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Hirsutism

Imola K. Osapay, MD and Andrea M. Konkoly, MD Reviewed 06/2018
 


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

SEE ALSO

Acne Vulgaris; Infertility; Polycystic Ovarian Syndrome (PCOS) 

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 cl...

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