Hirsutism: Diagnosis and Management

The document reviewed the condition of hirsutism, which is excessive hair growth in women, and its impact on quality of life. It discussed the various potential causes, including idiopathic hirsutism, functional ovarian hyperandrogenism, congenital adrenal hyperplasia, and Cushing's syndrome. The document noted that idiopathic hirsutism accounts for about half of mild cases. Diagnostic approaches include history taking, physical examination, and laboratory tests for serum testosterone and DHEAS levels. Treatment options range from oral contraceptives and antiandrogens to insulin-sensitizing agents, topical treatments, and physical hair removal methods. The document also mentioned the lack of evidence for complementary and alternative medicine treatments like saw palmetto. The importance of diagnosing hirsutism was emphasized due to its psychological effects and as an indicator of possible underlying health issues.