short period of time, you should see a medical professional.
  • #10 Hirsutism – Harvard Health
    https://www.health.harvard.edu/a_to_z/hirsutism-a-to-z
    Hirsutism is excessive hair growth in certain areas of a woman’s face and body, such as the mustache and beard area, that creates a „male pattern” of hair. […] A woman with the mildest form of hirsutism may notice significant growth of hair that is mature (the same color as scalp hair) on the upper lip, chin, sideburn area, around the nipples or lower abdomen. More advanced hirsutism will cause mature hair to grow on the upper back, shoulders, sternum and upper abdomen. It most often begins during puberty. If hirsutism starts before or after puberty, the cause could be hormonal and the woman should be evaluated by a doctor. […] Most causes of hirsutism create a tendency to have lifelong excessive hair growth. However, many women will have a satisfactory response to medical treatment if they continue the therapy for several months or longer. A few causes of hirsutism (such as tumors that produce androgen hormones or tumors in the pituitary gland) can be cured with surgical treatment, radiation or both. […] If you have excessive, male-pattern hair growth or unusually rapid growth of male-pattern hair in a short period of time, you should see a medical professional.
  • #11 Hirsutism – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hirsutism/symptoms-causes/syc-20354935
    Hirsutism (HUR-soot-iz-um) is a condition in women that results in excessive growth of dark or coarse hair in a male-like pattern face, chest and back. […] Hirsutism is excess hair most often noticeable around the mouth and chin. […] With hirsutism, extra hair growth often arises from excess male hormones (androgens), primarily testosterone. […] Hirsutism is stiff or dark body hair, appearing on the body where women don’t commonly have hair primarily the face, chest, lower abdomen, inner thighs and back. People have widely varying opinions on what’s considered excessive. […] When high androgen levels cause hirsutism, other signs might develop over time, a process called virilization. Signs of virilization might include: Deepening voice, Balding, Acne, Decreased breast size, Increased muscle mass, Enlargement of the clitoris.
  • #12 Hirsutism Causes, Symptoms, and Treatments
    https://www.upmc.com/services/womens-health/conditions/hirsutism
    Hirsutism is a medical condition that causes women to have excessive hair growth in a male pattern on their face, chest, and back. […] The main symptom of hirsutism is stiff or dark hair appearing on the body where women don’t commonly have hair. Primarily, this includes the face, chest, lower abdomen, inner thighs, and back. […] When hirsutism is caused by high androgen levels, other signs may develop over time. This process is called virilization. […] Signs of virilization include: Acne. Balding. Decreased breast size. Deepening voice. Enlargement of the clitoris. Increased muscle mass. […] Call your doctor if you experience excessive or rapid hair growth on your face or body, or signs of virilization, over a few months. […] Hirsutism treatment often focuses on hair removal, rather than on what’s causing the abnormal hair growth. Many women feel self-conscious, embarrassed, and anxious about hirsutism and PCOS facial hair. […] Weight loss may improve unwanted hair growth. People with hirsutism and PCOS should consider making lifestyle changes to improve their overall health.
  • #13 Hirsutism: Causes, Treatments for Excessive Hairiness in Women
    https://www.webmd.com/women/hirsutism-hair-women?page=1
    Hirsutism is a condition in women and people assigned female at birth (AFAB) that causes a lot of hair growth. The hair typically grows in areas where it usually appears in men or people assigned male at birth (AMAB). […] With hirsutism, extra hair will grow on your: Face, Chest, Lower stomach, Inner thighs, Back. […] Virilization is a process in which women and people AFAB develop male traits. It can happen when people with hirsutism have high hormone levels. Signs of virilization include: A deep voice, Balding, Acne, More muscle mass, Smaller breasts, An enlarged clitoris. […] Hirsutism causes excessive hair growth, mainly in women and people AFAB. Though the symptoms of this condition can feel embarrassing, there are treatments available if you want to lessen the amount of facial and body hair. […] If left untreated, hirsutism can contribute to mental health problems like depression, anxiety, low self-esteem, poor body image, and more.
  • #14 Hirsutism in Women | AAFP
    https://www.aafp.org/pubs/afp/issues/2019/0801/p168.html
    The Endocrine Society recommends treating patient-important hirsutism, which is unwanted sexual hair growth of sufficient extent to cause patient distress. […] Most cases of hirsutism are due to functional causes of excess androgens. […] Polycystic ovary syndrome (PCOS) is the most common cause of hirsutism, accounting for more than 70% of cases. […] Idiopathic hyperandrogenism accounts for approximately 15% of hirsutism cases. […] Idiopathic hirsutism is a diagnosis of exclusion that accounts for approximately 10% of cases in women who have normal menses, normal ovarian morphology, and normal levels of serum androgens. […] Androgen-secreting tumors are a rare cause of hirsutism, can be ovarian or adrenal in origin, and are malignant in more than 50% of cases. […] Rapid development of hirsutism, late onset, progression despite therapy, or signs of virilization may indicate an androgen-secreting tumor.
  • #15 Hirsutism (excessive hair) – women | Better Health Channel
    https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/hirsutism-excessive-hair-women
    Hirsutism in women is the excess growth of dark and coarse hair over areas of the body where it ordinarily wouldnt grow, such as the face and back. About one woman in 10 is affected. Hirsutism is usually a symptom of an underlying problem rather than a medical condition in its own right. […] The symptoms and signs of hirsutism depend on the underlying cause, but may include: a sudden change in hair colour, rate of growth, thickness or distribution; excessive body hair in typically male areas of the body such as the face, back, abdomen, inner thighs and buttocks. […] Additional symptoms may include: hair loss on the scalp (male pattern baldness); other skin conditions such as acne or seborrhoea; development of warts within skin folds (acanthosis nigricans); unexplained increase in sex drive; masculine characteristics such as deepened voice or increased muscle mass; irregular or absent menstrual periods; high levels of insulin; infertility.
  • #16 Hirsutism (Excessive Hair Growth in Women): Causes, Treatment
    https://www.healthline.com/health/excessive-or-unwanted-hair-in-women
    Hirsutism, which causes excessive facial hair growth in cisgender females, is typically caused by an increase in hormones called androgens. Its fairly common and affects between 5 to 10 percent of women. […] The presence of excess body hair can lead to feelings of self-consciousness, but the condition itself isnt necessarily dangerous. However, the hormonal imbalance that can lead to it may complicate a persons health. […] Women can develop excessive body or facial hair due to higher-than-normal levels of androgen hormones. These hormones include testosterone and androstenedione. […] In some cases, women may experience idiopathic hirsutism, which means that theres no detectable cause for why the hirsutism developed. Its usually chronic and may be harder to treat. […] Excessive body and facial hair due to hirsutism can be a long-term challenge. Most women with diagnosed hormonal imbalances respond well to treatment, but the hair can grow back if their hormone levels become out of sync again. […] Conditions that cause hirsutism, such as PCOS or adrenal gland disorders, may require lifelong treatment.
  • #17 Excessive Hair Growth (Hirsutism) | Boston Children’s Hospital
    https://www.childrenshospital.org/conditions/excessive-hair-growth-hirsutism
    If the hirsutism is caused by Cushing’s syndrome, your daughter may show: Obesity, especially around the abdomen, High blood pressure, Diabetes, Thinning of skin. […] Many women with hirsutism don’t have a hormonal imbalance or they have hair that is more sensitive to small amounts of hormones. About half of women with excessive hair growth do have an underlying hormonal condition that makes hair grow thicker and faster. Some medications can stimulate excessive hair growth as well. […] Causes of hirsutism may include: Congenital adrenal hyperplasia, Cushing’s syndrome, Polycystic ovary syndrome, Tumors on the adrenal glands or ovaries, Severe insulin resistance, Medications like phenytoin, minoxidil, diazoxide, cyclosporine, and hexachlorobenzene, Anabolic steroids, Danazol, a substance used to treat endometriosis.
  • #18 Hirsutism: Symptoms, causes, diagnosis, and treatment
    https://www.medicalnewstoday.com/articles/182659
    Hirsutism refers to coarse or colored hair that grows on the face and body of some females. […] Hirsutism is the excessive growth of thick body hair in women. […] A woman with the mildest form of hirsutism may notice significant growth of hair on the upper lip, chin, sideburn area, and around the nipples or lower abdomen. […] More advanced hirsutism will cause mature hair to grow on the upper back, shoulders, chest, and upper abdomen and usually begins during puberty. […] If hirsutism starts before or after puberty, the cause could relate to hormonal problems, and a doctor should evaluate the symptoms. […] Besides excessive hair growth, a woman with hirsutism may also experience other symptoms, including oily skin, acne, hair loss, known as alopecia, a receding hairline, an enlarged clitoris, and a deeper voice.
  • #19 Hirsutism – Harvard Health
    https://www.health.harvard.edu/a_to_z/hirsutism-a-to-z
    Hirsutism is excessive hair growth in certain areas of a woman’s face and body, such as the mustache and beard area, that creates a „male pattern” of hair. […] A woman with the mildest form of hirsutism may notice significant growth of hair that is mature (the same color as scalp hair) on the upper lip, chin, sideburn area, around the nipples or lower abdomen. More advanced hirsutism will cause mature hair to grow on the upper back, shoulders, sternum and upper abdomen. It most often begins during puberty. If hirsutism starts before or after puberty, the cause could be hormonal and the woman should be evaluated by a doctor. […] Most causes of hirsutism create a tendency to have lifelong excessive hair growth. However, many women will have a satisfactory response to medical treatment if they continue the therapy for several months or longer. A few causes of hirsutism (such as tumors that produce androgen hormones or tumors in the pituitary gland) can be cured with surgical treatment, radiation or both. […] If you have excessive, male-pattern hair growth or unusually rapid growth of male-pattern hair in a short period of time, you should see a medical professional.
  • #20 Hirsutism in Women (Excess Body Hair Growth)
    https://krames.forthealthcare.com/Library/DiseasesConditions/Adult/Skin/85,P00327
    Hirsutism is excess hair growth on the body or face. For women, the hair may grow in areas where men often have a lot of hair but women often don’t. This includes the upper lip, chin, chest, and back. It’s caused by an excess of male hormones called androgens. […] Symptoms can occur a bit differently in each person. They include darker or thicker hairs growing on parts of the body such as: Upper lip, Chin, Jawline, Chest, Back, Buttocks. […] The symptoms of hirsutism can look like other health conditions. See your healthcare provider for a diagnosis. […] Hirsutism is often a long-term (chronic) condition. But you can manage it by working with your healthcare provider to create a treatment plan. […] Hirsutism is excess hair growth on the body or face. It’s caused by excess hormones called androgens.
  • #21 Hirsutism Guide: Causes, Symptoms and Treatment Options
    https://www.drugs.com/health-guide/hirsutism.html
    Hirsutism is excessive hair growth in certain areas of a woman’s face and body, such as the mustache and beard area, that creates a „male pattern” of hair. […] A woman with the mildest form of hirsutism may notice significant growth of hair that is mature (the same color as scalp hair) on the upper lip, chin, sideburn area, around the nipples or lower abdomen. More advanced hirsutism will cause mature hair to grow on the upper back, shoulders, sternum and upper abdomen. It most often begins during puberty. If hirsutism starts before or after puberty, the cause could be hormonal and the woman should be evaluated by a doctor. […] Most causes of hirsutism create a tendency to have lifelong excessive hair growth. However, many women will have a satisfactory response to medical treatment if they continue the therapy for several months or longer. […] If you have excessive, male-pattern hair growth or unusually rapid growth of male-pattern hair in a short period of time, you should see a medical professional.
  • #22 Hirsutism in Women | AAFP
    https://www.aafp.org/pubs/afp/issues/2019/0801/p168.html
    The Endocrine Society recommends treating patient-important hirsutism, which is unwanted sexual hair growth of sufficient extent to cause patient distress. […] Most cases of hirsutism are due to functional causes of excess androgens. […] Polycystic ovary syndrome (PCOS) is the most common cause of hirsutism, accounting for more than 70% of cases. […] Idiopathic hyperandrogenism accounts for approximately 15% of hirsutism cases. […] Idiopathic hirsutism is a diagnosis of exclusion that accounts for approximately 10% of cases in women who have normal menses, normal ovarian morphology, and normal levels of serum androgens. […] Androgen-secreting tumors are a rare cause of hirsutism, can be ovarian or adrenal in origin, and are malignant in more than 50% of cases. […] Rapid development of hirsutism, late onset, progression despite therapy, or signs of virilization may indicate an androgen-secreting tumor.
  • #23 Hirsutism in Women | AAFP
    https://www.aafp.org/pubs/afp/issues/2012/0215/p373.html
    Rapid onset of hirsutism, virilization, or a palpable abdominal or pelvic mass all raise suspicion for an androgen-secreting tumor. […] The severity of hirsutism is variable at a given level of androgen excess, suggesting that hirsutism is also related to the sensitivity of hair follicles to androgens. […] In patients with moderate or severe hirsutism or a history of possible PCOS, an early morning testosterone level should be obtained. […] Treatment includes hair removal and pharmacologic measures. […] Combination oral contraceptives reduce serum free androgen levels by increasing sex hormone-binding globulin and inhibiting ovarian androgen production. […] Eflornithine (Vaniqa) is a topical agent that reduces hair growth through inhibition of ornithine decarboxylase. […] Any therapy for hirsutism should be continued for at least six months before determining its effectiveness.
  • #24 Hirsutism – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK470417/
    Hirsutism is an androgen-dependent disorder resulting from the interaction between circulating androgen levels and the sensitivity of the hair follicle to androgens. […] The severity of hirsutism can be quantified based on the Ferriman and Gallwey system, which evaluates nine areas of the body. For each, one assigns points from 1 to 4 are assigned according to the density of hair, ranging from the absence of hair to severe hirsutism. One can then calculate a total score; if it is greater than 7, the maximum being 36, it is considered abnormal. Other common symptoms associated with excess androgens are acne, menstrual irregularities, the temporal recession of the hairline and frontal alopecia. […] Hirsutism has significant morbidity and some women with a malignant cause tend to have a very poor prognosis. Postmenopausal hirsutism has been associated with a high risk of osteoporosis and fractures.
  • #25 Hirsutism and the menstrual cycle
    https://helloclue.com/articles/cycle-a-z/hirsutism-and-the-menstrual-cycle
    Mild hirsutism is considered a score below 15, while severe hirsutism describes individuals who score above 25. […] Healthcare providers can offer a few options for treating hirsutism. […] The treatments available will depend partly on the cause of the hair growth, and partly on the impact it has on a person’s life. […] Sometimes people with hirsutism are given medications like the birth control pill to help stabilize their hormones; sometimes healthcare providers will treat the hormonal imbalance directly with androgen blockers. […] Most anti-androgen treatments will show an effect within six months, but healthcare providers usually wait nine to twelve months before deciding if treatment has been effective for their patient. […] If facial and body hair is unwanted, some people may also struggle with social and emotional difficulties. […] As a group, people diagnosed with hirsutism tend to struggle with anxiety, depression, and body discomfort at higher rates than other folks.
  • #26 Hirsutism – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK470417/
    Hirsutism is an androgen-dependent disorder resulting from the interaction between circulating androgen levels and the sensitivity of the hair follicle to androgens. […] The severity of hirsutism can be quantified based on the Ferriman and Gallwey system, which evaluates nine areas of the body. For each, one assigns points from 1 to 4 are assigned according to the density of hair, ranging from the absence of hair to severe hirsutism. One can then calculate a total score; if it is greater than 7, the maximum being 36, it is considered abnormal. Other common symptoms associated with excess androgens are acne, menstrual irregularities, the temporal recession of the hairline and frontal alopecia. […] Hirsutism has significant morbidity and some women with a malignant cause tend to have a very poor prognosis. Postmenopausal hirsutism has been associated with a high risk of osteoporosis and fractures.
  • #27 Excessive or unwanted hair in women: Causes and natural treatments
    https://www.medicalnewstoday.com/articles/323540
    Some medications can cause additional hair growth. […] Hyperprolactinemia is a condition that causes the body to produce high levels of the hormone prolactin. […] The condition can also cause hirsutism. […] When hirsutism has no clear reason, a doctor may refer to it as idiopathic hirsutism. […] Idiopathic hirsutism represents about 10% of all cases of hirsutism and 50% of all mild cases of excessive hair growth. […] A score greater than 7 is typically indicative of excessive hair growth or hirsutism. […] Generally, any cut-off score under 15 may indicate mild hirsutism, and a score over 25 can indicate severe hirsutism. […] Hirsutism happens when someone assigned female at birth experiences the growth of excessive male-looking hair. […] Most hormonal disorders, including PCOS, respond to medical treatments. Proper treatment can reduce the amount of body hair a person experiences. […] When a person is troubled by such hair growth and unable to control the hair growth cosmetically, this can be enough to qualify their condition as excessive hair growth and they can seek treatment.
  • #28 Hirsutism: Causes, Symptoms, and Treatment | Doctor
    https://patient.info/doctor/hirsutism
    Other abnormalities associated with excessive levels of androgen are cardiovascular disease, dyslipidaemia, glucose intolerance/insulin resistance and hypertension. Acanthosis nigricans, a marker for insulin resistance, may also be present. […] Hirsutism may have a detrimental impact on a woman’s body image. […] Facial hirsutism may cause considerable emotional distress and social embarrassment to women; hirsutism exceeding culturally normal levels can be very distressing. […] Hirsutism is commonly associated with lower quality of life and symptoms of anxiety and depression.
  • #29 Hirsutism – Wikipedia
    https://en.wikipedia.org/wiki/Hirsutism
    Hirsutism is excessive body hair on parts of the body where hair is normally absent or minimal. It usually refers to a male pattern of hair growth in a female that may be a sign of a more serious medical condition, especially if it develops well after puberty. Cultural stigma against hirsutism can cause much psychological distress and social difficulty. Discrimination based on facial hirsutism often leads to the avoidance of social situations and to symptoms of anxiety and depression. Hirsutism is usually the result of an underlying endocrine imbalance, which may be adrenal, ovarian, or central. It can be caused by increased levels of androgen hormones. The amount and location of the hair is measured by a Ferriman-Gallwey score. It is different from hypertrichosis, which is excessive hair growth anywhere on the body. Hirsutism affects between 5 and 15% of women across all ethnic backgrounds. Depending on the definition and the underlying data, approximately 40% of women have some degree of facial hair. About 10 to 15% of cases of hirsutism are idiopathic with no known cause. The causes of hirsutism can be divided into endocrine imbalances and non-endocrine etiologies. If hair growth follows a male distribution, it could indicate the presence of increased androgens or hyperandrogenism. Diagnosis of patients with even mild hirsutism should include assessment of ovulation and ovarian ultrasound, due to the high prevalence of polycystic ovary syndrome (PCOS). Hirsutism is a clinical diagnosis of excessive androgenic, terminal hair growth. Treatment of hirsutism is indicated when hair growth causes patient distress. The two main approaches to treatment are pharmacologic therapies targeting androgen production/action, and direct hair removal methods including electrolysis and photo-epilation.
  • #30 Patient education: Hirsutism (excess hair growth in females) (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/hirsutism-excess-hair-growth-in-females-beyond-the-basics
    Several different conditions can lead to hirsutism. The two most common causes of hirsutism are polycystic ovary syndrome (PCOS) and idiopathic hirsutism. […] Females with PCOS often have hirsutism in combination with irregular menstrual cycles. […] When cycles are this irregular, it usually means that a female is not ovulating on a regular basis. […] Hirsutism is associated with depression and anxiety (independent of obesity and a PCOS diagnosis) that improve with the treatment of their hirsutism. […] The treatment of hirsutism requires patience because hair follicles have a life cycle of approximately six months. Most medications must be taken for six months before a noticeable improvement occurs. […] Treatment for hair growth related to PCOS may also involve lifestyle changes including weight loss, treatment of infertility, diabetes, and risk factors for cardiovascular disease.
  • #31 Hirsutism: Causes, Symptoms, and Treatment | Doctor
    https://patient.info/doctor/hirsutism
    Other abnormalities associated with excessive levels of androgen are cardiovascular disease, dyslipidaemia, glucose intolerance/insulin resistance and hypertension. Acanthosis nigricans, a marker for insulin resistance, may also be present. […] Hirsutism may have a detrimental impact on a woman’s body image. […] Facial hirsutism may cause considerable emotional distress and social embarrassment to women; hirsutism exceeding culturally normal levels can be very distressing. […] Hirsutism is commonly associated with lower quality of life and symptoms of anxiety and depression.
  • #32 Hirsutism Causes, Symptoms, and Treatments
    https://www.upmc.com/services/womens-health/conditions/hirsutism
    Hirsutism is a medical condition that causes women to have excessive hair growth in a male pattern on their face, chest, and back. […] The main symptom of hirsutism is stiff or dark hair appearing on the body where women don’t commonly have hair. Primarily, this includes the face, chest, lower abdomen, inner thighs, and back. […] When hirsutism is caused by high androgen levels, other signs may develop over time. This process is called virilization. […] Signs of virilization include: Acne. Balding. Decreased breast size. Deepening voice. Enlargement of the clitoris. Increased muscle mass. […] Call your doctor if you experience excessive or rapid hair growth on your face or body, or signs of virilization, over a few months. […] Hirsutism treatment often focuses on hair removal, rather than on what’s causing the abnormal hair growth. Many women feel self-conscious, embarrassed, and anxious about hirsutism and PCOS facial hair. […] Weight loss may improve unwanted hair growth. People with hirsutism and PCOS should consider making lifestyle changes to improve their overall health.
  • #33 Hirsutism – Symptoms & causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hirsutism/symptoms-causes/syc-20354935
    Hirsutism (HUR-soot-iz-um) is a condition in women that results in excessive growth of dark or coarse hair in a male-like pattern face, chest and back. […] Hirsutism is excess hair most often noticeable around the mouth and chin. […] With hirsutism, extra hair growth often arises from excess male hormones (androgens), primarily testosterone. […] Hirsutism is stiff or dark body hair, appearing on the body where women don’t commonly have hair primarily the face, chest, lower abdomen, inner thighs and back. People have widely varying opinions on what’s considered excessive. […] When high androgen levels cause hirsutism, other signs might develop over time, a process called virilization. Signs of virilization might include: Deepening voice, Balding, Acne, Decreased breast size, Increased muscle mass, Enlargement of the clitoris.
  • #34 Hirsutism Explained: Get the Expert-Backed Insights You Need
    https://fluentinhealth.com/blog/hirsutism-explained-get-expert-backed-insights
    Hirsutism is when women experience excessive, thick, dark, and coarse hair growth in areas where they typically have lighter, finer hair (like peach fuzz), such as the face, chest, abdomen, back, and thighs. While some hair growth in these areas is normal, hirsutism symptoms can be characterised by more than usual thickness, darkness, or abundance of hair. […] Hirsutism, characterised by excessive thick, dark hair growth, can manifest on various body parts. This includes the face, with prominent areas like the upper lip, chin, sideburns, and chest, particularly around the nipples and lower abdomen. The back, encompassing the upper back, shoulders, and stomach, may also be affected. Furthermore, hirsutism can extend to other regions, such as the tummy, lower back, buttocks, and thighs, leading to a noticeable change in hair thickness and colour.
  • #35 PCOS Facial Hair: Why it Happens and How to Deal With It — PCOS Awareness Association
    https://www.pcosaa.org/pcos-and-unwanted-hair
    Hirsutism is the excessive growth of facial or body hair on women. Hirsutism and unwanted PCOS facial hair are very common with polycystic ovary syndrome. Hirsutism can be seen as coarse, dark hair that may appear on the face, chest, abdomen, back, upper arms, or upper legs. Hirsutism is a symptom of medical disorders associated with the hormones called androgens. […] Hirsutism is very common and often improves with medical management. Prompt medical attention is important because delaying treatment makes the treatment more difficult and may have long-term health consequences. […] An overabundance of facial and body hair is usually the result of excess androgens in your body. […] If your hair follicles are hormone-sensitive, androgens may cause some vellus hairs to change to terminal hairs. Terminal hair is longer, darker, and more coarse than vellus hair, and grows faster and thicker.
  • #36 Hirsutism: Causes, Treatments for Excessive Hairiness in Women
    https://www.webmd.com/women/hirsutism-hair-women?page=1
    Hirsutism is a condition in women and people assigned female at birth (AFAB) that causes a lot of hair growth. The hair typically grows in areas where it usually appears in men or people assigned male at birth (AMAB). […] With hirsutism, extra hair will grow on your: Face, Chest, Lower stomach, Inner thighs, Back. […] Virilization is a process in which women and people AFAB develop male traits. It can happen when people with hirsutism have high hormone levels. Signs of virilization include: A deep voice, Balding, Acne, More muscle mass, Smaller breasts, An enlarged clitoris. […] Hirsutism causes excessive hair growth, mainly in women and people AFAB. Though the symptoms of this condition can feel embarrassing, there are treatments available if you want to lessen the amount of facial and body hair. […] If left untreated, hirsutism can contribute to mental health problems like depression, anxiety, low self-esteem, poor body image, and more.
  • #37 Hirsutism (Excessive Hair Growth in Women): Causes, Treatment
    https://www.healthline.com/health/excessive-or-unwanted-hair-in-women
    Hirsutism, which causes excessive facial hair growth in cisgender females, is typically caused by an increase in hormones called androgens. Its fairly common and affects between 5 to 10 percent of women. […] The presence of excess body hair can lead to feelings of self-consciousness, but the condition itself isnt necessarily dangerous. However, the hormonal imbalance that can lead to it may complicate a persons health. […] Women can develop excessive body or facial hair due to higher-than-normal levels of androgen hormones. These hormones include testosterone and androstenedione. […] In some cases, women may experience idiopathic hirsutism, which means that theres no detectable cause for why the hirsutism developed. Its usually chronic and may be harder to treat. […] Excessive body and facial hair due to hirsutism can be a long-term challenge. Most women with diagnosed hormonal imbalances respond well to treatment, but the hair can grow back if their hormone levels become out of sync again. […] Conditions that cause hirsutism, such as PCOS or adrenal gland disorders, may require lifelong treatment.
  • #38 Hirsutism – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK470417/
    Hirsutism is an androgen-dependent disorder resulting from the interaction between circulating androgen levels and the sensitivity of the hair follicle to androgens. […] The severity of hirsutism can be quantified based on the Ferriman and Gallwey system, which evaluates nine areas of the body. For each, one assigns points from 1 to 4 are assigned according to the density of hair, ranging from the absence of hair to severe hirsutism. One can then calculate a total score; if it is greater than 7, the maximum being 36, it is considered abnormal. Other common symptoms associated with excess androgens are acne, menstrual irregularities, the temporal recession of the hairline and frontal alopecia. […] Hirsutism has significant morbidity and some women with a malignant cause tend to have a very poor prognosis. Postmenopausal hirsutism has been associated with a high risk of osteoporosis and fractures.
  • #39 Hirsutism in Women (Excess Body Hair Growth)
    https://healthlibrary.uwmedicine.org/Wellness/Nutrition/85,P00327
    Hirsutism is excess hair growth on the body or face. For women, the hair may grow in areas where men often have a lot of hair but women often don’t. This includes the upper lip, chin, chest, and back. It’s caused by an excess of male hormones called androgens. All women naturally produce small amounts of androgens. But high levels of these hormones can lead to hirsutism. […] Symptoms can occur a bit differently in each person. They include darker or thicker hairs growing on parts of the body such as: Upper lip, Chin, Jawline, Chest, Back, Buttocks. […] The symptoms of hirsutism can look like other health conditions. See your healthcare provider for a diagnosis. […] Hirsutism is often a long-term (chronic) condition. But you can manage it by working with your healthcare provider to create a treatment plan.
  • #40 Hirsutism in Women (Excess Body Hair Growth)
    https://healthlibrary.overlakehospital.org/Library/News/Headlines/85,P00327
    Hirsutism is excess hair growth on the body or face. For women, the hair may grow in areas where men often have a lot of hair but women often don’t. This includes the upper lip, chin, chest, and back. It’s caused by an excess of male hormones called androgens. All women naturally produce small amounts of androgens. But high levels of these hormones can lead to hirsutism. […] Symptoms can occur a bit differently in each person. They include darker or thicker hairs growing on parts of the body such as: Upper lip, Chin, Jawline, Chest, Back, Buttocks. […] Hirsutism is often a long-term (chronic) condition. But you can manage it by working with your healthcare provider to create a treatment plan. […] Hirsutism is excess hair growth on the body or face. It’s caused by excess hormones called androgens.
  • #41 Excessive or unwanted hair in women: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/007622.htm
    Most of the time, women have fine hair above their lips and on their chin, chest, abdomen, or back. The growth of coarse dark hair in these areas (more typical of male-pattern hair growth) is called hirsutism. […] The main symptom of this condition is the presence of coarse dark hair in areas that are sensitive to male hormones. These areas include: […] Hair follicles grow for about 6 months before falling out. Therefore, it takes many months of taking medicine before you will notice a decrease in hair growth. […] Most of the time, hirsutism does not cause health problems. But many women find it bothersome or embarrassing.
  • #42 Hirsutism – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/hirsutism/diagnosis-treatment/drc-20354941
    Tests that measure the amount of certain hormones in your blood, including testosterone or testosterone-like hormones, might help determine whether elevated androgen levels are causing your hirsutism. […] Treatment of hirsutism with no sign of endocrine disorder is not necessary. For women who do need or seek treatment, it may involve treating any underlying disorder, developing a self-care routine for unwanted hair, and trying various therapies and medications. […] If cosmetic or self-care methods of hair removal haven’t worked for you, talk with your doctor about drugs that treat hirsutism. With these medications it usually takes up to six months, the average life cycle of a hair follicle, before you see a significant difference in hair growth. […] The most commonly used anti-androgen for treating hirsutism is spironolactone (Aldactone, CaroSpir). The results are modest and take at least six months to be noticeable.
  • #43 Hirsutism and the menstrual cycle
    https://helloclue.com/articles/cycle-a-z/hirsutism-and-the-menstrual-cycle
    Mild hirsutism is considered a score below 15, while severe hirsutism describes individuals who score above 25. […] Healthcare providers can offer a few options for treating hirsutism. […] The treatments available will depend partly on the cause of the hair growth, and partly on the impact it has on a person’s life. […] Sometimes people with hirsutism are given medications like the birth control pill to help stabilize their hormones; sometimes healthcare providers will treat the hormonal imbalance directly with androgen blockers. […] Most anti-androgen treatments will show an effect within six months, but healthcare providers usually wait nine to twelve months before deciding if treatment has been effective for their patient. […] If facial and body hair is unwanted, some people may also struggle with social and emotional difficulties. […] As a group, people diagnosed with hirsutism tend to struggle with anxiety, depression, and body discomfort at higher rates than other folks.
  • #44 PCOS Facial Hair: Why it Happens and How to Deal With It — PCOS Awareness Association
    https://www.pcosaa.org/pcos-and-unwanted-hair
    To curb hirsutism (excess hair), Dr. Andrea Dunaif from Northwestern University typically starts patients with spironolactone. A 6-month trial is needed to show effects on unwanted hair, and she usually starts women at a higher dose. The unwanted hair doesnt disappear; it grows in finer and lighter. […] If you are diagnosed with hirsutism or have unwanted PCOS facial hair, your goals and concerns can be addressed in a relatively short period of time, and treatment often is successful.
  • #45 Hirsutism (Excessive Hair Growth in Women): Causes, Treatment
    https://www.healthline.com/health/excessive-or-unwanted-hair-in-women
    Hirsutism, which causes excessive facial hair growth in cisgender females, is typically caused by an increase in hormones called androgens. Its fairly common and affects between 5 to 10 percent of women. […] The presence of excess body hair can lead to feelings of self-consciousness, but the condition itself isnt necessarily dangerous. However, the hormonal imbalance that can lead to it may complicate a persons health. […] Women can develop excessive body or facial hair due to higher-than-normal levels of androgen hormones. These hormones include testosterone and androstenedione. […] In some cases, women may experience idiopathic hirsutism, which means that theres no detectable cause for why the hirsutism developed. Its usually chronic and may be harder to treat. […] Excessive body and facial hair due to hirsutism can be a long-term challenge. Most women with diagnosed hormonal imbalances respond well to treatment, but the hair can grow back if their hormone levels become out of sync again. […] Conditions that cause hirsutism, such as PCOS or adrenal gland disorders, may require lifelong treatment.
  • #46 Hirsutism Guide: Causes, Symptoms and Treatment Options
    https://www.drugs.com/health-guide/hirsutism.html
    Hirsutism is excessive hair growth in certain areas of a woman’s face and body, such as the mustache and beard area, that creates a „male pattern” of hair. […] A woman with the mildest form of hirsutism may notice significant growth of hair that is mature (the same color as scalp hair) on the upper lip, chin, sideburn area, around the nipples or lower abdomen. More advanced hirsutism will cause mature hair to grow on the upper back, shoulders, sternum and upper abdomen. It most often begins during puberty. If hirsutism starts before or after puberty, the cause could be hormonal and the woman should be evaluated by a doctor. […] Most causes of hirsutism create a tendency to have lifelong excessive hair growth. However, many women will have a satisfactory response to medical treatment if they continue the therapy for several months or longer. […] If you have excessive, male-pattern hair growth or unusually rapid growth of male-pattern hair in a short period of time, you should see a medical professional.
  • #47 Patient education: Hirsutism (excess hair growth in females) (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/hirsutism-excess-hair-growth-in-females-beyond-the-basics
    Several methods can be used to physically remove or lighten excess hair so that it less noticeable. […] Electrolysis and laser are both called „permanent hair reduction” techniques. […] Most of these medications must be taken for at least six months before improvement is detectable, and not all medications are equally effective in all females. […] Combined estrogen-progestin contraceptive pills, rings, and patches lower the levels of androgens produced by the ovaries and adrenal glands. […] Antiandrogens are medications that directly decrease androgen production or block the action of androgens on the hair follicle. […] Over time, many females find that a multipronged approach that includes direct hair removal (such as laser), suppression of androgen production with estrogen-progestin contraceptives and androgen blockade with an antiandrogen (spironolactone) may produce the maximal reduction in bothersome hair growth.
  • #48 Hirsutism: Causes, Symptoms, Diagnosis & Treatment | Excessive Hair Growth
    https://www.drshivahk.com/hirsutism/
    Hirsutism is a medical condition characterized by excessive hair growth which is dark or coarse (like men have) in women in areas where hair growth is usually minimal or absent, such as the face, chest, and back. It can result in physical and emotional discomfort and can negatively impact a womans self-esteem. It is due to the presence of excess male hormone testosterone. […] As androgens levels rise, you may notice other symptoms emerge; this is known as virilization. The signs include- Irregular periods, Acne or oily skin, Deepening of the voice, Decrease in breast size, Enlargement of the clitoris, Thinning hair on the head. […] It is important to consult a doctor to determine the underlying cause of hirsutism and to receive appropriate treatment. Hirsutism can be a symptom of a larger medical issue, and prompt diagnosis and treatment can help prevent further complications.