TLDR The girl has a hormonal imbalance causing increased hair growth and other male characteristics.
A 14-year-old girl presented with increasing hair growth on her face and trunk over the past 2 years, along with a deepening voice. She had normal breast and pubic hair development starting at age 11 and began menstruating at age 12, with periods occurring every 4 to 8 weeks. She was in good health, had no history of serious illness, and was not on any medications. Physical examination showed a well-nourished female with a deep voice, receding frontal hairline, and dark hair on her upper lip and chin, along with minimal facial acne. Her vital signs were normal, and she had always been the tallest in her class.
July 2015 in “Cambridge University Press eBooks” The document concludes that treatments for female hair loss and excess body hair are available, but managing expectations is important.
8 citations,
January 1996 in “Springer eBooks” Male pattern baldness may be caused by factors like poor blood circulation, scalp tension, stress, and hormonal imbalances, but the exact causes are still unclear.
January 2012 in “Human health handbooks” Traditional Indian remedies are used for hair health, but more scientific evidence is needed to prove their safety and effectiveness.
1 citations,
February 2017 in “Journal of gynecology and womens health” The document concluded that more research is needed to understand how estrogen affects the enzyme involved in hirsutism development.
2 citations,
November 2019 in “Case reports in women's health” Ovarian vein sampling helped diagnose rare ovarian tumors causing high testosterone, and surgery to remove the tumors lowered the testosterone levels.