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Hirsutism

Also known as Hypertrichosis, Hairiness, Pilosis, and Polytrichia

Hirsutism is the excessive hairiness on women in those parts of the body where terminal hair does not normally occur or is minimal - for example, a beard or chest hair. It refers to a male pattern of body hair (androgenic hair) and it is therefore primarily of cosmetic and psychological concern. Hirsutism is a medical sign rather than a disease and may be a sign of a more serious medical condition, especially if it develops well after puberty. The amount and location of the hair is measured by a Ferriman-Gallwey score.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with hirsutism, 82% report having unwanted hair, 32% report having unpredictable menstruation, and 32% report having acne or pimples. The symptoms that are highly suggestive of hirsutism are unwanted hair, unpredictable menstruation, acne or pimples, infertility, warts, skin moles, too little hair, and heavy menstrual flow, although you may still have hirsutism without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with hirsutism often receive hematologic tests, complete physical skin exam performed (ml), glucose measurement, examination of breast, hemoglobin a1c measurement, lipid panel, pelvis exam and other non-or therapeutic procedures on skin and breast .

Common Medications

The most commonly prescribed drugs for patients with hirsutism include eflornithine topical, spironolactone, drospirenone / ethinyl estradiol, ortho cyclen, hydroquinone topical, adapalene topical, tretinoin topical, modicon, betamethasone topical product, doxepin topical, l-methylfolate, ethinyl estradiol / ethynodiol and azelaic acid topical .

Who is at risk?

Groups of people at highest risk for hirsutism include sex == female age 15-29 years. On the other hand, age < 1 years almost never get hirsutism.

Age

< 1 years
0.0x
1-4 years
0.5x
5-14 years
0.8x
15-29 years
2.0x
30-44 years
1.5x
45-59 years
0.9x
60-74 years
0.2x
75+ years
0.3x

Sex

Male
0.1x
Female
1.7x

Race/Ethnicity

Black
1.1x
Hispanic
1.1x
White
1.0x
Other
0.6x
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