Hirsutism

    Excessive growth of androgen dependent body hair in a female over face, chest, back and tummy is called Hirsutism

    Common causes

    • Polycystic ovarian syndrome(PCOS)
    • Idiopathic

    Others

    • Ovarian neoplasm
    • Insulin resistance syndromes
    • Congenital adrenal hyperplasia
    • Adrenal neoplasm
    • Obesity
    • Drug induced

    Work up

    • History
    • Physical examination
    • Hormone assay
      • Serum testosterone
      • 17 hydroxy progesterone
      • Dehydroepiandrosterone

    Management

    • Weight loss
    • Laser treatment
    • Topical treatment
    • Drugs ; anti androgens, oral contraceptives