Hirsutism
Hirsutism is excess hair growth in women in a male-pattern distribution - typically the face, chest, and back - caused by higher levels of androgens or increased sensitivity to normal androgen levels. It is a common, often distressing symptom that usually has an identifiable underlying cause.
Common causes
- polycystic ovary syndrome (PCOS), by far the most common cause
- certain medications
- rare adrenal or ovarian conditions producing excess androgens
What we offer
- a thorough, sensitive discussion of your symptoms and their onset
- blood tests to measure androgen levels
- a clear treatment plan addressing both the underlying cause and symptom relief
Hormonal assessment
Hirsutism describes coarse terminal hair growth in androgen-sensitive areas. PCOS is common, but assessment also considers medicines, menopause, non-classic congenital adrenal hyperplasia and, rarely, an ovarian or adrenal androgen-secreting condition. Rapid progression, voice deepening, marked scalp hair loss or increasing muscle bulk requires prompt assessment.
Treatment options and expectations
Management can combine cosmetic hair-removal methods, treatment of an underlying condition and medicines that reduce androgen effects when appropriate. Improvement is gradual because existing hairs follow a long growth cycle. Pregnancy plans and reliable contraception are important when anti-androgen medicines are considered.
UK-wide video consultations
History, photographs where appropriate and hormone results can often be reviewed securely by video. Examination and imaging are arranged locally when clinically indicated.