Hirsutism : Symptoms, Causes & Treatment

The disease known as hirsutism is characterized by women’s excessive growth of coarse, dark hair in places like the face, chest, and back where hair growth is normally low or nonexistent. Hormone imbalances cause it and majorly impact a woman’s quality of life and sense of self. About 5%–10% of women worldwide suffer from hirsutism, with a higher incidence observed in South Asia and the Middle East as a result of hereditary and environmental factors.

With an emphasis on cutting-edge treatment facilities in Bangladesh, we will examine the signs, causes, diagnosis, available treatments, and preventative measures for hirsutism in this blog.

What is Hirsutism?

A widespread disorder known as hirsutism is brought on by either an excess of male hormones, or androgens or by the heightened sensitivity of hair follicles to these hormones. Normal facial and body hair is normal, but hirsutism causes hair that is coarser, thicker, and darker than typical “peach fuzz.”

Polycystic Ovary Syndrome (PCOS), the most common cause, is frequently associated to this illness. Idiopathic hirsutism, on the other hand, can occur for no apparent reason.

What are the symptoms of hirsutism?

Excessive hair growth in regions more commonly associated with male-pattern hair is the primary sign of hirsutism. Other signs and symptoms could be:

• Growth of hair on the lower abdomen, inner thighs, back, chest, and face.
• Greasy skin or acne brought on by an excess of androgen.
• Irregular menstrual periods are a defining feature of diseases such as PCOS.
• In extreme situations, virilization symptoms include Vocal deterioration.
• Growth of the clitoris.
• Greater bulk of muscle.

The underlying cause and a person’s sensitivity to hormones determine the extent of hair growth and related symptoms.

Causes Of Hirsutism

Hirsutism arises from an imbalance in the production or activity of androgens. Several conditions can contribute to this imbalance, including:

1. Polycystic Ovary Syndrome (PCOS):
   • The most common cause, characterized by irregular periods, ovarian cysts, and elevated androgen levels.
   • Women with PCOS often experience hirsutism alongside infertility and metabolic issues.
2. Idiopathic Hirsutism:
   • Excessive hair growth with no identifiable hormonal or medical cause.
   • This is more common in certain ethnic groups, such as South Asians and Middle Easterners.
3. Cushing’s Syndrome:
   • Caused by prolonged exposure to high cortisol levels, leading to weight gain, skin thinning, and hirsutism.
4. Congenital Adrenal Hyperplasia:
   • A genetic condition affecting adrenal glands, resulting in excess androgen production.
5. Medications:
   • Certain drugs, such as anabolic steroids or testosterone supplements, can trigger hirsutism.

Diagnosis of Hirsutism

Proper diagnosis is essential to determine the underlying cause and guide treatment. Diagnostic steps include:

• Medical History and Physical Examination:
  • Family history, menstrual cycle patterns, and symptoms like acne or voice changes are noted.
  • The Ferriman-Gallwey Scale is used to assess the severity of hair growth in specific areas.
• Laboratory Tests:
  • Blood tests measure androgen levels, cortisol, and other hormones.
• Imaging Studies:
  • Ultrasound: To check for ovarian cysts, common in PCOS.
  • CT or MRI scans: To identify adrenal gland abnormalities.

Treatment Options for Hirsutism

Treatment focuses on addressing the underlying cause and managing symptoms. Options include:

1. Medical Treatments

• Hormonal Therapy:
  • Birth control pills regulate menstrual cycles and reduce androgen levels.
  • Anti-androgens (e.g., spironolactone) block the effects of androgens on hair follicles.
• Topical Medications:
  • Eflornithine Cream: Slows facial hair growth when applied regularly.

2. Hair Removal Techniques

• Temporary Methods:
  • Shaving, waxing, or depilatory creams provide short-term relief but may cause skin irritation.
• Permanent Solutions:
  • Laser Hair Removal: Uses light energy to destroy hair follicles, providing long-term reduction.
  • Electrolysis: Permanently removes hair by damaging follicles with an electric current.

Preventing Hirsutism

While not all cases of hirsutism are preventable, certain steps can reduce the risk or severity:

• Maintain a Balanced Diet: Minimize refined carbohydrates to regulate insulin levels.
• Exercise Regularly: Helps in weight management and hormonal balance.
• Seek Early Treatment for PCOS: Early management can reduce complications like hirsutism.

Preventing Hirsutism

While not all cases of hirsutism are preventable, certain steps can reduce the risk or severity:

• Maintain a Balanced Diet: Minimize refined carbohydrates to regulate insulin levels.
• Exercise Regularly: Helps in weight management and hormonal balance.
• Seek Early Treatment for PCOS: Early management can reduce complications like hirsutism.

Conclusion

Hirsutism is a manageable condition that requires a combination of medical intervention, lifestyle changes, and emotional support. Women can significantly reduce symptoms and regain confidence by addressing the root causes and seeking professional care.

For advanced and personalized treatment options in Bangladesh, visit SUO XI Skin Care & Aesthetic Center—the best skincare and aesthetic solutions.

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