Hirsutism

Hirsutism is a condition where women develop excessive, coarse, and dark hair growth in areas where men typically grow hair — such as the chin, upper lip, chest, back, or abdomen. It is most often linked to androgen (male hormone) excess or increased sensitivity of hair follicles to these hormones.

Unlike hypertrichosis, which refers to generalized hair growth regardless of hormones, hirsutism is androgen-dependent.

Difference Between Hirsutism and Hypertrichosis

• Hirsutism: Hormonal or androgen-related excessive hair in male-pattern areas in women.

• Hypertrichosis: Hair growth that is not related to androgens and can occur anywhere on the body.

Causes of Hirsutism

Hirsutism can be androgenic (related to hormone imbalance) or non-androgenic (caused by medications or other factors).

1. Androgenic Causes

These are conditions where the body produces too much androgen or where hair follicles are overly sensitive:

• Polycystic Ovary Syndrome (PCOS): The most common cause of hirsutism, often accompanied by irregular periods, acne, and weight gain.

• Congenital Adrenal Hyperplasia: A genetic disorder causing excess androgen production from the adrenal glands.

• Androgen-Secreting Tumors: Rare tumors in the ovaries or adrenal glands producing high levels of male hormones.

• Ovarian Hyperthecosis: Overgrowth of hormone-producing cells in the ovaries.

2. Non-Androgenic Causes

These are unrelated to natural hormone overproduction:

• Medication Side Effects:

  • Corticosteroids

  • Exogenous androgens (e.g., danazol)

  • Immune-modulating agents (e.g., cyclosporin)

3. Idiopathic Hirsutism

In some women, there is no detectable hormonal abnormality. Possible factors:

• Acromegaly (excess growth hormone)

• Cushing’s syndrome (excess cortisol)

• Hyperprolactinemia (high prolactin levels)

• Thyroid dysfunction

Risk Factors

You may be at higher risk of developing hirsutism if you:

• Have a family history of PCOS or hirsutism

• Are overweight or obese

• Have certain hormonal disorders

• Take long-term corticosteroid medication

Symptoms of Hirsutism

• Dark, coarse hair growth in male-pattern areas

• Acne and oily skin

• Deepening of the voice (in severe cases)

• Irregular menstrual cycles

• Hair thinning on the scalp (male-pattern baldness)

Diagnosis of Hirsutism

Accurate diagnosis is essential to identify the underlying cause and plan treatment. At Sparsh Diagnostic Centre, Kolkata, our specialists follow a thorough diagnostic approach:

1. Medical History and Physical Examination

• Assess hair growth patterns

• Check for menstrual irregularities

• Review medication history

2. Laboratory Tests

• Hormonal Tests:

  • Serum testosterone

  • DHEAS (Dehydroepiandrosterone sulfate)

  • LH and FSH

  • Prolactin

  • Thyroid function tests

• Blood sugar and insulin levels (to detect insulin resistance in PCOS)

3. Imaging

• Pelvic ultrasound — to check for ovarian cysts (linked to PCOS)

• CT scan or MRI — to identify adrenal or ovarian tumors if suspected

Treatment for Hirsutism

The right treatment depends on the underlying cause. Our endocrinologists and gynecologists at Sparsh Diagnostic Centre use a personalized approach.

1. Treating the Underlying Cause

• PCOS Management: Weight loss, hormonal contraceptives, and anti-androgen medications.

• Adrenal or Ovarian Tumors: Surgical removal.

• Hormonal Imbalances: Medications to normalize hormone levels.

2. Medications for Hair Reduction

• Oral contraceptives (reduce androgen production)

• Anti-androgens like spironolactone (block androgen effects on hair follicles)

• Topical eflornithine cream (slows facial hair growth)

3. Cosmetic Hair Removal

• Laser hair removal — long-term solution

• Electrolysis — permanent hair removal option

• Waxing, shaving, and depilatory creams — temporary methods

4. Lifestyle Changes

• Weight management (reduces androgen levels in PCOS)

• Balanced diet with low refined carbohydrates

• Regular exercise

Complications of Untreated Hirsutism

If left untreated, hirsutism can:

• Worsen over time

• Affect emotional well-being and self-confidence

• Lead to complications of underlying hormonal disorders (e.g., infertility in PCOS)

Prevention and Self-Care Tips

While not all cases can be prevented, you can reduce risk or manage symptoms with:

• Maintaining a healthy weight

• Managing stress

• Avoiding unnecessary use of androgen-containing medications

• Seeking early treatment for hormonal imbalances

When to See a Doctor

Seek medical advice if you:

• Notice sudden or rapid hair growth

• Have other symptoms like deep voice, muscle growth, or menstrual changes

• Experience emotional distress due to unwanted hair

Why Choose Sparsh Diagnostic Centre for Hirsutism Diagnosis in Kolkata?

• Comprehensive hormonal testing under one roof

• Advanced ultrasound imaging for accurate diagnosis

• Expert endocrinologists and gynecologists for personalized treatment

• Patient-friendly care focused on privacy and comfort

Hirsutism can be distressing, but with proper diagnosis and a targeted treatment plan, it can be effectively managed. At Sparsh Diagnostic Centre, Kolkata, we offer advanced diagnostics and compassionate care to help you regain confidence and improve your quality of life.

📞 Call us today at 9830117733 / 8335049501 to book your appointment.

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