Hirsutism (Unwanted Hair)
Hirsutism is a condition in women characterised by excessive growth of dark, coarse hair in areas where men typically grow hair — such as the face, chest, back, and abdomen. It is often a sign of an underlying hormonal imbalance, most commonly excess androgen (male hormone) levels.
With proper diagnosis and treatment of the underlying cause, hirsutism can be effectively managed, improving both physical appearance and confidence.
Common Causes
- PCOS (Polycystic Ovary Syndrome) – Most common cause of hirsutism in women
- Congenital Adrenal Hyperplasia – Genetic condition causing excess androgens
- Cushing's Syndrome – Excess cortisol associated with elevated androgens
- Tumours of the ovaries or adrenal glands
- Medications – Such as anabolic steroids, minoxidil, or certain hormonal treatments
- Idiopathic Hirsutism – No identifiable hormonal cause; increased hair follicle sensitivity to androgens
Symptoms & Assessment
The Ferriman-Gallwey score is used to grade the extent and distribution of excess hair growth across the body. Additional symptoms of the underlying cause may include:
- Irregular periods
- Acne and oily skin
- Weight gain
- Thinning scalp hair
- Deepening of voice (in severe cases)
Diagnosis
- Blood tests: testosterone, DHEAS, LH, FSH, prolactin, cortisol
- Thyroid function tests
- Pelvic ultrasound
- CT scan of adrenal glands (when indicated)
Treatment
Treating the Underlying Cause
Managing PCOS, Cushing's syndrome, or adrenal conditions forms the cornerstone of treatment.
Hormonal Medications
Combined oral contraceptive pills and anti-androgen drugs (e.g., spironolactone, cyproterone acetate) reduce androgen levels and slow hair growth.
Cosmetic Hair Removal
Shaving, waxing, electrolysis, or laser hair removal can complement medical treatment for cosmetic improvement.
Weight Management
Weight loss in overweight women can significantly reduce androgen levels and improve hirsutism.
Why Choose Dr. Harsh Parekh?
Dr. Harsh Parekh provides a thorough hormonal evaluation to identify the root cause of hirsutism and offers a personalised treatment plan combining medical therapy and lifestyle guidance to help patients achieve the best possible outcomes.