Hirsutism is excess male-pattern hair growth in women. The coarse, dark hair can occur in areas such as the face, chest, and back.
True hirsutism is often due to an increased level of a male sex hormone called androgen. The main circulating androgen is called testosterone. This hormone is normally found in both men and women. There are certain medical conditions or medications that may cause an elevation in the levels of this hormone in women.
The most common cause of hirsutism is polycystic ovary syndrome. Other less common include:
Sometimes excess hair growth is due to the person's ethnic background or family tendencies. In some cases, the cause is not known.
Symptoms and signs of some disorders associated with hirsutism may include:
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The doctor will ask about your symptoms and medical history. A physical exam will be done. Tests may include:
Treatment is directed at the underlying cause of the hirsutism and may include:
Medications that may help include:
Methods of removing hair include:
If you are diagnosed with a condition that may be causing hirsutism, proper treatment may resolve the hirsutism. Weight loss may also play a role in reducing underlying hormone imbalances.
American Osteopathic College of Dermatology
Canadian Dermatology Association
Azziz R. The evaluation and management of hirsutism. Obstet Gynecol. 2003;101:99-108.
DermNet NZ. Intense pulsed light therapy. DermNet NZ website. Available at: http://dermnetnz.org/procedures/ipl.html. Updated June 15, 2009. Accessed September 2, 2010.
Hirsutism. EBSCO DynaMed website. Available at: https://dynamed.ebscohost.com/about/about-us. Updated August 31, 2012. Accessed September 12, 2012.
Hirsutism. N Engl J Med. 2006;354:1532-1533.
Lustberg ME. American Osteopathic College of Dermatology website. Available at: http://www.aocd.org/skin/dermatologic_diseases/hirsutism.html. Accessed September 12, 2012.
11/1/2007 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: Hamzavi I, Tan E, Shapiro J, Lui H. A randomized bilateral vehicle-controlled study of eflornithine cream combined with laser treatment versus laser treatment alone for facial hirsutism in women. J Am Acad Dermatol. 2007;57:54-59.
9/2/2010 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: Haak CS, Nymann P, Pedersen AT, et al. Hair removal in hirsute women with normal testosterone levels: a randomized controlled trial of long-pulsed diode laser versus intense pulsed light. Br J Dermatol. 2010 Aug 20. [Epub ahead of print]
Last reviewed September 2012 by Brian Randall, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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