Dark and thick hair on the face, chin, breasts or around the waist can be both aesthetically and psychologically disturbing for women. This condition, known as male pattern hair growth in women, is called “Hirsutism“. So, what are the underlying causes of this condition and is it possible to treat it?
What is Hirshutism?
Hirsutism refers to excessive growth of dark, thick and hard hair in male-type areas (face, chin, chest, back, abdomen, buttocks) in women. This condition is usually associated with high levels of the male hormone androgens or increased androgen sensitivity in the skin.
What are the Causes of Hirshutism?
Polycystic Ovary Syndrome (PCOS): The most common cause. As a result of hormonal imbalance, ovulation is disrupted and male hormones increase.
Genetic Factors: If there are similar complaints in the family, there may be a genetic predisposition.
Hormone Producing Tumors: Although very rare, there may be hormone-secreting masses in the adrenal glands or ovaries.
Cushing’s Syndrome: Caused by an excess of the hormone cortisol.
Medication Use: Some cortisone-derived drugs or anabolic steroids can increase hair growth.
Idiopathic Hirsutism: Sometimes hair growth can increase even without any hormonal disorder.
Is Hirshutism Just a Cosmetic Problem?
No, it is not. Increased hair growth may indicate a disturbed hormonal balance in the body. Therefore, it should be taken into consideration not only in terms of appearance but also in terms of general health. This condition may also be accompanied by complaints such as menstrual irregularities, infertility, acne, weight gain, insulin resistance.
How is Hirsutism Diagnosed?
The following methods are usually used for diagnosis:
Hormone tests (androgen levels, FSH, LH, prolactin, DHEA-S, etc.)
Ultrasonography (ovarian and uterine evaluation)
Adrenal gland imaging (when necessary)
How is hirsutism treated?
Treatment depends on the cause and severity of the hair growth. The most effective results are usually achieved by combining several methods together:
Hormone Therapy:
Birth control pills: Suppress androgen production, regulate ovulation.
Antiandrogen drugs: Reduce the sensitivity of hair follicles to androgens.
Drugs that increase insulin sensitivity (if PCOS is present)
Cosmetic Methods:
Laser hair removal (the most permanent solution)
Electrolysis
Hair blonding or removal (temporary methods)
Nutrition and Lifestyle:
Weight control, healthy eating and exercise contribute positively to hormone balance.
Hirsutism can be successfully treated by correctly identifying the underlying cause. This condition is important not only for aesthetics but also for your hormonal health. If you have noticed changes in your skin, hair growth or menstrual cycle, you should consult a specialist without delay.