Endocrinology: Hirsuties in women — Diagnosis and conservative treatment. Treatment
Hirsuties is a condition upon which an overgrowth of the rough rod hair is observed on a woman's body. In this case, the appearance of vegetation is observed in places uncharacteristic of female, i.e. on the chin, neck, chest, back, hips. According to statistics, the problem is diagnosed in 2 to 5% of modern women. In 70% cases, hirsuties indicates the presence of endocrine abnormalities, and therefore requires referral to a professional.
The main causes of hirsuties include:
- Increased production of androgens. Male hormones stimulate the transformation of subtle (vellus) hair into coarse (terminal) one. Hyperandrogenism, in turn, may result from adrenal gland, ovary or pituitary gland disease.
- Hereditary factor. Excessive growth of hair is due to genetic characteristics, which are transmitted within the same family or the whole nation. For example, mild forms of hirsuties are the norm among the representatives of the Caucasian ethnic groups.
- Certain medicines. Anabolic steroids, carbamazepine or combined oral contraceptives containing levonorgestrel may provoke a backlash.
In some patients, the development of this condition is associated with increased sensitivity of hair follicles to androgenic hormones. In such cases, physicians speak of idiopathic form of hirsuties.
When the patient comes for appointment, the physician determines whether her case of hirsuties is pathological, or the problem is caused by personal perception. The quantification of hair growth on the body is performed using the Ferryman-Galway scale. When summing up, the physician necessarily takes into account the woman’s hereditary factors and nationality.
If hirsuties is confirmed, the professional examines the patient for signs of hyperandrogenism. These include:
- rare periods,
- oily skin and acne.
To identify the causes of disease, the hormonal blood tests, pelvic ultrasound, and MRI of the brain are prescribed. Diagnostic laparoscopy allows ruling out the ovarian tumors.
The essence of the treatment is to remove the underlying disease, provoking excessive hairiness. Depending on severity of the condition, both conservative and surgical techniques are practiced.
At the same time, the cosmetic workarounds are recommended, i.e. hair lightening or wax epilation.Hide
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