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1. Hirsutism: What It Is, In Women, Causes and Treatment
Introduction
Hirsutism is a condition characterized by excessive hair growth in women. While some hair
growth is normal, hirsutism refers to the growth of coarse and dark hair in areas where men
typically have hair, such as the face, chest, and back. This article aims to provide an overview of
hirsutism, its causes, and available treatment by any best dermatologist options.
Understanding Hirsutism
Hirsutism is a condition characterized by the excessive growth of hair in areas that are typically
associated with male hair growth patterns. This includes the face, chest, abdomen, back, and
upper arms. While some hair growth is normal in women, hirsutism refers to hair that is thick,
coarse, and dark.
Definition of Hirsutism
Hirsutism is defined as the presence of terminal hairs in women in a male-like pattern. Terminal
hairs are the thick, coarse hairs that grow on the scalp, eyebrows, and other body parts. When
these hairs appear in areas more typical of male hair growth, it is considered hirsutism.
Prevalence of Hirsutism
Hirsutism is a relatively common condition affecting women. It is estimated that approximately
5-10% of women experience hirsutism to some degree. The severity of hirsutism can vary,
ranging from mild to moderate or severe.
Psychological Impact of Hirsutism
Hirsutism can have a significant psychological impact on women. The visible presence of excess
hair can lead to feelings of self-consciousness, embarrassment, and lowered self-esteem. It may
also result in social and emotional distress, affecting various aspects of a woman's life.
Causes of Hirsutism
Hirsutism can be caused by various factors, including hormonal imbalances, underlying medical
conditions, medications, and idiopathic reasons.
Hormonal Imbalances
Hormonal imbalances, such as an increased level of androgens (male hormones) in the body,
can lead to hirsutism. Androgens stimulate the growth of hair follicles in a male pattern,
resulting in excess hair growth in women.
Polycystic Ovary Syndrome (PCOS)

2. PCOS is a common hormonal disorder that can cause hirsutism. In PCOS, the ovaries produce
higher levels of androgens, leading to hirsutism and other symptoms like irregular periods, acne,
and weight gain.
Adrenal Gland Disorders
Certain disorders affecting the adrenal glands, such as congenital adrenal hyperplasia and
Cushing's syndrome, can result in hirsutism. These conditions disrupt the balance of hormones
in the body, leading to excessive hair growth.
Medications
Some medications can cause hirsutism as a side effect. These may include certain steroids,
hormone-based medications, and medications used to treat certain health conditions.
Idiopathic Hirsutism
In some cases, the exact cause of hirsutism may not be identified. This is referred to as
idiopathic hirsutism. It is believed that in these cases, the hair follicles may be more sensitive to
normal levels of androgens.
Diagnosis of Hirsutism
To diagnose hirsutism, healthcare professionals consider a woman's medical history, perform a
physical examination, and conduct various tests to identify the underlying cause.
Medical History and Physical Examination
The healthcare provider will ask about the pattern, duration, and progression of hair growth, as
well as any other symptoms. They will also perform a physical examination by any best
dermatologist in Lahore to evaluate the extent of hair growth and check for other signs of
hormonal imbalances.
Hormonal Testing
Hormonal testing involves blood tests to measure hormone levels, including androgens,
estrogen, and other relevant hormones. This helps identify any hormonal imbalances that may
be causing hirsutism.
Imaging Studies
In some cases, imaging studies such as ultrasound may be recommended to examine the
ovaries and adrenal glands for any abnormalities or tumors.
Treatment Options for Hirsutism

3. The treatment of hirsutism aims to manage hair growth, address underlying hormonal
imbalances, and improve the psychological well-being of the affected individual. Treatment
options may include:
Lifestyle Changes
Lifestyle changes such as maintaining a healthy weight, regular exercise, and a balanced diet
may help manage hirsutism, particularly in cases associated with PCOS.
Medications
Certain medications, such as anti-androgens and oral contraceptives, may be prescribed to
regulate hormone levels and reduce hair growth. These medications work by blocking the
effects of androgens or reducing their production.
Hair Removal Techniques
Various hair removal techniques can be used to manage excessive hair growth, including
shaving, waxing, threading, and depilatory creams. These methods provide temporary results
and need to be repeated regularly.
Hormonal Therapy
Hormonal therapy, such as the use of oral contraceptives or anti-androgen medications
prescribed by any best dermatologist, can help regulate hormone levels and reduce hair growth
in some cases.
Cosmetic Procedures
Cosmetic procedures like laser hair removal and electrolysis offer more long-term solutions for
hirsutism. These treatments target the hair follicles and inhibit their growth, resulting in
reduced hair density and finer regrowth.
Self-Care and Coping Strategies
In addition to medical treatments, self-care and coping strategies can help individuals manage
the emotional and practical aspects of living with hirsutism.
Emotional Support
Seeking support from friends, family, or support groups can provide emotional support and a
sense of belonging. Counseling or therapy can also help individuals cope with the psychological
impact of hirsutism.
Skin Care and Hair Management

4. Proper skin care can help manage any skin-related issues associated with hirsutism, such as
acne or ingrown hairs. Hair management techniques, like styling or using concealers, can also
help individuals feel more comfortable and confident.
Psychological Therapy
In some cases, psychological therapy may be beneficial in addressing body image concerns, self-
esteem issues, and any associated anxiety or depression.
Frequently Asked Questions (FAQs)
1. Can hirsutism be cured completely?
Hirsutism can be managed and controlled with appropriate treatment by any best
dermatologist. However, complete cure may not be possible in all cases.
2. Does hirsutism affect fertility?
Hirsutism itself doesn't directly affect fertility. However, underlying conditions like PCOS, which
can cause hirsutism, may affect fertility.
3. Are there any natural remedies for hirsutism?
While natural remedies like spearmint tea and turmeric may have some anecdotal benefits,
they are not proven to effectively treat hirsutism. It's best to consult with a healthcare
professional for appropriate treatment options.
Conclusion
Hirsutism, characterized by excessive hair growth in women, can have significant physical and
emotional impacts. Understanding the causes and available treatment options is crucial in
managing this condition effectively. By addressing hormonal imbalances, adopting appropriate
lifestyle changes, and utilizing medical treatments, individuals with hirsutism can achieve better
control over hair growth and improve their overall well-being.