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Hirsutism - Treatment, Cause and Cure

Most, if not all, adult males have visible hair growing on their faces and body. Women, on the other hand, have only very fine downy, inconspicuous hair on the face and body. If this hair becomes darker, thicker and visible, then the woman is suffering from hirsutism. Hirsutism problem may cause intense misery and make the woman feel less feminine. They might even feel a bit of a freak. But, it must be remembered that unwanted hair especially on the legs, is actually present in as many as 6 out of 10 women.

The basic problem in hirsutism is the excessive action of the male sex hormones - the
androgens. Increased amounts of androgens may be produced; for instance, tumours of the ovaries may be responsible for this. The blood levels of the androgens are then raised above normal. In most women with hirsutism, however, the androgen production is not increased. In them, because the normal downy hair are very sensitive to the low levels of androgens they get converted into thicker and longer hair.

Heredity and ethnic origin have a lot to do with the amount of hairiness of the skin. Mental tension and some medicines can also cause hairy problems. Women with hirsutism are of ten over-weight and infertile. They often develop severe acne on the face and frequently have sparse scalp hair. Rarely frank baldness, quite like that seen in men, develops. Infrequently, they develop frank masculinisation. So hirsutism may well be more than a cosmetic problem. So, if you are having hair problems, do consult your doctor.

Mild hirsutism may be a normal growing up process: a few abnormal hair may appear at puberty or at menopause. However, a rapidly progressive problem or an association with in fertility, definitely requires specialized types of investigations and treatment: in these patients just removal of the hair would be a totally inadequate solution, because the hair would rapidly grow back.

Hirsutism Treatment

Treatment of hirsutism depends on the cause as well as on its severity. The cause needs to be determined by examination and investigations. Most often, simple investigations like X-rays and ultra sonograms are sufficient However, sometimes specialized investigations like estimations of blood levels of androgens, specialized X-rays and even a laparoscopy (visualization of abdomen using a tube) may be required.

After the cause is established, it needs to be treated: a tumor will need surgical treatment. If the androgen levels are raised and sometimes even with normal levels of androgen, anti-androgens have been found effective. Anti-androgens are a new group of drugs which counter the effect of androgens. Three drugs have found use - cyproterone acetate, spironolactone and cimetidine. They are most effective when used along with cosmetic treatment of hirsutism: the hair re growth is reduced and the hair which reappears is much finer, and finally over continued treatment, the hair becomes inconspicuous.

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