Hirsutism

Hirsutism is defined as the presence of excessive terminal hair in androgen-sensitive areas of the female body , it is one of the most common disorders in women during the reproductive age ( H.F Escober-Morreale et al 2012 )

How common -the prevalence of hirsutism is about 10 % in most populations a common reason for presentation in dermatology OP's for cosmetic reasons Far-East Asian women suffer less frequently

Causes -Number of conditions which can lead to hirsutism is extensive , as a primary care clinician a knowledge of the main causes and primary underlying pathology would suffice . Many women who have hirsutism would be endocrinologically normal , our aim is to identify women who would benefit from an endocrinological evaluation , investigations and treatment . Uncomplicated cases are managed in primary care.

PCOS and IH together account for about 90 % of cases of hirsutism.

Polycystic Ovarian Syndrome -PCOS is the commonest cause of hirsutism and affects about 70-80 % of women it is thought that 60-80 % of women with hirsutism have androgen excess ie testosterone -this can come from the ovaries or the adrenals Ovarian causes - PCOS and ovarian tumoursAdrenal causes - Cushing's syndrome ,...