21. EMedicine - Hirsutism Article By Herbert P Goodheart, MD hirsutism hirsutism is defined as the excessive growth of thick dark hair in locations where hair growth in women usually is minimal or absent . http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

22. Evaluation And Management Of Hirsutism In Women - January 15, 2004 - American Fa hirsutism affects between 5 to 15 percent of adult women surveyed for the condition . The first step in the evaluation of hirsutism is confirmation of http://www.aafp.org/afp/20040115/tips/17.html

Advanced Search POEMs and Tips from Other Journals Previous Next Evaluation and Management of Hirsutism in Women Hirsutism affects between 5 to 15 percent of adult women surveyed for the condition. The excessive growth of coarse hair in a male-like pattern can cause significant distress and have multiple negative consequences for patients. Hyperandrogenism usually causes hirsutism. A review by Azziz stresses the need for a systematic evaluation of the patient and use of combination therapy. The first step in the evaluation of hirsutism is confirmation of excessive coarse (terminal) hairs in a male-like pattern, because many patients who complain of excessive hair growth do not have true hirsutism. Several scoring systems have been developed, but they must be adapted to the ethnic and cultural group to which each patient belongs, because body hair is regarded very differently by different cultures. The second step involves the identification of the disorders (e.g., adrenal hyperplasia, diabetes mellitus, thyroid dysfunction, ovulatory conditions) that could contribute to the etiology or complicate the management of hirsutism. The most common causes of hirsutism are androgenic. Approximately 70 to 80 percent of women with androgen excess have hirsutism. The most common cause of androgen excess is polycystic ovary syndrome (PCOS). Rarer androgenic causes include the insulin-resistant acanthosis nigricans syndrome, some forms of adrenal hyperplasia, and ovarian or adrenal androgen-secreting tumors. Approximately 5 to 15 percent of hirsutism cases are idiopathic (i.e., an underlying cause cannot be identified). Some of these women are believed to have enzyme overactivity in the hair follicles, causing hirsutism in spite of normal circulating hormone levels.

23. Evaluation And Treatment Of Women With Hirsutism - June 15, 2003 - Evaluation and Treatment of Women with hirsutism 6th ed. Baltimore Lippincott Williams Wilkins, 199952956. Causes of hirsutism http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

24. Diane-35 DIANE35 is indicated for the treatment of women with severe acne, unresponsive to oral antibiotic and other available treatments, with associated symptoms of andro-genization, including seborrhea and mild hirsutism http://www.diane.ca

Bienvenue sur le site Diane.ca ! Welcome to Diane.ca! Cliquer ici pour voir la monographie de Diane-35 Click here to view the Diane-35 Product Monograph

25. Hirsutism (Excess Hair) Familydoctor.org An explanation of hirsutism, the causes, when to see your doctor, how to get rid of excess hair and medications. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

26. InteliHealth: hirsutism can be a symptom of some potentially serious conditions, hirsutismisn t actually a disease; it s a symptom of increased hair growth on http://www.intelihealth.com/IH/ihtIH/WSIHW000/331/29458.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 Treatment Depends On Diagnosis About Women's Health About Women's Appearance ... Hirsutism A To Z In This Article: Getting To The Root Of The Problem Timing Is Everything "At least it's not cancer. That was my first reaction when I learned what was causing the alarming growth of hair on my face and body," says Susan, 25, who works for a marketing and media firm in the Midwest.

27. Postgraduate Medicine Hirsutism In Women Druginduced hirsutism. Many drugs can induce hirsutism, both generalized and localized. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

28. MedlinePlus Medical Encyclopedia: Excessive Or Unwanted Hair In Women Hypertrichosis; hirsutism; Hair excessive (women) If hirsutism developssuddenly and is accompanied by other typical male features, such as deepening http://www.nlm.nih.gov/medlineplus/ency/article/003148.htm

@import url(/medlineplus/images/advanced.css); Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Excessive or unwanted hair in women Contents of this page: Illustrations Alternative names Definition Common Causes ... What to expect at your health care provider's office Illustrations Ovarian cysts Overproductive ovaries Alternative names Return to top Hypertrichosis; Hirsutism; Hair - excessive (women) Definition Return to top The normal amount of body hair varies widely among women. When coarse, dark hairs grow where women typically do not grow dark hair, such as the lip, chin, chest, abdomen, or back, the condition is called hirsutism. Common Causes Return to top Excessive hair growth in women is usually from too much male hormone (androgen). A common cause is polycystic ovarian syndrome (PCOS). In most cases, however, the specific cause is never identified. It tends to run in families. In general, hirsutism is a harmless condition. But many women find it bothersome, even embarrassing. If hirsutism develops suddenly and is accompanied by other typical male features, such as deepening voice, acne, or increased muscle mass, it may be caused by a more serious disorder. These causes, such as hormone-secreting tumors or cancer, are rare.

29. Www.nlm.nih.gov/cgi/mesh/2K/MB_cgi?term=Hirsutism hirsutism Excess Hairhirsutism is excess facial and body hair in women. Causes and treatment are discussed. http://www.nlm.nih.gov/cgi/mesh/2K/MB_cgi?term=Hirsutism

30. UpToDate Patient Information: Causes And Treatment Of Hirsutism INTRODUCTION — hirsutism refers to the growth of coarse, dark hair in areas CAUSES OF hirsutism — hirsutism is caused by an excess production or action http://patients.uptodate.com/frames.asp?page=topic.asp&file=endo_hor/5570&title=

31. UpToDate Treatment Of Hirsutism The treatment of women with most of the other causes of hirsutism, NONPHARMACOLOGIC THERAPY — Treatment of the hirsutism associated with idiopathic http://patients.uptodate.com/topic.asp?file=r_endo_f/8185

32. Hirsutism American Osteopathic College of Dermatology skin disease database hirsutism isthe medical term for excess hair on a woman in the places only adult men. http://www.aocd.org/skin/dermatologic_diseases/hirsutism.html

Hirsutism Hirsutism is the medical term for excess hair on a woman in the places only adult men "should" grow hair. At least 25% and as much as 85% of normal middle-aged women remove unwanted facial and body hair, although few of these women are termed hirsute. 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. Hypertrichosis is an excessive quantity of hair in a normal location. When a woman has a lot of hair on the calf of the leg, it would be called hypertrichosis and not hirsutism. Some women with will also have facial hair from hypertrichosis. Hirsutism is usually caused by an increased sensitivity of the skin to a group of hormones called androgens (testosterone and androstenedione) or increased production of these hormones. Androgen disorders (hyperandrogenism) affects between 5% to 10% of all women. Hyperandrogenism is increased levels of male hormone production in women. The most commonly seen symptom is irregular menstrual cycles. A doctor can do some tests to see if this is caused by a treatable condition. Testing usually includes testosterone (T) levels and dehydroepiandrosterone sulfate (DHEAS). Others tests such as 17-hydroxyprogesterone, prolactin, T4, TSH, breast exam, and an endometrial biopsy may be indicated.

33. HIRSUTISM hirsutism. Excess facial hair is rarely caused by virilisation. If there isassociated acne, voice change, amenorrhoea or androgenic hair loss, http://www.swis.net/excg/derm/derm9.htm

34. Hirsutism, Unwanted Hair, And PCOS (Polycystic Ovarian Syndrome) What hirsutism is and what causes it. Treatment options laser, drugs (Vaniqua),depilation, epilation, electrolysis, natural methods, http://www.ovarian-cysts-pcos.com/hirsutism.html

FREE PCOS Newsletter! Your E-mail Address: First Name: Then Don't worry your e-mail address is totally secure. I promise to use it only to send you PCOS Health Review. Hirsutism and PCOS Doctor's PCOS Healthy Diet eBook What Is It? What Causes It? Removing Unwanted Hair - Electrolysis ... Get Help from a Knowledgeable Physician What Is It? Hirsutism affects 5-10% of all women and a much higher percentage of women with PCOS. Women of European ancestry have higher rates than women of African descent. Asian women have the lowest rate. Too much hair in the wrong places is emotionally painful for many women. The definition of feminine beauty in the U.S. includes smooth, apparently hairless skin. There are many cultures and individuals that don’t agree with this particular idea of beauty. However, American women are bombarded daily by TV, movie and magazine images that make it seem that women don’t have any hair at all except on top of their heads. Because physical appearance has so much to do with how people relate to each other, hirsutism can be a painful, even devastating experience. At the very least, women may be chronically stressed by the amount of time and money they spend removing unwanted hair. And the darn stuff is constantly growing back! Top What Causes Hirsutism?

35. Saw Palmetto Extract For Hirsutism (Unwanted Hair Growth) Saw palmetto may have value in treating women who have hirsutism, which is theexcessive growth of male pattern hair on women. Find out the benefits and http://www.ovarian-cysts-pcos.com/saw-palmetto.html

FREE PCOS Newsletter! Your E-mail Address: First Name: Then Don't worry your e-mail address is totally secure. I promise to use it only to send you PCOS Health Review. Saw Palmetto and PCOS Doctor's PCOS Healthy Diet eBook Saw palmetto (also know as sabal palmetto) is a reddish brown-to-black berry growing on a 6'-8" palm tree ( Serenoa repens ). The fruit of this palm have been part of the diet of natives of the southeastern U.S. for hundreds of years. It is widely used for the treatment of enlarged prostate glands in men. It is thought that prostate glands become enlarged primarily because of a metabolite of testosterone, called dihydrotestosterone, or DHT. Women with PCOS (polycystic ovarian syndrome) also tend to have higher levels of testosterone and DHT than other women. Therefore, what works for men may work for women. Saw Palmetto Extract for Hirsutism Is It Similar to Anti-Androgenic Drugs? Side Effects Drug Interactions ... Vitex and Saw Palmetto Dose Saw Palmetto Extract for Hirsutism How does it work in women? One of the most troubling symptoms of women with PCOS is hirsutism (too much hair, in the wrong places). Hirsutism is thought to be mostly due to excessive levels of androgenic hormones. Examples of androgens are testosterone, androstenedione, and DHEA.

36. Postgraduate Medicine: Hirsutism In Women hirsutism in women effective therapy that is safe for longterm use. hirsutism in women is a common and disturbing disorder defined as excessive http://www.postgradmed.com/issues/2000/06_00/bergfeld.htm

Hirsutism in Women Effective therapy that is safe for long-term use Wilma F. Bergfeld, MD VOL 107 / NO 7 / JUNE 2000 / POSTGRADUATE MEDICINE CME learning objectives To understand how hyperandrogenism can induce hirsutism To review appropriate laboratory evaluation in a woman with hirsutism To learn the safest and most effective therapeutic combinations for long-term management of hirsutism This is the third of four articles on troublesome skin problems This page is best viewed with a browser that supports tables Preview : How to manage hirsutism in a woman depends on several factors, including the underlying cause, contraceptive needs, and the patient's preference. To many patients, appearance is the most important consideration. However, the increased risks conveyed by long-term androgen excess are more significant. In this article, Dr Bergfeld describes, with illustrations, the clinical presentation of hirsutism and how to evaluate patients for androgen excess. In addition, she summarizes the various therapeutic approaches that are available, their advantages and limitations, and combinations that have shown the best success. Bergfeld WF. Hirsutism in women: effective therapy that is safe for long-term use. Postgrad Med 107(7):93-104

37. HIRSUTISM - I Would Does the patient have hirsutism on other sexhormone related areas, ie breasts, Ricardo de Misa - Addendum to my patient with hirsutism. http://dermatology.cdlib.org/rxderm-archives/hirsutism

HIRSUTISM - I would like the groups thoughts on hirsutism. I have a 40 year old female of hispanic backround who shaves her beard area twice a day. Hormonal evaluation was normal, and I feel this is a normal varient. Spironlactone was not tolerated. She knows about electrolysis etc, but I told her I would ask the group. I hear lasers may be here for hair removal. Any thoughts? William Liss Why wasn't spironolactone tolerated? If it messed up her menstrual cycle make sure she's on birth control pills to regulate her cycle. I suppose you could add or try Proscar 5 mg/day (5-alpha-reductase inhibitor) but don't get your hopes up: there are 2 types of 5-alpha-reductase and Proscar isn't very effective against the type found in hair roots. Euflex is effective, but it causes hot flushes and can also mess up the menstrual cycle, so its not very popular. Don't bother trying any of the 3 topically - I tried them all in various vehicles and they don't work well enough to justify the trouble and expense. I recall that a few years ago there was a survey (informal?) of female dermatologists and they were asked: "How do you get unwanted hair off your OWN face?" Most of the ones who gave a useful reply said "I shave it off." This is reasonable because, being dermatologists, they know that shaving does not make hair grow faster or thicker, and being pragmatic they recognize that shaving is fast, cheap, safe and easy. KC Smith MD FRCPC - That sound like quit a lot of growth. Has this been going on since puberty? Which hormones were normal? If it was my face I would find a cosmetologist type from South America at a local beauty salon to wax it if shaving was problematic. Also, there are very interesting "mitts" in catalogues which you rub the area with which remove the hairs in a sandpaper fashion-very smooth results. The Old Vermont Store has them. Diane Thaler As I recall, the hair is first epilated by "waxing". Then the clinician uses a carbon-based topical treatment which penetrates the hair follicle. A Nd-YAG LASER then destroys the follicle (selective photothermolysis) similar to black tattoo pigment. It is expensive, and there are no long term studies regarding regrowth. Paul S. Gillum There are at least 3 additional laser/light based hair removal modalities under development, including the "Epilaser," the PhotoDerm technique, and photodynamic therapy. No comparative info yet available, keep your eyes open. Mark Ling, M.D., Ph.D. 1.- Does the patient have hirsutism on other sex-hormone related areas, i.e.: breasts, central abdomen, thighs? 2.- Which hormone studies did you perform? Ricardo de Misa - Addendum to my patient with hirsutism. The amount of terminal hairs is about30-50 terminal hairs on each of the chin and bilat mandible area. Labs done prior to her visit with me had a borderline high testosterone. Other labs included androstenedione, DHEAS, prolactin, serum cortisol, and a normal dexamethsone suppression test. William Liss Sometimes I wonder who are the "Normals" standardized for the limits of DHEAS. See if the lab tests the 20 blond Minnesotan women who happen to work there as the basis of their values. I would be suspicious of a high "normal" DHEAS in your patient. I don't know if this helps, but the Schoch Letter had a review of the article by Eichler in the Br. J. Dermatol, l995, 133:371-376 "Immunohistochemical evidence for differential distribution of 5alpha reducatase isoenzymes in human skin. Type one was found in the epidermis, sebaceous, eccrine and apocrine sweat glands, and throughout the hair follicle. By contrast, type two, although present in the epidermis, sebaceous and apocrine glands, and hair follicle was restricted in distribution and generally was present in smaller amounts. Proscar primarily blocks type two and theoretically should not have a significant effect on disorders of hair and sebaceous glands. " Maybe you should contact Merck and see how the research is going. Diane Thaler

38. Hirsutism hirsutism is defined as a male pattern of hair distribution in a female with thehair being transformed from fine vellus to visible, coarse terminal http://www.clevelandclinicmeded.com/diseasemanagement/endocrinology/hirsutism/hi

Published February 13, 2004 Priya Chinnappa, MD Adi Mehta, MD Department of Endocrinology Print Chapter The Cleveland Clinic Foundation DEFINITION Definition Epidemiology Etiology and Pathogenesis ... References Hirsutism is defined as a male pattern of hair distribution in a female with the hair being transformed from fine vellus to visible, coarse terminal medullated hair under the influence of androgens. Hirsutism must be distinguished from hypertrichosis, which is the growth of vellus hair that is non-androgen dependent and is prominent in sexual and non-sexual areas, and lanugo which is very soft, vellus, unpigmented hair that covers the body. EPIDEMIOLOGY m of individuals in the locality in which he or she practices to be able to fairly assess the severity of hirsutism. In addition, the age of onset and rate of growth and progression may also determine the severity of the problem. ETIOLOGY AND PATHOGENESIS Androgens are a prerequisite for sexual hair development. Hirsutism may arise from increased androgen production or increased sensitivity of the hair follicles to circulating androgens.

39. Adrenal - Endocrinology, UCSF Medical Center The term hirsutism refers to the finding of excess facial or body hair in women.hirsutism is generally caused by an increase in androgens, http://mountzion.ucsfmedicalcenter.org/endocrinology/h2.html

Adrenal Cholesterol and Lipids Diabetes Hirsutism Detailed Information Find a Specialist Hypoglycemia Osteoporosis Parathyroid and Calcium ... Thyroid Hirsutism (Excess hair in women): An Endocrine Perspective The term hirsutism refers to the finding of excess facial or body hair in women. Hirsutism is generally caused by an increase in androgens , the "male hormones." The increase in hair growth may also with normal levels of these hormones when there exists an increased sensitivity of the skin to the androgens. When is Hair Growth Excessive? In one sense, normal hair growth is in the eye of the beholder. In some cultures and ethnic groups, noticeable body hair is a normal feature in women. In other groups, especially in the United States, too much facial or body hair is often considered abnormal. Nevertheless, hirsutism is not a disease, and it is rarely caused by a serious underlying disorder. Causes In many women, the excess hair growth is inherited. In most women, benign causes of hirsutism usually begin around puberty, but mild hirsutism can start at any age. With aging, most women will show an increase in their facial and body hair. Rarely, hirsutism is a result of a serious underlying endocrine disorder. One of the most common endocrine problems is Polycystic Ovary Disease (PCO) . Typically there is a history of irregular menstrual cycles (anovulation) ,onset of hirsutism in the teens or early 20s, and gradually worsening excess hair growth and adrenal gland androgen overproduction.

40. Adrenal - Endocrinology, UCSF Medical Center hirsutism. Detailed Information Find a Specialist Hypoglycemia Osteoporosis Parathyroid and Calcium Pituitary Reproductive Endocrinology http://mountzion.ucsfmedicalcenter.org/endocrinology/h1.html

Adrenal Cholesterol and Lipids Diabetes Hirsutism Detailed Information Find a Specialist Hypoglycemia Osteoporosis ... Thyroid The term hirsutism refers to the finding of excess facial (mustache, chin and sideburn) or body hair (chest, lower abdomen, back) in women. Hirsutism is generally caused by an increase in androgens, the "male hormones." The increase in hair growth may also occur with normal levels of these hormones when there exists an increased sensitivity of the skin to the androgens. Last Updated May 18, 2000

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