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Hirsutism

Natasha S. Kadakia, DO and Ruchita Patel, DO Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Presence of excessive terminal (coarse, pigmented) hair of body and face, in a male pattern

  • May be present in normal adults as an ethnic characteristic or may develop as a result of a...

DIAGNOSIS

HISTORY

  • Severity, time course, and age of onset of hirsutism

  • Weight

  • Psychosocial impact on patient

  • Menstrual and fertility history, anovulation (defined as ovulatory cycle >35 days)

  • Severe acn...

TREATMENT

GENERAL MEASURES

  • Treatment in mild hirsutism depends on patient preference and psychosocial effect.

  • If patient desires pregnancy, induction of ovulation may be necessary.

  • Provide contraception,...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

No special activity 

Patient Monitoring

Monitor for known side effects of medications. 

DIET

Diet consisting of low-calorie, low-glycemic index foods improve fertilit...

REFERENCES

1
Azziz R, Carmina E, Dewailly D, et al; for Task Force on the Phenotype of the Polycystic Ovary Syndrome of the Androgen Excess and PCOS Society. The Androgen Excess and PCOS Society criter...

ADDITIONAL READING

CODES

ICD10

  • L68.0 Hirsutism

  • E28.2 Polycystic ovarian syndrome

ICD9

  • 704.1 Hirsutism

  • 256.4 Polycystic ovaries

SNOMED

  • 399939002 Hirsutism (disorder)

  • 69878008 Polycystic ovaries (disorder)

  • 504009 Androgen-dependen...

CLINICAL PEARLS

  • PCOS is the most common cause of hirsutism (diagnosed with two out of three: menstrual dysfunction, clinical or biochemical hyperandrogenemia, polycystic ovaries on US).

  • Diagnosis is ba...

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