In order to hopefully treat and prevent recurrence of hirsutism we need to understand and — if possible — remove the underlying causes and risk factors. We need to ask: "What else is going on inside the body that might allow hirsutism to develop?"
Accurate diagnosis of the factors behind hirsutism consists of three steps:
|Cerebral Gland Dysfunction||96%||Confirm|
|Polycystic Ovary Syndrome||15%||Unlikely|
|Low Progesterone||5%||Ruled out|
|High Female Testosterone||2%||Ruled out|
|Ovarian Cysts||2%||Ruled out|
Do you have any hair growth pattern that is usually seen in males? This means increased hair on the chest/nipples, above the pubic area toward the navel, or on the chin or upper lip.
Possible responses:→ Don't know
→ Very minor
→ Somewhat / one or two areas
→ Very noticeable / in several areas
It has been a tradition to divide patients with hirsutism into those with no elevation of serum androgen levels and no other clinical features ('idiopathic hirsutism') and those with an identifiable endocrine imbalance (most commonly PCOS or rarely other causes). However, in recent years it has become apparent that most patients with 'idiopathic hirsutism' have some radiological or biochemical evidence of PCOS on more detailed investigation.