What Is Hirsutism? Causes, Symptoms & Treatment

What Is Hirsutism?
Hirsutism is the appearance of coarse, dark hair in women in areas sensitive to male hormones — such as the face, chin, chest, and abdomen. It affects about 5% of women.

Difference from Hypertrichosis:
Hypertrichosis is the overgrowth of soft hair in non-androgen-sensitive areas. Hirsutism involves thick, dark hair typical of male patterns.

Causes:

• Overproduction of male hormones (androgens)

• Increased sensitivity of hair follicles to androgens

• Ovarian or adrenal gland disorders

• Genetic predisposition

• Certain medications (anabolic steroids, corticosteroids, minoxidil, etc.)

Associated Conditions:

• Polycystic ovary syndrome (PCOS)

• Hypothyroidism

• Cushing’s syndrome

• Prolactinoma

• Congenital adrenal hyperplasia

Treatment:
A full hormonal assessment by an endocrinologist is required.
Tests include testosterone, DHEA-SO4, LH levels, and ultrasound or CT imaging.
Treatment aims to reduce androgen levels or block their effects.
In some cases, weight loss and diet control help normalize hormone levels.

Results appear gradually — within 3–6 months — with slower and softer hair regrowth.
Idiopathic (genetic) hirsutism poses no health risks and can be managed cosmetically.

Author: Dr. Farida Nasirli, Endocrinologist, SƏHHƏT Clinic