Description
Hirsutism is the excessive growth of hair on a woman's face and body. The hair is coarse and colored and resembles a male pattern of hair growth. Hair growth can be stimulated by the excessive production of male sex hormones called androgens. Also, certain medications such as progestins (a type of birth control pill) and those used to treat nausea, bipolar disorder, seizures, high blood pressure and migraine headaches can cause the abnormal hair growth. Certain medical conditions of the ovaries (polycystic ovarian disease), adrenal and pituitary glands cause abnormal production of androgens.
Symptoms
Symptoms include coarse, colored hair growth on the lip, face, nipples and lower abdomen. More severe cases may develop hair on the chest, shoulders and back.
Tests
Common tests used for diagnosis and treatment
Workup:
A complete history and physical exam will be performed. The diagnosis can usually be made based on exam findings and historical information. Lab tests may be performed to determine underlying cause.
Other Specific Tests: Testosterone Free and Total, DHEA
Specialists:
Internal Medicine, Dermatology, Endocrinology, Plastic Surgery, Family Practice, Clinical Genetics, Telemedicine Dermatology
Workup:
A complete history and physical exam will be performed. The diagnosis can usually be made based on exam findings and historical information. Lab tests may be performed to determine underlying cause.
Other Specific Tests: Testosterone Free and Total, DHEA
Specialists:
Internal Medicine, Dermatology, Endocrinology, Plastic Surgery, Family Practice, Clinical Genetics, Telemedicine Dermatology
Treatment
Treatment is directed at the underlying cause of hirsutism. Cosmetic treatments such as waxing, electrolysis and laser hair removal are used. Female hormone medications such as birth control pills and anti-androgen (male hormone) medications such as spironolactone (Aldactone) have been used with success.