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Endocrine evaluation of hirsutism
John Mihailidis1, Racha Dermesropian1, Pamela Taxel1
1University of Connecticut Medical Center, Division of Endocrinology and Metabolism, Department of Medicine, Farmington, CT.
International Journal of Women'S Dermatology
|May 12, 2017
Summary
Hirsutism, excessive male-pattern hair growth in women, affects 5-10% of reproductive-age individuals. This article offers an endocrine approach to evaluating and managing this condition, often linked to polycystic ovarian syndrome (PCOS).
Area of Science:
- Endocrinology
- Dermatology
Background:
- Hirsutism is characterized by excessive terminal hair growth in a male pattern among women.
- It impacts 5-10% of women of reproductive age, causing significant psychological distress.
- Hirsutism is a frequent reason for seeking medical advice for cosmetic and therapeutic solutions.
Purpose of the Study:
- To provide an endocrine perspective on the evaluation and management of hirsutism.
- To outline diagnostic approaches for hirsutism.
- To discuss therapeutic strategies for hirsutism.
Main Methods:
- Review of endocrine principles related to hirsutism.
- Discussion of common causes including polycystic ovarian syndrome (PCOS), idiopathic, and medication-induced hirsutism.
- Outline of diagnostic workup for androgen excess.
Main Results:
- Hirsutism stems from excess androgen production, often from ovarian or adrenal origins.
- Polycystic ovarian syndrome (PCOS) is a common associated condition.
- Idiopathic and medication-induced hirsutism are also recognized causes.
Conclusions:
- Effective management of hirsutism requires understanding its endocrine basis.
- A systematic endocrine evaluation is crucial for identifying the underlying cause.
- Treatment strategies should be tailored to the specific etiology of hirsutism.
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