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Hirsutism - Symptom, Causes, Treatment of Hirsutism


Hirsutism is the development of harsh hair in women in breaks of the body considered as male sites for hair - the upper lip, chin, in front of the ears, chest, abdomen, and the confronts of the thighs. In males the accrued production of male hormones (androgens) during puberty induce the fine hairs which protect the body to alter to coarse hairs in these sites. Although women also expose several androgens, their genes and oestrogen mostly circumscribe coarse hair progress during puberty to the armpits and the pubic and genital regions, with sometimes a few hairs close to the nipples.

There are two' kinds of hirsutism: 'simple' hirsutism and hirsutism with VIRILISATION, in which there is several other apparent attestation of masculinisation.

  • Simple hirsutism is development of differing amounts of coarse hair, in male sites, in women who have no another signs of immoderate male hormone. One or many sites may be pretended, starting close to puberty. As all women develop several male hormone later on puberty, why does simple hirsutism appear in several women and not others? A lot's of factors may be causative, including how much male hormone is developed, how it is circulated and utilised in the body, and the accrued feeling to androgens of the hair follicles in the sites affected. All of these factors tend to be assured by our genes, that explains family and racial tendencies towards easy hirsutism. It is frequent in southern mediterranean and middle eastern women, changeable in Caucasians, and seldom in Asian women.
  • Hirsutism with virilisation is constantly related with an exorbitance of androgens. The onset may be seldom, during or later on puberty. Male pattern hair development is normally much more apparent than in simple hirsutism. Several other signs and symptoms of virilisation include missed or scanty periods, subfertility, acne, thickening of the voice, weight gain, interpolate body shape, shrinkage of the breasts, male-type baldness, and extension of the clitoris. The redundant hormone may arise from overactivity or hormone- exposing tumours of the ovaries, adrenal glands or pituitary gland. Or the source may be drugs, primarily anabolic steroids, less ordinarily synthetic progestogens with masculinising properties, and sometimes corticosteroids.

Subsequently the menopause several women evenly produce hirsutism with some characteristics of virili-sation. This occurs because the body proceed to make androgens, but these are no longer antagonised by oestrogens from the ovary unopposed androgens, even in little amounts, may have a virilising

Diagnosis of Hirsutism

If you are anxious about hirsutism it is essential to see a doctor to rule out the probability of excessive androgen production or drugs as a source of the difficulty. If blood tests present immoderate high levels of androgens, advance investigations are normally essential to detect their source.

Treatment of Hirsutism

If a hormone-producing tumour is observed, it will be handled by surgery or irradiation. An hyperactive gland is treated with drugs so that inordinate hormone production stops. Two kinds of drugs are utilised:

  • Drugs such as the prophylactic pill which decrease the production of ovarian hormones (including androgens) but supply oestrogen and progesterone are occasionally used to treat simple hirsutism, with better results.
  • Antiandrogen drugs, such as spironolactone and cyproterone acetate, decrease the consequence of androgens in the body. These drugs can induce several side effects such as breast tenderness, lethargy, occasional periods and sometimes depression, though these are seldom serious and are frequently minimised if either oestrogen or the contraceptive pill is increase to the treatment. One type of contraceptive pill which includes cyproterone acetate is often useful in the treatment of easy hirsutism.

 

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