TLDR Hirsutism in young girls can have causes other than PCOS, so diagnoses should be reassessed if treatments don't work.
The document discusses three cases of young females with hirsutism, highlighting the importance of considering varied etiologies beyond common causes like PCOS. Case 1 involved a 16-year-old diagnosed with late-onset congenital adrenal hyperplasia (LOCAH), presenting with oligomenorrhea and excessive facial hair. Case 2 was a 19-year-old with idiopathic hirsutism, who had been misdiagnosed with PCOS for 5 years. Case 3 described a 12-year-old with PCOS due to ovarian thecosis, exhibiting excessive hair growth and hoarseness. The study emphasizes the need to reassess diagnoses when initial treatments are ineffective, as hyperandrogenic disorders can present diversely in young females.
12 citations,
May 2005 in “Current obstetrics and gynaecology/Current obstetrics & gynaecology” Hirsutism is too much hair growth in women like the pattern in men, often caused by high male hormones, and can be treated with hormone control and hair removal methods.
97 citations,
July 2006 in “Dermatologic therapy” The document concludes that accurate diagnosis and personalized treatment are important for skin problems in women with PCOS.
21 citations,
December 2007 in “Primary Care” Early diagnosis and treatment of PCOS is crucial to reduce emotional distress and health risks.
26 citations,
March 2014 in “Arquivos Brasileiros De Endocrinologia E Metabologia” The document concludes that proper diagnosis and combined treatments are key for hirsutism management, and weight loss may help overweight patients.
27 citations,
January 2013 in “Indian Journal of Dermatology, Venereology and Leprology” PCOS is a complex disorder managed by treating symptoms and requires a team of specialists.
14 citations,
September 2007 in “Steroids” The study concluded that androstendione and DHEA are important for diagnosing high male hormone levels in women with excessive hair growth.
