is the development of androgen-dependent terminal
body hair (dark course pigmented hair normally seen
on the face, underarms, scalp, eyebrows and pubis) in
a woman and in other places where this type of hair
is not normally found in women.
Remember a woman's definition of hirsutism may differ
secondary to her ethnic background. Any definition of
normal body hair should consider both race and
ethnicity. For example, most Asian and/or Native
American women have little body hair, while most
women from the Mediterranean have moderately heavy
body hair. However, the most important consideration
in diagnosing hirsutism is the extent to which a
woman's normal pattern of hair growth has changed.
Although hirsutism can occur in both men and women,
it is usually only a problem for women.
Causes of Hirsuitism
The most common causes of hirsuitism are idiopathic
hirsutism and polycystic ovary syndrome:
Idiopathic hirsutism is the diagnosis given to women
with hirsutism and no other presenting clinical
abnormalities. Women with idiopathic hirsutism
generally present with normal levels of serum
Polycystic ovary syndrome is the most common cause of
androgen excess in women. Polycystic ovary syndrome (PCOS)
is a common disease affecting 3-5% of women of
PCOS usually presents with the
- PCOS is often diagnosed during puberty secondary to
menstrual irregularities. Infrequent, irregular or
absent menstrual cycles are common. Once the period
does arrive they are often uncharacteristically
heavy. This abnormal menstrual cycle is an indication
that there may be a problem with ovulation. The use
of oral contraceptives can often delay the
presentation of PCOS.
- androgens are a group of hormones, such as
testosterone, found predominantly in men, however,
they are also present in women in lower levels. Woman
with PCOS have considerably higher than normal levels
of androgens which causes the characteristic
excessive hair growth. Some woman also experience
acne and male pattern hair loss.
- secondary to the disruption in the menstrual cycle
many women are infertile. However, some women with
PCOS will ovulate normally, some will ovulate less
frequently and some will fail to ovulate.
- some 40% of woman with PCOS are considered to be
obese. Unfortunately, the obesity will exacerbate the
symptoms associated with PCOS. The hormone changes
associated with PCOS make weight loss difficult.
Other less frequent causes of hirsutism include the
- Danazol and the androgenic progestins present in
some oral contraceptives such as norgestrel can
result in hirsutism.
- should be ruled out in patients with hirsuitism,
ameorrhea and a breast discharge.
Congenital adrenal hyperplasia
- affected girls will generally present around
puberty with hirsutism and menstrual irregularity or
primary amenorrhea. Excess androgen production is a
key feature of most forms of congenital adrenal
hyperplasia. Congenital adrenal hyperplasia is
usually recognized at birth or early in infancy.
- is a nonmalignant ovarian condition resulting in
increased serum testosterone concentrations. Women
with hyperthecosis are generally obese and have a
long history of sever hirsutism. Unlike PCOS, which
occurs only during the reproductive years,
hyperthecosis of the ovaries can occur in
- hirsutism caused by an androgen-secreting tumor
generally occurs later in life and progresses very
- adrenal tumors are a rare cause of hirsutism.
Severe insulin resistance syndromes
- hirsutism is also associated with women who have a
severe insulin resistance marked by hyperinsulinemia.
Individuals should note there are two conditions
characterized by generalized hair growth that do not
represent true hirsutism:
- which refers to diffusely increased total body
hair. This is a rare condition that is usually caused
by a systemic illnesses or a medication.
which is the soft, vellus, unpigmented hair that
covers the entire body. In infants, this hair is
Symptoms of Hirsutism
Hirsutism can present with a broad spectrum of
symptoms including the following:
Excessive hair growth
- individuals with hirsutism will often present with
excess hair on areas of the body where hair follicles
are sensitive to androgens including: face, chest,
breast, lower back, midline region of the lower
abdomen, inner thigh, arms, legs, etc.
- excess androgen associated with hirsutism can also
contribute to the development of acne, which may
occur on the face, chest and/or upper-back.
Irregular menstrual cycle
- increased androgen levels can also disrupt the
normal menstrual cycles. In severe cases may cause
women to be anovulatory.
The diagnosis of hirsutism is based on a family
history of hirsutism, a personal history of menstrual
irregularities, and the presentation of masculine
traits. The patients medical history can often reveal
enough information were no other diagnostic testing
However, if a physician deems that further testing is
needed the following represent the most common
- represents most consistent investigation in PCOS is
ovarian ultrasound, although a skilled ultrasound
technician is necessary. The typical ultrasonic
presentation are those of a thickened capsule,
multiple 3-5mm cysts and hyperechogenic stroma. In
addition, it should also be noted that prolonged
hyper androgenization from any cause may result in
polycystic changes in the ovary. The use of
ultrasound may also show virilization ovarian tumors.
- is elevated in classical congential adrenal
hyperplasia (CAH), but may be apparent in late-onset
CAH only after stimulation.
- LH hypersecretion is a consistent feature of PCOS,
but the pulsatile nature of secretion of this hormone
means that an increased LH/FSH ratio is not always
observed on a random sample.
Serum testosterone levels
- may be elevated in PCOS and is invariably
substantially raised in virilization tumours.
Patients with hisutism and normal testosterone level
frequently have low levels of sex hormone binding
globulin (SHBG), leading to high free androgen.
- androstenedione and DHEA sulphate are frequently
elevated in PCOS, and even more elevated in
congenital adrenal hyperplasia including virilizing
- mild hyperprolactinaemia is common in PCOS.
In addition, If a virilization tumor is suspected
clinically or after investigation, then more complex
tests may include dexamethosone suppression tests,
MRI, CT, etc.
Discover the Secret to Permanent Hair Removal
without the Pain of Electrolysis or the High
Cost of Laser Hair Removal.
Superior Natural Herbal Treatment developed by
Doctors and Master Herbalist. These exclusive
formulas are proven safe and effective through
scientific research and clinical application.
Our experience demonstrates a different approach
that allows the body to heal itself instead of
hoping that a refined chemical or other foreign
substance will fix the problem.
Unlike other treatment for the removal of
excessive hair, our Excessive Hair treatment is
not a fancy cream or lotion. This is not a quick
fix product like some chemical products in
market. This is a natural way of preventing the
hair from coming back by using it over a period
of time. This treatment is an ancient herbal
formula of natural treatment for removal and
slowing down hair growth. It is a 100% natural
herbal blend of rare, expensive medicinal plants
and essential oils specifically meant for
removal and prevention of excessive and unwanted
hair. There are absolutely no chemicals or
Hirsutism by Dr. & Hakeem Tariq
A well proven herbal treatment
Dr. & Hakeem Tariq Mehmood
Taseer for the patients
suffering from the
Results are very quick and free
from any side effects.
Hirsutism By Dr
& Hakeem Tariq Mehmood Taseer
Free Shipment !
No shipping or handling charges.
Treatment delivery and other products are shipped free to all destinations
Free Shipment To All Destinations Worldwide.
If you do not have a credit
card, or do not want to pay by credit card, You can pay by direct payment.