Hair, excessive on females

Considerations:
Hirsutism produces enlarged hair follicles, enlargement and increased pigmentation of hair, and typically occurs in a distribution pattern normally seen in adult males.

Excessive facial hair is usually the most troublesome symptom.

Causes may be hereditary, or involve endocrine system abnormalities, or certain medications such as minoxidil, androgenic steroids, or testosterone . Endocrine abnormalities which can result in excessive hair growth are acromegaly , precocious puberty , Cushing's syndrome , congenital adrenal hyperplasia , and ovarian lesions.

Signs of masculinization, such as deepening of the voice, excessive facial hair growth, increased muscle mass, decreased breast size, increased size of genitals, and menstrual irregularities , may be associated with this condition. Risk factors include a family history of hirsutism, endocrine disorders, use of androgens (androgenic steroids or testosterone), and older age.

Common Causes:

Note: This list is not all inclusive and the causes are not presented in order of likelihood. The list of all possible causes can be extensive and include unlikely diseases and medications. Furthermore, the list will vary based on the age and gender of the individual as well as on the specific characteristics of the symptom, such as quality, timing, aggravating factors, relieving factors, and associated complaints. Use the Symptom Analysis option to explore the possible explanations for this symptom occurring alone or in combination with other problems.

Home Care:
Cosmetic treatment is available if desired. Upon request, doctors may suggest methods for eliminating excess hair - bleaching, tweezing, hot wax treatments, chemical depilatories, shaving, or electrolysis.

For menopause , consult your doctor about estrogen replacement therapy.

For ovarian cysts or tumors, consult your doctor about removal or other treatment options.

For medications, consult your health care provider about switching or discontinuing them. NEVER CHANGE MEDICATIONS WITHOUT CONSULTING YOUR HEALTH CARE PROVIDER.

If hirsutism is due to elevated androgen levels (such as with congenital adrenal hyperplasia ), it may be treated with low dose dexamethasone, oral contraceptives, or antiandrogen medications.

If hirsutism is due to an underlying endocrine disorder, treatment of the disorder may resolve the excessive hair growth and other symptoms.

Call Your Healthcare Provider If:

  • the hair growth is associated with other symptoms or is causing lifestyle problems.



What to Expect:
The medical history will be obtained and a physical examination performed.

Medical history questions documenting your symptom in detail may include:

  • What is your race and ethnic origin?
  • Do other female members of your family also have excessive amounts of hair?
  • What medications are you taken?
  • Are you pregnant ?
  • What other symptoms are also present? Is there:

Physical examination may include a pelvic examination (if appropriate).

Diagnostic tests that may be performed include:

After seeing your health care provider:
If a diagnosis was made by your health care provider related to excessive hair growth, you may want to note that diagnosis in your personal medical record.