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Hirsutism

Hirsutism

Hirsutism is a condition in women that results in excessive growth of dark or coarse hair in a male-like pattern face, chest and back.
With hirsutism, extra hair growth often arises from excess male hormones (androgens), primarily testosterone.
Self-care methods and effective treatment options are available for women who wish to treat hirsutism.

Symptoms

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

Causes

  • Polycystic ovary syndrome (PCOS). This condition, which often begins with puberty, causes an imbalance of sex hormones. Over years, PCOS may slowly result in excess hair growth, irregular periods, obesity, infertility and sometimes multiple cysts on the ovaries.
  • Cushing syndrome. This occurs when your body is exposed to high levels of the hormone cortisol. It can develop from your adrenal glands making too much cortisol or from taking medications such as prednisone over a long period.
  • Congenital adrenal hyperplasia. This inherited condition is characterized by abnormal production of steroid hormones, including cortisol and androgen, by your adrenal glands.
  • Tumors. Rarely, an androgen-secreting tumor in the ovaries or adrenal glands can cause hirsutism.
  • Medications. Some medications can cause hirsutism. These include minoxidil (Minoxidil, Rogaine); danazol, which is used to treat women with endometriosis; testosterone (Androgel, Testim); and dehydroepiandrosterone (DHEA). If your partner uses topical products containing androgens, you can be affected as well, through skin-to-skin contact.