A Clinico-Etiological Evaluation of Hirsutism Patients: A Case Series

    Surendra Kumar Patel, J. B. Dave, Timir Y. Mehta
    TLDR The conclusion is that hirsutism is strongly linked to PCOS and higher levels of certain hormones, but not to DHEAS, prolactin, cortisol, or TSH.
    This study evaluated five female patients aged 16 to 22 years diagnosed with hirsutism, focusing on clinical presentation, ultrasound imaging, and hormonal evaluation. The ultrasound revealed that one patient had a bulky ovary, while four had multiple ovarian follicles. Hormonal assessments showed elevated levels of 17-OHP, serum testosterone, and serum insulin in some patients, with one patient having a high LH: FSH ratio. The study found a strong correlation between hirsutism and elevated levels of these hormones, but no significant correlation with DHEAS, serum prolactin, serum cortisol, and serum TSH levels. The findings suggest a link between polycystic ovary syndrome (PCOS) and hirsutism.
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