Hirsutism

Hirsutism

This clinical pattern solely affects women. Hirsutism needs to be distinguished from hypertrichosis, androgenisation and virilisation. These terms are therefore defined beforehand:

Hypertrichosis is generally stronger body hair growth without a particular distribution pattern. A hypertrichosis can be caused genetically; the inherited increased hair growth is often restricted to certain areas of the body. The frequent 'lady's beard' is a harmless inherent hypertrichosis. Often, it is sufficient to make the bothersome hairs less visible by bleaching. The taking of certain drugs such as e.g. Minoxidil can be another possible cause for hypertrichosis.

Androgenisation is a collective term for the consequences of the increased effect of androgens, with a variety of causes. Androgens are male sexual hormones (see also causes).

Virilisation refers to the symptoms when women become 'more manly'. The following symptoms can occur: SAHA syndrome with seborrhoea (oily skin and oily hair), androgenetic alopecia (hair loss on the head), hirsutism and acne, a deep voice, formation of powerful muscles, cessation of monthly bleeding (amenorrhoea) etc.

Diagnosis of hirsutism

For diagnosis, it is not only important for the doctor to know how long the patient has had the illness and where the unwanted hair is growing on the body. The doctor will also ask whether you are taking certain medication or whether you have a disrupted cycle. He or she will also examine in detail whether you have other skin complaints, such as for instance acne, hair loss or a very oily skin. Specific genetic tests or laboratory tests can also be helpful, such as for instance the testosterone content in the blood serum.