1. EMedicine - Hirsutism : Article By Herbert P Goodheart, MD hirsutism hirsutism is defined as the excessive growth of thick dark hair inlocations where hair growth in women usually is minimal or absent. http://www.emedicine.com/derm/topic472.htm

(advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Patient Education Advanced Search Consumer Health 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 Dermatology, Mount Sinai Hospital, New York, New York Coauthor(s): Hendrik Uyptendaele, MD 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

2. Evaluation Of Excessive Hair Growth (Hirsutism) Presents the hormonal factors involved, the causes, and treatment for this type of problem. Written by a physician. 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

3. Hirsutism (Excess Hair) Familydoctor.org Information about hirsutism from the American Academy of Family Physicians. http://familydoctor.org/210.xml

Advanced Search familydoctor.org Home Conditions A to Z Hirsutism What is hirsutism? What causes hirsutism? When should I see my doctor about hirsutism? What can I do to get rid of the excess hair? ... Are there medicines to treat hirsutism? Hirsutism (Excess Hair) Printer-friendly version Email this article 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. Return to top 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.

4. InteliHealth: Hirsutism Describes this disorder in women and covers symptoms, diagnosis, treatment, and prevention. http://www.intelihealth.com/IH/ihtIH/WSIHW000/9339/10144.html

chrome_imgPreload('gifChr_mid_but_home_mo_1','http://img.intelihealth.com/i/C/Chr_mid_but_home-o.gif'); chrome_imgPreload('gifChr_mid_but_comm_mo_2','http://img.intelihealth.com/i/C/Chr_mid_but_comm-o.gif'); chrome_imgPreload('gifChr_mid_but_dental_mo_3','http://img.intelihealth.com/i/C/Chr_mid_but_dental-o.gif'); chrome_imgPreload('gifChr_mid_but_drug_mo_4','http://img.intelihealth.com/i/C/Chr_mid_but_drug-o.gif'); chrome_imgPreload('gifChr_mid_but_askexpert_mo_5','http://img.intelihealth.com/i/C/Chr_mid_but_askexpert-o.gif'); chrome_imgPreload('gifChr_mid_but_medical_mo_6','http://img.intelihealth.com/i/C/Chr_mid_but_medical-o.gif'); chrome_imgPreload('gifChr_mid_but_chats_mo_7','http://img.intelihealth.com/i/C/Chr_mid_but_chats-o.gif'); chrome_imgPreload('gifchr_mid_but_news_mo_8','http://img.intelihealth.com/i/c/chr_mid_but_news-o.gif'); chrome_imgPreload('gifChr_mid_but_privacy_mo_9','http://img.intelihealth.com/i/C/Chr_mid_but_privacy-o.gif'); Advertisement Hirsutism What Is It? Symptoms Diagnosis Expected Duration ... Additional Info What Is It? Hirsutism is excessive hair growth in certain areas of a woman's face and body, such as the mustache and beard area, that creates a "male pattern" of hair. Women normally can have fine, pale, faintly visible hair in these areas, but heavy hair growth in a male pattern with coarse or colored hair is not expected.

5. Hirsutism (excessive Hairiness In Females). DermNet NZ Authoritative facts about the skin from the New Zealand Dermatological Society. http://dermnetnz.org/hair-nails-sweat/hirsutism.html

@import url("/common/screen.css"); DermNet NZ Ad Authoritative facts about the skin from the New Zealand Dermatological Society Incorporated Home For patients For doctors ... Site map Search: Home Hair nails sweat 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.

6. Pathophysiology And Treatment Of Hirsutism Presents an article from American Family Physician on this hormonal disorder. http://www.aafp.org/afp/970600ap/tips17.html

7. Hirsutism - Causes And Treatments There are many causes of hirsutism and it can cause severe anxiety and social stress. There are now many treatment options available. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

8. Hirsutism - Excess Hair hirsutism is excess facial and body hair in women. Causes and treatment are discussed. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

9. EMedicine - Hirsutism : Article By George T Griffing, MD hirsutism Although hirsutism is broadly defined as excessive hairiness, thecommon clinical use of the term is in reference to women with excess growth of http://www.emedicine.com/med/topic1017.htm

(advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Patient Education Advanced Search Consumer Health Link to this site Back to: eMedicine Specialties Medicine, Ob/Gyn, Psychiatry, and Surgery Endocrinology Hirsutism Last Updated: October 22, 2003 Rate this Article Email to a Colleague Synonyms and related keywords: androgen excess, virilization, masculinization, excessive hairiness, excess body hair, endocrine disorders, congenital adrenal hyperplasia, CAH, polycystic ovary syndrome, PCOS, androgen-secreting tumor, hyperandrogenism, Cushing syndrome, Cushing's syndrome, Ferriman and Gallway scale AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: George T Griffing, MD , Director, Division of General Internal Medicine, Professor, Department of Internal Medicine, St Louis University George T Griffing, MD, is a member of the following medical societies: American Association for the Advancement of Science American College of Medical Practice Executives American College of Physician Executives American College of Physicians ... Central Society for Clinical Research , and Endocrine Society Editor(s): Stanley Wallach, MD

10. Women's Health: What Is 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. 15 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. Higher dose cyproterone acetate may be considered. It is prescribed in a ‘reverse-sequential dose regimen’ when there is an inadequate response to previous medication. Usually, progestogens are taken in the latter half of cyclical oestrogen therapy, in HRT for example (Q 28.9). Cyproterone acetate is stored in the fat tissues and when it is administered late in the cycle there is a tendency for the period to be delayed. Cyproterone acetate 50mg or 100mg is, therefore, given on the first 10 days of each course of the pill. When cyproterone acetate is given in combination with the pill, it is likely to reduce hair growth, lighten the hair colour, and decrease the hair thickness in hirsute areas. Your doctor may request blood tests from time to time to check hormone levels and to ensure that your chemistry is not being affected adversely. 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. Evaluation Of Excessive Hair Growth (Hirsutism) Woman's Diagnostic Cyber Article about evaluation of excessive hair growth (hirsutism) and androgen testosterone excess http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

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 ... Nurse Practitioner s F-A-Q's What's New? What Every Diabetes Patient Should Know! Clinical Pharmacology Unit ... 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. ... Nurse Practitioners and diabetes, gestational diabetes, thyroid disease, osteoporosis, lipid disorders (high 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 ... What's New? Questions / problems with this site? E-mail webmaster@dgdclinic.com

13. Electrolysis - Permanent Hair Removal - Electrology Information American Electrology Association (AEA) for industry professionals as well as the consumer seeking permanent hair removal systems. Search for local http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

14. Hirsutism (Excess Hair) Familydoctor.org 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 http://familydoctor.org/210.xml?printxml

15. 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/services/endocrinology.asp

Services Programs Site Search Overview Staff Office Location Location: 2L Telephone: 860.545.9370 Fax: 860.545.9371 Contact Person Susan K. Ratzan, MD, Director E-mail sratzan@ccmckids.org 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 polycystic ovarian syndrome. The division has a comprehensive program for the care and education of children with type 1 and type 2 diabetes utilizing a multidisciplinary team approach. Doctor Search Services Programs Investigators ... Email the President

16. The Evaluation And Management Of Hirsutism Azziz 101 (5) 995 The Evaluation and Management of hirsutism Ricardo Azziz, MD, MPH http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

17. Hirsutism - Causes And Treatments There are many causes of hirsutism and it can cause severe anxiety and socialstress. 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.

18. Hair, Hair Loss, Alopecia, Baldness, Hair Growth, Hair Transplant Infectious Disease. hirsutism / Hypertrichosis. Hair Color. Hair Cosmetics infectious scalp complaints. hirsutism / Hypertrichosis. This http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

19. Evaluation And Treatment Of Women With Hirsutism - June 15, 2003 - American Fami Women with irregular menses and hirsutism should be screened for thyroid Most women who seek treatment for hirsutism do so for cosmetic reasons, http://www.aafp.org/afp/20030615/2565.html

Advanced Search AAFP Home Page Journals Vol. 67/No. 12 (June 15, 2003) PRACTICAL THERAPEUTICS Evaluation and Treatment of Women with Hirsutism MELISSA H. HUNTER, M.D., and PETER J. CAREK, M.D. Medical University of South Carolina, Charleston, South Carolina A PDF version of this document is available. Download PDF now (8 pages /95 KB). More information on using PDF files. H irsutism is a common disorder affecting up to 8 percent of women. It often results from conditions that are not life-threatening, such as chronic anovulation. Hirsutism is defined as the presence of excessive terminal hair in androgen-dependent areas of a woman's body. The disorder is a sign of increased androgen action on hair follicles, from increased circulating levels of androgens (endogenous or exogenous) or increased sensitivity of hair follicles to normal levels of circulating androgens. Hirsutism is a sign of increased androgen action on hair follicles, from increased circulating levels of androgens or increased sensitivity of hair follicles to normal levels of circulating androgens. Infrequently, hirsutism may signal more serious pathology, and clinical evaluation should differentiate benign causes from tumors or other conditions that require specific treatment. Most women who seek treatment for hirsutism do so for cosmetic reasons, because excess body hair outside of cultural norms can be very distressing. Hair growth varies widely among women, and distinguishing normal variations of hair growth from hypertrichosis and true hirsutism is important.

20. 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.

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