Hirsutism is excessive and rapid hair growth in women in areas such as the face, chest, and legs, similar to male hair growth, associated with increased secretion of the androgen hormone.
Causes
Hirsutism can be promoted by early sexual maturation or premature menopause, the use of certain medications and hormonal preparations, idiopathic mild excess of the androgen hormone. Other causes include disorders in ovarian function (tumors, polycystic ovary syndrome, hypothalamic amenorrhea), adrenal gland pathologies (tumors, hyperplasia), pituitary diseases (acromegaly and Cushing's syndrome), genetic and chromosomal mutations.
Symptoms of Hirsutism
The main symptom of this condition is hair growth in the facial area and on the body of women, having the same structure and distribution as in men. In hirsutism, menstrual cycle irregularities may occur, leading to infertility. As the condition progresses (hyperandrogenism), masculine traits develop in women - increased muscle mass, reduced breast size, decreased libido, deepening of the voice, etc. Changes occur in the genital organs - the clitoris enlarges, and the labia become smaller, with no lubrication secretion. Hirsutism may be accompanied by heavy bleeding and pathological anemia.
Diagnosis of Hirsutism in Israel
To identify the causes of hirsutism in Israel, a complete endocrinological examination is conducted. This includes blood tests for specific hormones - testosterone, dehydroepiandrosterone sulfate, cortisol, androstenedione, 17-hydroxyprogesterone, and gonadotropins. A gynecological examination, ultrasound of the ovaries and adrenal glands, and brain imaging using MRI are performed. Sometimes, laparoscopy of the ovaries is required.
Treatment of Hirsutism in Israel
Treatment of hirsutism in Israel involves eliminating primary etiological factors - removing tumors causing hirsutism, discontinuing medications that promote hair growth, treating Cushing's syndrome, etc. After excluding hormone-secreting tumors, medication therapy aimed at suppressing the production of the male hormone testosterone and reducing the androgen's effect on hair follicles is prescribed. The most effective cosmetic treatment method is laser hair removal. A reduction in hair growth is observed no earlier than six months after treatment begins. The best prevention of hirsutism is timely identification of its signs and consulting an endocrinologist.