Hirsutism is a condition where women have too much unwanted hair on their faces and bodies. The hair is dark and coarse and usually appears where men typically grow hair, on the chest, face, and back.
Some body and facial hair is normal, and how much hair varies among women. But about half of women with hirsutism may have high levels of male sex hormones called androgens.
Most cases of hirsutism are not severe and aren't caused by any underlying condition. However, sometimes there is a more serious underlying condition, such as Cushing's syndrome. About 8% of adult women in the United States have hirsutism. Sometimes there is no cause that can be found.
Signs and Symptoms
The main symptom of hirsutism is hair growing on the abdomen, breasts, and upper lip (male-pattern hair growth in women). If hirsutism is caused by high levels of male hormones, symptoms also can include:
If hirsutism is caused by Cushing syndrome, signs and symptoms can include:
About half of women with hirsutism have high levels of male sex hormones, called androgens. Those high levels can be caused by:
Sometimes, women with hirsutism may have normal levels of male hormones. If there is no underlying condition, then doctors don't know what causes hirsutism.
The following factors may increase your risk of hirsutism:
Your doctor will examine you and take a medical history. You may be asked about your menstrual cycles, what medications you take, and your family history. Your doctor will check you for hair growth and also may do a pelvic examination to check for tumors or cysts on the ovaries. After doing the physical exam, your doctor may order one of the following tests:
Preventing hirsutism depends on what may be causing it. For women with polycystic ovary syndrome (PCOS), for example, controlling their weight through diet and exercise may help. Studies suggest that obese women with PCOS may be less likely to develop hirsutism if they eat a low-calorie diet.
The treatment for hirsutism depends how severe the problem is and whether there is an underlying condition that is causing it. For example, if medications are making it worse, you can ask your doctor if you can switch medications. A tumor on the ovaries or adrenal glands can be removed surgically. Overweight women with hirsutism may want to lose weight so their bodies will make less testosterone.
If your doctor can't find a cause, you can try a combination of self-care and hair-removal techniques. Psychological support may also help because hirsutism is often a frustrating and embarrassing condition.
Being overweight may contribute to hirsutism. Eating a balanced diet and getting enough exercise can help control weight.
The U.S. Food and Drug Administration (FDA) has not approved any medications to treat hirsutism. However, some drugs may lower androgen production and reduce hair growth. It can take 6 months or longer for the medications to reduce hair growth. They must be taken long-term to keep symptoms under control. These medications include:
Surgery and Other Procedures
If a tumor on the ovaries or adrenal glands is causing hirsutism, you may need surgery to remove it.
Laser therapy can remove unwanted hair for some women. The laser destroys hair follicles and stop hair from growing. You'll need several sessions to reduce hair growth in specific areas, and you may need touch-ups afterward. Laser therapy works best on women with dark hair and light skin.
Nutrition and Dietary Supplements
Ask your health care provider how you can use complementary and alternative therapies in your overall treatment plan. Always tell your health care provider about the herbs and supplements you are using or considering using.
These nutritional tips may help women stay at a good weight, which may help lower androgens in the body:
Herbs may strengthen and tone the body's systems. As with any therapy, you should work with your health care provider before starting any treatment. You may use herbs as dried extracts (capsules, powders, and teas), glycerites (glycerine extracts), or tinctures (alcohol extracts). Unless otherwise indicated, you should make teas with 1 tsp. herb per cup of hot water. Steep covered 5 - 10 minutes for leaf or flowers, and 10 - 20 minutes for roots.
These herbs are sometimes suggested to treat hirsutism, but most haven't been studied by scientists. Always talk to your doctor before taking any herb that can affect hormones. Do not take these supplements if you are pregnant or breast-feeding, or planning to become pregnant. Women who have a history of breast, uterine, or ovarian cancer, or other hormone-related conditions, should not take these supplements except under their doctor's supervision.
One small study of women with hirsutism found that acupuncture reduced both hair density and hair length. It also reduced their levels of the male hormone testosterone. However, more research is needed to make sure acupuncture works for hirsutism.
If you are pregnant, you should not take medications, herbs, or supplements that change hormone levels. Talk to your doctor if you are pregnant, breastfeeding, or plan to become pregnant.
Pregnant women may notice more hair growth during the third trimester, especially on the face, arms and legs, and breasts. This is normal and is not a sign of hirsutism.
Prognosis and Complications
Treating the underlying cause of hirsutism can improve your symptoms. Long-term medication may slow hair growth, but it usually won't get rid of existing hair on the face and body. Some cosmetic techniques -- laser hair removal, waxing -- can reduce unwanted hair. Women who are embarrassed by their condition may be helped by seeing a trained counselor.
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Review Date: 12/28/2012
Reviewed By: Steven D. Ehrlich, NMD, Solutions Acupuncture, a private practice specializing in complementary and alternative medicine, Phoenix, AZ. Review provided by VeriMed Healthcare Network.
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