Hirsutism

    Tülay Karasu, Mostafa Metwally
    TLDR Hirsutism, excessive hair growth in women, is often caused by polycystic ovarian syndrome and is treated by targeting the cause, lifestyle changes, and medication.
    Hirsutism, characterized by excess terminal hair growth in a male pattern distribution, was discussed as a distressing condition for women, sometimes linked to serious pathology. The article reviewed the physiology of hair growth, with polycystic ovarian syndrome (PCOS) identified as the most common cause. Other causes related to disordered androgen metabolism were also examined. Treatment strategies included addressing the underlying cause, lifestyle modifications like weight loss, and cosmetic measures for existing hair. Pharmacological interventions, primarily the combined oral contraceptive pill, were used to prevent new hair growth, with anti-androgens reserved for severe cases.
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