Idiopathic Hirsutism: Excessive Bodily and Facial Hair in Women

The 2008 document discusses idiopathic hirsutism (IH), a condition affecting 5-15% of women, characterized by excessive body and facial hair growth in areas typically with minimal or no hair. Women with IH generally have normal menstrual cycles and testosterone levels. The condition is diagnosed by ruling out other causes of hirsutism and may be due to increased local skin 5-alpha-reductase activity. Treatment options include hormonal therapies like oral contraceptives and antiandrogens such as cyproterone acetate and spironolactone, which have shown effectiveness in reducing hirsutism scores. Metformin and eflornithine cream are also mentioned as treatments that can improve symptoms. Mechanical hair removal methods, particularly laser epilation, are effective but work best on dark hair and fair skin. The document highlights the emotional impact of IH and the importance of a thorough evaluation, including an endocrinological examination and ultrasound to exclude conditions like PCOS. It notes that while treatments can reduce hair growth, they cannot completely reverse it, and it may take 6-8 months to see effects.