परिभाषा

Hirsutism is excess male-pattern hair growth in women. The coarse, dark hair can occur in areas such as the face, chest, and back.

का कारण बनता है

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
    • साइक्लोस्पोरिन
    • 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.

जोखिम कारक

There are no known risk factors for hirsutism.

लक्षण

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
  • उच्च रक्तचाप
  • Enlarged ovaries
  • Enlarged adrenal glands
  • Abnormal cholesterol levels and glucose intolerance

अतिरोमता

निदान

डॉक्टर आपके लक्षणों और चिकित्सा इतिहास के बारे में पूछेंगे। एक शारीरिक परीक्षा ली जाएगी। परीक्षण में शामिल हो सकते हैं:

  • Blood tests—to measure the amounts of certain hormones
  • Stimulation or suppression tests—to measure how hormone levels in the blood respond to changes
  • अल्ट्रासाउंड—एक परीक्षण जो शरीर के अंदर की जांच करने के लिए ध्वनि तरंगों का उपयोग करता है
  • सीटी स्कैन- एक प्रकार का एक्स-रे जो शरीर के अंदर के चित्र बनाने के लिए कंप्यूटर का उपयोग करता है
  • एमआरआई स्कैन- एक परीक्षण जो शरीर के अंदर की तस्वीरें लेने के लिए चुंबकीय तरंगों का उपयोग करता है

उपचार

Treatment is directed at the underlying cause of the hirsutism and may include:

दवाएं

Medications that may help include:

  • स्पैरोनोलाक्टोंन
  • Finasteride (Proscar, Propecia)
  • Flutamide
  • Oral contraceptives
  • Metformin (Glucophage)
  • Eflornithine (Vaniqa)

Hair Removal

Methods of removing hair include:

  • Shaving
  • Bleaching
  • Chemical treatment (depilatories)
  • Waxing
  • Electrolysis
  • Laser treatment
  • 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.

रोकथाम

Hirsutism may be prevented by treating the underlying cause.

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