Hirsutism

Hirsutism can present in two main forms:

• Idiopathic hirsutism is characterised by excess hair growth without any identifiable underlying cause.
• Secondary hirsutism refers to excess hair growth associated with conditions such as polycystic ovary syndrome (PCOS) or other medical disorders.

The main symptom is the appearance of coarse, dark hair in a male pattern distribution such as on the chin, upper lip, chest, or abdomen.

Hirsutism may arise due to elevated androgen levels, PCOS, adrenal gland disorders, or the use of other medications.

Diagnosis usually involves blood tests to measure hormone levels, as well as imaging such as ultrasonography or CT to assess underlying conditions.

Treatment depends on the cause and severity. Options may include oral contraceptives and anti-androgen medications, and long-term laser hair removal (Harmony XL Pro).

You should consult a doctor if hair growth is sudden, rapid, or accompanied by other symptoms such as irregular periods, acne, or deepening of the voice.

Although hirsutism cannot always be prevented, its severity can be reduced through healthy lifestyle practices:

• Maintaining a balanced diet and healthy weight.
• Managing hormonal conditions like PCOS under medical guidance.
• Avoiding unnecessary use of medications that may trigger excess hair growth.

For evaluation and treatment, women with hirsutism should consult a dermatologist, and in cases linked to hormonal imbalances, an endocrinologist may also be involved.