Hirsutism

Excessive, androgen-dependent terminal hair growth in women in a male-pattern distribution (face, chest, linea alba, back), usually reflecting increased androgen production or increased pilosebaceous follicle sensitivity to androgens.

Causes

• Ovarian causes

  • Polycystic ovary syndrome (PCOS)

  • Androgen-secreting ovarian tumors

  • Ovarian hyperthecosis

• Adrenal causes

  • Congenital adrenal hyperplasia

  • Cushing syndrome

  • Androgen-secreting adrenal tumors

• Medication and substance-related causes

  • Anabolic steroids

  • Minoxidil

• Increased sensitivity of hair follicles to normal androgen levels