Grading of Hirsutism in Females: A Pilot Study

Hirsutism is a common clinical manifestation of hyperandrogenism in women of reproductive age and may indicate underlying endocrine disorders such as polycystic ovary syndrome and thyroid dysfunction. Despite its clinical and psychosocial implications, data on its prevalence and severity in young, non-clinical populations remain limited.

To assess and grade the severity of hirsutism among young females aged 18-24 years using the modified Ferriman-Gallwey (mFG) scoring system.

A pilot quantitative cross-sectional study was conducted among 25 young females using convenience sampling in a selected college in Kerala, India. Data on sociodemographic characteristics, menstrual history, comorbidities, and cosmetic practices were collected using a semi-structured proforma. Hirsutism severity was evaluated using the mFG scoring scale. Participants were provided with a standardised scoring sheet and asked to assess their body hair growth visually.

The findings revealed that 48% of participants had normal scores, 32% had mild, and 20% had moderate-to-severe hirsutism. A considerable proportion reported menstrual irregularities and endocrine comorbidities, particularly polycystic ovary syndrome and thyroid disorders, consistent with existing literature.

Hirsutism is common among young females and may be associated with underlying endocrine dysfunction. Early screening using simple tools like the mFG score and multidisciplinary evaluation is essential, while larger studies are required to validate these findings.