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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 review offers an endocrine approach to diagnosing and managing this condition, addressing its causes and patient distress.
Area of Science:
- Endocrinology
- Dermatology
Background:
- Hirsutism is excessive terminal hair growth in women, mimicking male patterns.
- Affecting 5-10% of reproductive-age women, it causes significant psychological distress.
- Common causes include polycystic ovarian syndrome (PCOS), endocrine disorders, or medication side effects.
Purpose of the Study:
- To provide an endocrine perspective on the evaluation of hirsutism.
- To outline management strategies for hirsutism from an endocrine viewpoint.
Main Methods:
- Review of current endocrine literature on hirsutism.
- Discussion of diagnostic criteria and hormonal evaluation.
Main Results:
- Hirsutism stems from excess androgens, often from ovarian or adrenal origins.
- Association with metabolic syndrome, particularly PCOS, is common.
- Idiopathic and medication-induced hirsutism are also recognized.
Conclusions:
- Comprehensive endocrine evaluation is crucial for identifying the cause of hirsutism.
- Tailored management strategies are essential for addressing both the symptoms and underlying causes.
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