Hirsutism Q&A

What is hirsutism?

Hirsutism is a condition in women defined by excessive, coarse hair growth in areas where men typically grow hair, such as the face, chest, back, and abdomen. This growth pattern results from higher-than-normal levels of androgens (male hormones) or increased sensitivity to these hormones in hair follicles.

What are the symptoms of hirsutism?

The severity of hair growth symptoms can vary, from mild to more noticeable. In addition to excessive hair growth, other possible symptoms associated with hirsutism may include:

  • Acne
  • Oily skin
  • Male-pattern baldness or thinning hair
  • Deepening of the voice
  • Increased muscle mass
  • Menstrual irregularities (if hirsutism is linked to a hormonal imbalance)

In some cases, these additional symptoms suggest an underlying hormonal imbalance or condition, which might require further evaluation.

What causes hirsutism?

Various factors can cause hirsutism, including:

Polycystic ovary syndrome (PCOS)

PCOS is the most common cause of hirsutism. It leads to elevated androgen levels, which can result in excessive hair growth.

Adrenal gland disorders

Conditions affecting the adrenal glands, such as adrenal hyperplasia or adrenal tumors, can lead to the overproduction of androgens.

Medications

Some medications, like anabolic steroids or testosterone, can cause hirsutism as a side effect.

Genetics

A family history of hirsutism or other hormonal conditions can increase the likelihood of developing the condition.

Cushing syndrome

This occurs when the body is exposed to high levels of cortisol, which can also impact androgen production and result in hirsutism.

How is hirsutism treated?

Treatment for hirsutism depends on its cause and severity. Options include:

Medications

Anti-androgen medications, such as spironolactone, can block androgen effects. Birth control pills can also help regulate hormones and reduce hair growth.

Hair removal

Options like laser hair removal, electrolysis, or waxing can provide cosmetic relief.

Lifestyle changes

Weight loss may reduce androgen levels and lessen hair growth in women with PCOS.

In cases where an underlying condition is the cause, treating it can help manage hirsutism.

If you have signs of hirsutism, you don’t have to endure the uncomfortable symptoms. Call the friendly office staff at Tristan E. Bickman, MD today, or book an appointment using the online scheduling tool when you’re ready.