Hirsutism – excessive growth of hair on the body and face in women in the male (androgenic) type. Characterized by the appearance of hair in the upper lip, chin, chest, on the back and stomach. With hirsutism, there is often a violation of the regularity of the menstrual cycle, uterine bleeding, infertility, anemia. It requires long-term treatment (from 6 to 12 months) and eliminating the cause (polycystosis or ovarian tumor, adrenal tumor, pituitary gland, Itenko-Cushing syndrome) to stop hair growth.
With hirsutism thin, soft, unpigmented fleece hair under the influence of some factors are transformed into terminal ones – long, hard and pigmented. Among the causes of hirsutism, the most common are hyperandrogenism, family factor, side effects of drugs and idiopathic excess of androgens.
An easy degree of hirsutism, not accompanied by a violation of menstrual function, does not require special treatment. Since hirsutism, as a rule, is not an independent disease, but a manifestation of another pathology, its treatment is aimed at eliminating the primary etiologic factor.
Drug therapy with hirsutism is prescribed after the exclusion of androgen-secreting tumors. Since most often hirsutism is a consequence of hyperandrogenism, it is advisable to prescribe antiandrogenic drugs that suppress testosterone levels and reduce sensitivity to androgens of hair follicles.