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...
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 depends on patient preference and psychosocial effect.
Treatment goal is to decrease new hair growth and improve metabolic disorders.
If patient desires pregnancy, in...
L68.0 Hirsutism
E28.2 Polycystic ovarian syndrome
399939002 Hirsutism (disorder)
69878008 Polycystic ovaries (disorder)
504009 Androgen-dependent hirsutism
201159000 idiopathic hirsutism (...
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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<bold>FIG. 28.10.</bold>Infertility. A: Mature follicle (between cursors) containing a small protrusion from the posterior wall representing the cumulus oophorus. B: Image taken during follicular aspiration showing echogenic needle tip within deflating mature follicle. C: Classic appearance of ovary seen in women with polycystic ovarian syndrome (Â_string of pearls).
<bold>FIG. 28.10.</bold>Infertility. A: Mature follicle (between cursors) containing a small protrusion from the posterior wal...
<bold>FIG. 28.10.</bold>Infertility. A: Mature follicle (between cursors) containing a small protrusion from the posterior wall representing the cumulus oophorus. B: Image taken during follicular aspiration showing echogenic needle tip within deflating mature follicle. C: Classic appearance of ovary seen in women with polycystic ovarian syndrome ("string of pearls").
Hirsutism: female, chin
Inflammatory acne.A: Papules and pustules. B: Macules. The same patient after 6 weeks of treatment. These reddish purple (violaceous) blemishes are frequently evidence of improvement following treatment. From Goodheart HP. Goodheart's Photoguide to Common Skin Disorders: Diagnosis and Management, 3rd Edition. Philadelphia: Lippincott Williams & Wilkins, 2009.
Inflammatory acne.A: Papules and pustules. B: Macules. The same patient after 6 weeks of treatment. These reddish purple (violaceous) blemi...
<bold>Figure 6.67 Polycystic ovarian disease.</bold> Both ovaries are enlarged and contain multiple subcortical follicle cysts.
<bold>FIG. 34.4.</bold>The ovaries in polycystic ovary syndrome shown in a woman with polycystic ovary syndrome at laparotomy. Note the large size of the ovaries, relative to the uterus, with a smooth ovarian capsule without evidence of ovulatory events.
<bold>FIG. 34.4.</bold>The ovaries in polycystic ovary syndrome shown in a woman with polycystic ovary syndrome at laparotomy. ...
<bold>Figure 37.3.</bold> A mechanism for polycystic ovarian syndrome proposed by Yen. LH = luteinizing hormone; LRF = luteinizing-releasing factor.
<bold>Figure 37.3.</bold> A mechanism for polycystic ovarian syndrome proposed by Yen. LH = luteinizing hormone; LRF = luteiniz...
Polycystic Ovarian Syndrome Labeled
Polycystic disease of the ovary. Cut sections of an ovary show numerous cysts embedded in a sclerotic stroma.
<bold>Figure 35.4.</bold> Medical treatment of congenital adrenal hyperplasia. (<bold>A</bold>) Untreated 16-year-old with characteristic short stature, short arms and legs, absence of breast development, and growth of hair on body and face. (<bold>B</bold>) Same patient after 3 months of cortisone therapy. Note alteration of body habitus to a more feminine configuration and reduction of hirsutism.
<bold>Figure 35.4.</bold> Medical treatment of congenital adrenal hyperplasia. (<bold>A</bold>) Untreated 16-year-o...
Adolescent Acne You will frequently note acne in adolescents. Differentiate between open comedones (blackheads) and closed comedones (whiteheads)
Adolescent Acne You will frequently note acne in adolescents. Differentiate between open comedones (blackheads) and closed comedones (whit...