Hirsutism, defined as excessive male-pattern hair growth. It may a sign of an underlying androgen disorder. Most common cause of hirsutism is polycystic ovary syndrome (PCOS). Hirsutism causes significant psychological stress.
Hirsutism affect around 5-15% of reproductive age women. This condition is cosmetically concerning and causes decreased self esteem.80-90% of patients with full-blown hirsutism have demonstrable androgen excess disorder. Virulism is extreme degree of hirsutism including male pattern baldness, voice change even clitoral enlargement. Etiopathogenesis: Increased circulating hormones Excess hormonal production Increased sensitivity to androgens Relative decrease in binding globulins Androgen excess Testosterone, which is usually of ovarian origin Dehydroepiandrosterone sulfate (DHEAS), which is of adrenal origin Androstenedione, which can be of either adrenal or…