সংজ্ঞা
Hirsutism is excess male-pattern hair growth in women. The coarse, dark hair can occur in areas such as the face, chest, and back.
কারণসমূহ
True hirsutism is often due to an increased level of a male sex hormone called androgen. The main circulating androgen is called testosterone. This hormone is normally found in both men and women. There are certain medical conditions or medications that may cause an elevation in the levels of this hormone in women.
The most common cause of hirsutism is polycystic ovary syndrome. Other less common include:
- Congenital adrenal hyperplasia
- Some forms of Cushing syndrome
- Adrenal tumors
- Ovarian tumors
- Pituitary tumors
- Certain drugs, including:
- Minoxidil
- সাইক্লোস্পোরিন
- Phenytoin
- Anabolic steroids
- Diazoxide
- Progestin-containing medications (such as oral contraceptives)
Sometimes excess hair growth is due to the person’s ethnic background or family tendencies. In some cases, the cause is not known.
ঝুঁকির কারণ
There are no known risk factors for hirsutism.
লক্ষণ
Symptoms and signs of some disorders associated with hirsutism may include:
- Excess hair growth (on the face, arms, back, armpits, groin, or chest)
- Abnormal or absent menstrual periods
- Male-pattern baldness
- Deepened voice
- Increased size of clitoris
- উচ্চ্ রক্তচাপ
- Enlarged ovaries
- Enlarged adrenal glands
- Abnormal cholesterol levels and glucose intolerance
রোগ নির্ণয়
ডাক্তার আপনার লক্ষণ এবং চিকিৎসা ইতিহাস সম্পর্কে জিজ্ঞাসা করবে। একটি শারীরিক পরীক্ষা সম্পন্ন করা হবে। পরীক্ষা অন্তর্ভুক্ত হতে পারে:
- Blood tests—to measure the amounts of certain hormones
- Stimulation or suppression tests—to measure how hormone levels in the blood respond to changes
- Ultrasound—a test that uses sound waves to examine the inside of the body
- সিটি স্ক্যান—এক ধরনের এক্স-রে যা শরীরের ভেতরের ছবি তুলতে কম্পিউটার ব্যবহার করে
- এমআরআই স্ক্যান- এমন একটি পরীক্ষা যা চৌম্বক তরঙ্গ ব্যবহার করে শরীরের ভিতরের ছবি তৈরি করে
চিকিৎসা
Treatment is directed at the underlying cause of the hirsutism and may include:
ওষুধ
Medications that may help include:
- স্পিরোনোল্যাক্টোন
- Finasteride (Proscar, Propecia)
- ফ্লুটামাইড
- Oral contraceptives
- Metformin (Glucophage)
- Eflornithine (Vaniqa)
Hair Removal
Methods of removing hair include:
- Shaving
- Bleaching
- Chemical treatment (depilatories)
- Waxing
- Electrolysis
- লেজার চিকিত্সা
- Intense pulsed light (IPL)—uses high-intensity pulses of light to remove hair; unlike laser treatment, IPL uses a range of wavelengths.
Treatment of Other Conditions
If you are diagnosed with a condition that may be causing hirsutism, proper treatment may resolve the hirsutism. Weight loss may also play a role in reducing underlying hormone imbalances.
প্রতিরোধ
Hirsutism may be prevented by treating the underlying cause.