1. Hirsutism (Excess Hair) An explanation of hirsutism, the causes, when to see your doctor, how to get rid of excess hair and Category Health Conditions and Diseases Adrenal hirsutism......hirsutism (Excess Hair). What is hirsutism? hirsutism is a condition inwhich too much hair grows on the face or body. What causes hirsutism? http://familydoctor.org/handouts/210.html

Information from Your Family Doctor Hirsutism (Excess Hair) What is hirsutism? Hirsutism is a condition in which too much hair grows on the face or body. Although hirsutism can occur in both men and women, it is usually only a problem for women. Women with hirsutism have dark, thick hair on their face, chest, abdomen and back. This thick, dark hair is different from the hair that some women have on their upper lip, chin, breasts or stomach, or the fine "baby" hair all over their body. Women from certain ethnic groups tend to have more body hair than others. This does not mean that they have hirsutism. What causes hirsutism? Hirsutism can be caused by hair follicles that are overly sensitive to male hormones (called androgens), or it can be caused by abnormally high levels of these hormones. A very high level of male hormones may be caused by tumors. Tumors are formed when abnormal cells in the body grow out of control and clump together. Some medicines can cause hirsutism. These medicines include birth control pills, hormones and anabolic steroids. Hirsutism seems to run in families. If you have hirsutism, your family doctor may want to do some tests to find out what is causing it.

2. Hirsutism - Causes And Treatments The complaint of hirsutism is common and often accompanied by severe anxiety and social stress. There are now many treatment options available. http://hirsutism.homestead.com

Cushing's Syndrome Hyperprolactinaemia sarahpr@hotmail.com Hirsutism - Causes and treatments PATHOPHYSIOLOGY The extent of normal hair growth varies between individuals, families and races, being more extensive in the Mediterranean and some Asian subcontinent populations. These variations in body hair in the normal population, and the more extensive hair growth seen in patients complaining of hisutpear to represent a continuum from no visable hair to extensive cover with thick dark hair. It is therefore impossible to draw an absolute dividing line between 'normal' and 'abnormal' degrees of facial and body hair in the female. Soft vellous hair is normally present all over the body and this type of hair on the face and elsewhere is 'normal' and is not sex-hormone dependant. Any excess in the latter regions is thus usually a mark of increased ovarian or adrenal androgen production. It has been traditional to divide patients with hirsutism into those with no elevation of serum androgen levels and no other clinical features (usually labelled 'idiopathic hirsutism') and those with an identifiable endocrine imbalance (most commonly polycystic ovary sydnrome (PCOS) or rarely other causes). However in recent years it has become apparent that most patients with 'idiopathic hirsutism' have some radiological or biochemical evidence of PCOS on more detailed investigation. Famialial or idiopathic hirsutism does occur, but usually involves a distribution of hair growth which is not typically androgenic. Similarly, non-androgen-dependant hair growth occurs with drugs such as phenytoin, diazoxide, minoxidil and cyclosporin. Iatrogenic hirsutism also occurs after treatment with androgens, or more weakly androgenic drugs such as progestagens or danazol.

3. Pathophysiology And Treatment Of Hirsutism American Family Physician An article on this disorder. http://www.aafp.org/afp/970600ap/tips17.html

Advanced Search American Family Physician Articles Departments Patient Information Editorials ... Abstracts The following is part of " Tips From Other Journals " from the June 1997 edition of American Family Physician Pathophysiology and Treatment of Hirsutism Most cases of hirsutism result from a combination of mildly increased androgen production and increased skin sensitivity to androgens. Cases that are not androgen-dependent (e.g., those caused by medications or familial hypertrichosis) are best diagnosed by physical examination. Rittmaster reviews the pathophysiology and treatment of hirsutism. Patients with nonandrogen-dependent hirsutism tend to have long, fine hairs diffusely located on the face and trunk, whereas patients with androgen-dependent hirsutism have male-pattern hair growth. Clinical distinction between androgen-dependent and nonandrogen-dependent hirsutism is important for proper management; nonandrogenic hirsutism can only be managed by mechanical hair removal, but androgen-dependent hirsutism may respond well to a combination of mechanical removal and medical therapy. Oral contraceptives are the initial treatment for hirsutism caused by ovarian hyperandrogenism. Approximately 10 percent of cases improve and 50 percent stabilize with the use of oral contraceptives alone. An alternative strategy is to use analogs of gonadotropin-releasing hormones that suppress luteinizing and follicle-stimulating hormones. Besides the cost and the discomfort of parenteral administration of these agents, treatment with these agents necessitates estrogen-progesterone supplementation. A simpler antiandrogen is spironolactone. A dosage of 50 mg twice daily is reported to provide improvement of hirsutism in 70 percent of patients within six months. The addition of oral contraceptives prevents the side effect of menstrual irregularity and enhances the antihirsutism effect. Other antiandrogens include cyproterone (which may be used alone or in combination with oral contraceptives) and finasteride.

4. Hirsutism - Excess Hair hirsutism is excess facial and body hair in women. Causes and treatment arediscussed. Up. hirsutism and hyperandrogenism in women. What is hirsutism? http://www.advancedfertility.com/hirsute.htm

Hirsutism and hyperandrogenism in women What is hirsutism? Excess facial and body hair growth in women. What is hyperandrogenism? Increased levels of male hormone production in women. Diagnostic classification of hyperandrogenism These are the causes of hyperandrogenism and hirsutism in women: Chronic anovulation - i.e. polycystic ovarian syndrome Idiopathic hirsutism - excess hair growth with normal menstrual cycles and normal androgen (male hormone) levels Late onset congenital adrenal hyperplasia - an inherited disorder of hormone metabolism that causes increased hair growth in women after puberty Ovarian tumors - a rare cause of hirsutism Adrenal causes - even more rare Pregnancy related - rare, but interesting, e.g. luteoma of pregnancy Drugs - some drugs can cause excess hair growth in women Evaluation of hirsute women Women with hirsutism have an increased production rate of testosterone and androstenedione. The most commonly seen clinical problem is the typical story of irregular menstrual cycles ( anovulation ), onset of hirsutism in the teens or early 20s, and gradually worsening excess hair growth. These are the findings associated with a condition known as

5. Evaluation Of Excessive Hair Growth (Hirsutism) Frederick R. Jelovsek MD Evaluation of excessive hair growth and androgen testosterone excess. http://www.wdxcyber.com/ninfer07.htm

Home About us Articles Books ... Quizzes Evaluation of Excessive Hair Growth (Hirsutism) Frederick R. Jelovsek MD Excessive hair growth (hirsutism) in women is usually an undesirable symptom. It can often be associated with infertility or irregular menstruation due to anovulation, but many times it occurs with no menstrual or ovulatory disturbance. Excessive hair growth can make a women take on masculine features but it is different than a medical term called virilization . That term is used to include hirsutism, but also to include the development of further masculine features such as receding hairline, deepening of the voice development of male-type pubic hair and enlargement of the clitoris. Almost always, virilization in a female is caused by very high levels of male hormones such as testosterone, whereas hirsutism may be associated more with milder levels of "male-hormone" elevation or even normal levels. This week we look at the educational bulletin published by the American College of Obstetricians and Gynecologists (ACOG) entitled Evaluation and Treatment of Hirsute Women . No 203, Mar 1995

6. EMedicine - Hirsutism : Article By Herbert P Goodheart, MD Although the terms hirsutism and hypertrichosis often are used interchangeably, hypertrichosis actually refers to excess http://www.emedicine.com/derm/topic472.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Dermatology Diseases Of The Adnexa Hirsutism Last Updated: November 7, 2001 Rate this Article Email to a Colleague Synonyms and related keywords: hypertrichosis, hirsuties AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: Herbert P Goodheart, MD , Assistant Clinical Professor, Department of Internal Medicine, Division of Dermatology, Albert Einstein College of Medicine of Yeshiva University Editor(s): Leonard Sperling, MD , Chair, Professor, Department of Dermatology, Uniformed Services University of the Health Sciences; Richard Vinson, MD , Chief, Department of Dermatology, William Beaumont Medical Center; Lester Libow, MD , Chief of Dermatopathology, Departments of Dermatology and Pathology, Brooke Army Medical Center; Catherine Quirk, MD , Clinical Assistant Professor, Department of Dermatology, Brown University; and William D James, MD

7. Hirsutism – Patient Information Information about hirsutism, which means increased hair growth on women. Includes a description and methods by which to remedy the situation. Home Patient Information hirsutism. hirsutism. hirsutism (or hirsutes) is the term used for increased hair growth in http://www.dermnet.org.nz/dna.hirsutism/info.html

Sponsors do not influence content Home Patient Information Hirsutism Hirsutism (or hirsutes) is the term used for increased hair growth in women. It refers to a male pattern of hair, i.e. in the moustache and beard areas (chin), or occurring more thickly than usual on the limbs. There may be hairs on the chest or an extension of pubic hair on to the abdomen and thighs. What is considered normal for a woman, and what is considered hirsute, depends on cultural factors and race. Hirsutism is very common. Hirsutism is nearly always genetic in origin. Female and male relatives may also have more hair than the average so hirsutism is normal in that family. Unfortunately in our society, to be hirsute is thought unattractive. The only reason that fashion models appear to have little hair, is that they spend a lot of time and energy removing it. Although some women with hirsutism have increased amounts of male hormone (eg. testosterone), most have normal levels. The problem in these women is that the hairs are more sensitive than normal to small amounts of hormone. The hairs grow more quickly and thicker in response to it. The increased hair growth is usually first noted in late teenage years and tends to gradually get more severe as the woman gets older. Blood tests may be arranged to make sure that the hirsutism is not due to excessive male hormone levels, which could be due to a tumour on the pituitary gland or adrenal gland. Other blood tests should include prolactin levels and cortisol. An ultrasound examination of the ovaries may be necessary as one common cause of hirsutism is polycystic ovaries.

8. Hirsutism – Patient Information hirsutism information for patients. NZ DermNet is an online dermatologyresource for patients, GPs and dermatologists. hirsutism. http://www.dermnetnz.org/dna.hirsutism/info.html

Sponsors do not influence content Home Patient Information Hirsutism Hirsutism (or hirsutes) is the term used for increased hair growth in women. It refers to a male pattern of hair, i.e. in the moustache and beard areas (chin), or occurring more thickly than usual on the limbs. There may be hairs on the chest or an extension of pubic hair on to the abdomen and thighs. What is considered normal for a woman, and what is considered hirsute, depends on cultural factors and race. Hirsutism is very common. Hirsutism is nearly always genetic in origin. Female and male relatives may also have more hair than the average so hirsutism is normal in that family. Unfortunately in our society, to be hirsute is thought unattractive. The only reason that fashion models appear to have little hair, is that they spend a lot of time and energy removing it. Although some women with hirsutism have increased amounts of male hormone (eg. testosterone), most have normal levels. The problem in these women is that the hairs are more sensitive than normal to small amounts of hormone. The hairs grow more quickly and thicker in response to it. The increased hair growth is usually first noted in late teenage years and tends to gradually get more severe as the woman gets older. Blood tests may be arranged to make sure that the hirsutism is not due to excessive male hormone levels, which could be due to a tumour on the pituitary gland or adrenal gland. Other blood tests should include prolactin levels and cortisol. An ultrasound examination of the ovaries may be necessary as one common cause of hirsutism is polycystic ovaries.

9. Endocrinology And Hirsutism Endocrinology and hirsutism What is hirsutism? hirsutism is the medical term for excess body or facial hair in women. http://www.endo-society.org/pubrelations/patientInfo/hirsutism.htm

10. Cyproterone Acetate. Brief description of its use in the treatment of hirsutism. http://www.2womenshealth.co.uk/08-15.htm

Chapter 8 :Hirsutism (excessive body hair growth) and virilism (masculinisation). Q 8. What is cyproterone acetate? Cyproterone acetate is an anti-androgen; it competes at the receptor sites (Q2.8) with androgens and reduces their effects. Dianette (Schering) is a special combined oral contraceptive pill that contains 2mg cyproterone acetate. Medical treatments for hirsutism are not rapidly effective, overnight remedies. New hair follicles are developing all the time and each lasts for about three years. In one study of hirsute patients, 10-20% of patients were improving after six months and 90% were happy after 36 months. These treatments only work whilst they are being taken. They do not cure the underlying abnormality so that when treatment is discontinued the hirsutism may recur.

11. Connecticut Children's Medical Center: Endocrinology Offers care for infants, children, and adolescents with a wide range of endocrine and metabolic disorders, including diabetes, hypoglycemia, hyperlipidemia, growth disorders, precocious and delayed puberty, pituitary, adrenal, and thyroid abnormalities, ambiguous genitalia, disorders of calcium and bone metabolism, menstrual irregularities, and hirsutism.Š http://www.ccmckids.org/departments/endocrinology.htm

Staff Office Locations The division offers care for infants, children, and adolescents with a wide range of endocrine and metabolic disorders, including diabetes, hypoglycemia, hyperlipidemia, growth disorders, precocious and delayed puberty, pituitary, adrenal, and thyroid abnormalities, ambiguous genitalia, disorders of calcium and bone metabolism, menstrual irregularities, and hirsutism. The division has a comprehensive program for the care and education of children with diabetes - the Connecticut Program for Children with Diabetes (CPCD) - that utilizes a multidisciplinary team approach. Office Locations Location: 2L Telephone: 860.545.9370 Appointments: 860.545.9600 Fax: 860.545.9371 After hours: 860.545.9370 Home About Us Children Departments ... Website Information

12. Diabetes & Glandular Disease Offering treatment for hormonal and metabolic disorders such as type I and II diabetes, gestational diabetes, thyroid disease, osteoporosis, lipid disorders, pituitary/adrenal gland problems, menstrual disorders and hirsutism. http://www.dgdclinic.com/

Do you know what your blood sugar reading is? Clinical Practice Diabetes Education Clinical Research Physician Profiles ... Helpful Links Diabetes Clinic of San Antonio, P.A. Sherwyn L. Schwartz, M.D., P.A. Jerome S. Fischer, M. D. Mark S. Kipnes, M.D. W. Fernando Trigoso, M.D. ... Michelle Welch, M.D. and The clinic was founded in Ju ly , type , and gestational diabetics along with insulin adjustment and out-patient insulin pump training. DGD continues to be a leader in progressive use of the most current, state-of-the-art technologies and cutting-edge treatments. Because of this, the clinic has become internationally renowned for its care of patients with diabetes mellitus, as well as other endocrine disorders, and has remained one of the largest endocrinology clinics in South Texas. Clinical Practice Diabetes Education Clinical Research Physician Profiles ... información en español Questions / problems with this site? E-mail webmaster@dgdclinic.com Employment Opportunities Call Now! Click on Map Below to Zoom in on DGD at 5107 Medical Drive, San Antonio, TX 78229

13. DermIS / Main Menu / DOIA / Hirsutism / Images hirsutism / images http://www.dermis.net/bilddb/diagnose/englisch/i704110.htm

HOME DOIA PeDOIA Skincancer ... DOIA Hirsutism images images for the diagnosis 'Hirsutism' sitesearch: DermIS - Dermatology Information System

14. Advanced Search Comparison of Therapies for hirsutism in Women. Contraceptives are widelyused but are of limited value in women with established hirsutism. http://www.aafp.org/afp/20000515/tips/20.html

Advanced Search Tips from Other Journals Previous Next Comparison of Therapies for Hirsutism in Women Forty young women with moderate to severe hirsutism were enrolled in the study. Hair growth was estimated by using a standardized scoring system measuring shaft diameters of hair plucked from the linea alba. Patients were randomized to double-blinded treatments once daily for six months with one of the following: spironolactone (100 mg), flutamide (250 mg), finasteride (5 mg) or placebo. Hirsutism and hormonal parameters were evaluated in each patient at baseline and at the end of the study. All three drugs appeared to be equally effective in decreasing hair diameter and improving standardized hirsutism scores. Similar improvements were found in women with polycystic ovary syndrome and women with nonovarian hyperandrogenism. Transient metrorrhagia was reported in five women taking spironolactone. Flutamide was not associated with liver toxicity in this study, although this association has been noted in other studies. Finasteride was not associated with any appreciable side effects. The authors conclude that all three medications were effective in the treatment of hirsutism, but that finasteride appears to be the current best choice because of its lack of side effects. All antiandrogens must be avoided during pregnancy to prevent feminization of a male fetus. Further research may be useful to evaluate the synergistic effects of combined therapies.

15. Endocrinology And Hirsutism Endocrinology and hirsutism. What is hirsutism? Who is most affected?For most women, the tendency towards hirsutism is inherited. http://216.205.53.178/endo/pubrelations/patientInfo/hirsutism.htm

Endocrinology and Hirsutism What is Hirsutism? Hirsutism is the medical term for excess body or facial hair in women. It is usually caused by an increased production of a group of hormones called androgens ("male hormones") or an increased sensitivity of the skin to these hormones. Why is hirsutism an important issue? Hirsutism is not a disease, and it is rarely caused by a serious underlying disorder. Nevertheless, in our society, too much facial or body hair is considered abnormal. Excess hair growth can cause great psychological distress or social embarrassment. It is often a treatable problem, but many women do not realize that treatments are available. Who is most affected? For most women, the tendency towards hirsutism is inherited. Excess hair growth may be present in both the female and male family members. Hirsutism usually begins around puberty, but mild hirsutism can start at any age. Most women gradually develop more facial or body hair with age. Because it is not considered a suitable topic of conversation, many affected women do not realize how common a problem it is. At least 25% of normal middle-aged women remove unwanted facial hair. Rarely, hirsutism is a result of a serious underlying disorder, but this can easily be ruled out with a medical history and some simple blood tests. Who should see a doctor?

16. Dianette Features information about the use of this drug in the treatment of hirsutism and polycystic ovarian syndrome. http://www.dundee.ac.uk/medicine/tayendoweb/images/dianette.htm

A B O U T Y O U R M E D I C I N E DIANETTE® (CO-CYPRINDIOL) IN HIRSUTISM in women (DIANETTE® (CO-CYPRINDIOL) IN POLYCYSTIC OVARIAN DISEASE) How does it work? How do I take it? What side effects can be expected? ... Storing your medicine Available as tablets containing Cyproterone Acetate 2 mg + Ethinyloestradiol 35 microgram supplied under the trade name Dianette How does it work? Cyproterone Acetate is an anti-androgen and blocks the normal activity of the small amount of male type hormone called androgen which every women normally produces and is necessary for axillary and pubic hair formation and maintenance. Cyproterone can be highly effective in many women with excess sexual sited hair (called hirsutism). Only a small dose is present in Dianette combined with the female type hormone ethinyloestradiol (an oestrogen). This may be sufficient for women with mild hirsutism - much higher doses are used in severe cases (see Cyproterone Acetate). Cyproterone Acetate is also a potent progestational hormone (a second type of female sex hormone) and as such it inhibits the production of oestrogen. The addition of ethinyloestradiol compensates for the lack of oestrogen and the problems (hot flushes, menopausal-type symptoms) that would otherwise result. In relation to its component medicines, Dianette resembles the oral contraceptive and, indeed, acts as an oral contraceptive.

17. Hirsutism / Hypertrichosis Index keratin.com, hair loss, baldness, alopecia, disease, and treatment information. hirsutism/ hypertrichosis index. hirsutism / Hypertrichosis everywhere hair !. http://www.keratin.com/ah/ahindex.shtml

hirsutism / hypertrichosis index Home Forums Privacy Advertising ... Home Index Pages Hirsutism / Hypertrichosis - everywhere hair ! . An overview of the differences between hirsutism, hyperandrogenism and hypertrichosis. Hirsutism / Hypertrichosis - hypertrichosis and hirsutism definitions . Defining the difference between hirsutism and congenital and acquired hypertrichosis. Hirsutism / Hypertrichosis - drug induced hypertrichosis . Certain drugs may cause excess hair growth. Hirsutism / Hypertrichosis - chemical induced hypertrichosis . Some chemicals may promote excess hair growth. Hirsutism / Hypertrichosis - injury induced hypertrichosis . Minor injuries and abrasions can promote localized hair growth. Hirsutism / Hypertrichosis - pressure induced hypertrichosis . Pressure applied to an area of skin for a long time may encourage excess hair growth. Hirsutism / Hypertrichosis - allergy, infection, and vaccination induced hypertrichosis

18. Doctors Must Recognize 'Broader Picture' In Assessing Hirsutism The possible causes, guidelines for doctors for diagnosing, and treatment tailored to individual needs are some of the items discussed. http://www.medscape.com/jobson/MedTrib/obgyn/1997/v04.n09/DoctorsMustRecognize'b

19. Hirsutism / Hypertrichosis - Everywhere Hair! hirsutism hypertrichosis and hyperandrogenism. What is hirsutism? hirsutismis the medical term for excess body or facial hair in women. http://www.keratin.com/ah/ah001.shtml

everywhere hair ! Home Forums Privacy Advertising ... Home On this page... Hair, hair - everywhere hair! Hirsutism hypertrichosis and hyperandrogenism Acknowledgments Hair, hair - everywhere hair! Historically, hair removal products, equipment and services have been primarily targeted towards females. Not all societies have a hairless model of feminine beauty but many, including the United States, have long held the standard that "hairy body parts" are masculine and unappealing on a female body. Hirsutism hypertrichosis and hyperandrogenism What is hirsutism ? Hirsutism is the medical term for excess body or facial hair in women. It can easily be described as a male hair growth pattern or distribution on a female body. Hirsutism is considered a disease by many medical authorities and can be the result of a serious underlying disorder that can be easily be ruled out with a medical history and some simple blood tests. Hirsutism is usually caused by an increased production of a group of hormones called androgens ("male hormones") or an increased sensitivity of the skin to these hormones. Androgen disorders affect between 5% to 10% of all women. Women with hirsutism have an increased production rate of testosterone and androstenedione.

20. Endocrinology And Hirsutism Explanation of what this disorder is, why it is such an important issue, who should see a doctor, treatment and the role of endocrinology. http://www.endo-society.org/pubrelations/patientinfo/hirsutism.htm

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