Fifteen-Minute Consultation: Approach to the Adolescent Presenting with Hirsutism

    January 2023 in “ Archives of Disease in Childhood Education & Practice ”
    Alexandra Selina Cross, Manar Moustafa, Charlotte Elder
    TLDR Hirsutism in teens is often due to polycystic ovarian syndrome and needs careful assessment and support.
    Hirsutism, characterized by unwanted terminal hair growth in androgen-dependent areas, is frequently encountered by paediatricians, dermatologists, and endocrinologists. The most common cause is polycystic ovarian syndrome, though its diagnosis in adolescents can be difficult due to overlapping features with normal adolescent development. Other rare causes include non-classic congenital adrenal hyperplasia and androgen-secreting tumors. Hirsutism can significantly impact psychological well-being. This article outlines the causes of hirsutism, introduces a new assessment tool, and provides guidance on investigation and management strategies, including recommendations for psychological support.
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