Hirsutism is a condition where women have excess facial and body hair that is dark and coarse. The abnormal hair growth usually happens on the body where men typically grow hair, on the chest, face, and back.
Some body and facial hair is normal, and the amount varies among women. But about half of women with hirsutism may have high levels of male sex hormones called androgens. Most cases of hirsutism are not severe and have no underlying cause. However, sometimes there is a more serious underlying condition, such as Cushing's syndrome. An estimated 8% of adult women in the United States have hirsutism. Sometimes there is no cause that can be identified.
The top symptom of hirsutism is hair growth on the abdomen, breasts, and upper lip (male-pattern hair growth in women). If hirsutism is caused by high levels of male hormones, symptoms also can include:
If hirsutism is due to Cushing syndrome, signs and symptoms can include:
About half of women with hirsutism have high levels of male sex hormones, called androgens. High levels of these hormones can be caused by:
In other cases, women with hirsutism may have normal levels of male hormones. If no underlying condition is found, the cause of hirsutism is unknown.
The following factors may increase your risk of hirsutism:
Your doctor will examine you and take a medical history. You may be asked about your menstrual cycles, what medications you take, and your family history. Your doctor will check you for excessive hair growth and also may do a pelvic examination to check for tumors or cysts on the ovaries. After doing the physical examination, your doctor may order one of the following tests:
Preventing hirsutism depends on what may be causing it. Women with polycystic ovary syndrome (PCOS), for example, may help by controlling their weight through diet and exercise. Studies suggest that obese women with PCOS may be less likely to develop hirsutism if they eat a low-calorie diet.
The treatment for hirsutism depends how severe the problem is and whether there is an underlying cause. For example, if medication are making the condition worse, you may want to ask your doctor if you can take other medications or stop taking them. If a tumor on the ovaries or adrenal glands is the cause, it may be removed surgically. Overweight women with hirsutism may want to lose weight so their bodies will produce less testosterone.
If no underlying cause is found, a combination of self-care strategies and hair-removal techniques may be used. Psychological support may also help because hirsutism is often a frustrating and embarrassing condition.
Being overweight may contribute to hirsutism. Eating a balanced diet and getting enough exercise can help control weight.
The U.S. Food and Drug Administration (FDA) has not approved any medications for the treatment of hirsutism. However, some drugs may lower androgen production and reduce hair growth. It can take 6 months or longer for the medications to effectively reduce hair growth. They must be taken long-term to keep symptoms under control. These medications include:
A doctor may recommend tumor removal, if a tumor on the ovaries or adrenal glands is the cause of hirsutism.
Cosmetic hair removal techniques include laser therapy, which uses a laser to destroy hair follicles and stop hair from growing. Several sessions are needed to reduce hair growth in specific areas, and you may need touch-ups afterward. Laser therapy works best on women with light skin.
Ask your health care provider how to best incorporate complementary and alternative therapies into your overall treatment plan. Always tell your health care provider about the herbs and supplements you are using or considering using.
These nutritional tips may help women maintain a proper weight, which may help lower levels of androgens in the body:
Herbs are generally a safe way to strengthen and tone the body's systems. As with any therapy, you should work with your health care provider to get your problem diagnosed before starting any treatment. You may use herbs as dried extracts (capsules, powders, teas), glycerites (glycerine extracts), or tinctures (alcohol extracts). Unless otherwise indicated, you should make teas with 1 tsp. herb per cup of hot water. Steep covered 5 - 10 minutes for leaf or flowers, and 10 - 20 minutes for roots. Drink 2 - 4 cups per day. You may use tinctures alone or in combination as noted. Talk with your health care provider about which herb may be best for you.
These herbs are sometimes suggested to treat hirsutism, but most haven' t been studied by scientists. Always talk to your doctor before taking any herb that can affect hormones. Do not take these supplements if you are pregnant or breast-feeding, or planning to become pregnant. Women who have a history of breast, uterine, or ovarian cancer should not take these supplements except under their doctor's supervision.
One small study of women with hirsutism found that acupuncture reduced both hair density and hair length. It also reduced their levels of the male hormone testosterone. However, more research is needed to make sure acupuncture works for hirsutism.
If you are pregnant, you should not take medications, herbs, or supplements that change androgen levels. Talk to your doctor if you are pregnant, breast-feeding, or plan to become pregnant.
Pregnant women may notice more hair growth during the third trimester, especially on the face, arms and legs, and breasts. This is normal and is not a sign of hirsutism.
Treating the underlying cause of hirsutism can reduce the symptoms. Long-term medication may slow hair growth, but it usually won't get rid of existing hair on the face and body. Some cosmetic therapies -- laser hair removal, waxing -- can reduce the appearance of hair growth. Counseling with a trained professional may be help women who are embarrassed or have poor self-esteem.
Hair growth - excessive
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