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A practical approach to hirsutism

V J Gilchrist¹, B R Hecht

¹Northeastern Ohio Universities College of Medicine, Rootstown, USA.

American Family Physician

|November 1, 1995

Summary

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Excess body or facial hair in women can be normal or indicate hirsutism. Evaluation involves checking for androgen-producing tumors, with treatment options including local measures and antiandrogen therapy.

Area of Science:

Endocrinology
Dermatology

Background:

Excess body or facial hair is a common concern for women.
This condition, known as hirsutism, can stem from various causes, including hormonal imbalances or increased follicle sensitivity.
It is crucial to differentiate between normal hair growth and pathological hirsutism.

Purpose of the Study:

To outline the evaluation and management of hirsutism in women.
To highlight the importance of identifying underlying causes of androgen excess.
To discuss current treatment strategies for hirsutism.

Main Methods:

Review of current medical literature on hirsutism.
Discussion of diagnostic approaches for evaluating excess androgens.
Analysis of treatment options for hirsutism.

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Main Results:

Hirsutism can be idiopathic, linked to androgen excess (exogenous, ovarian, or adrenal), or increased follicle sensitivity.
Evaluation must include screening for androgen-producing tumors.
Extensive diagnostic workups beyond tumor exclusion remain controversial.

Conclusions:

Effective management of hirsutism requires identifying and addressing the underlying cause.
Treatment modalities include local hair removal, antiandrogenic therapies, and addressing the source of androgen excess.
A targeted diagnostic approach is recommended, balancing thoroughness with avoiding unnecessary investigations.