Hirsutism

Hirsutism or excessive hair growth is a common clinical condition that can be seen in women of all ages. This condition is caused by hormonal imbalance where increased levels of androgens (male sex hormones like testosterone) are produced in women. 

Hirsute women usually present with increased growth of hair on the sides of the face, upper lip, chin, upper back, shoulders, sternum, and upper abdomen. Hirsutism requires in-depth clinical evaluation and investigation for treatment. Before starting the treatment, the right diet and exercise are advised for all women. For obese women, weight loss therapy is recommended, as obesity has been associated with increased free testosterone levels which can contribute to hirsutism.

Most women resort to hair removal by different epilation methods such as plucking, shaving, and waxing before reporting to a clinic. Though simple and inexpensive, these methods are temporary and have their own side effects like physical discomfort, scarring, folliculitis, irritant dermatitis, or discoloration. Medications such as oral contraceptives and antiandrogens along with lasers are the main stays in treatment of hirsutism.