INDIVIDUALS (INCREASE)
Hirsutism is the increase in hard, colored and thick hairs of the upper lip, lower jaw, breast, belly, back, tail, upper arm and thigh, which are not normally found in women. Hair growth, menstrual irregularity, male pattern hair loss and acne are the most important symptoms of male hormone (androgen) increase in women. As in men, hair loss on the forehead is called male-type hair loss. There is also a virilism caused by an extremely high level of male hormone growth, such as, sound thickening, malaise, shortening of the breast, growth of Adam's apple, male pattern hair loss and muscle structure, and cliteromegaly.
The interaction of androgens and hair follicles in the skin plays an important role in the emergence of hirsutism. Androgen increases are usually caused by adrenal glands and ovaries. Androgen levels may not increase in each case. The most common cause of hirsutism is polycystic ovary syndrome. It can also be seen in some rare cases of PCOS. Hirsutism and androgen elevation symptoms can be seen especially in women who lose weight after birth and in a short time. Patients with signs of virilism usually appear after menopause, and can usually be associated with androgen-secreting adrenal glands and ovarian tumors. Some drugs may cause increased male hormone.
For diagnosis of hirsutism 2-5. hormone examinations Also ovarian ultrasonography is performed in this period. Further investigations may be required in cases where it is necessary. Treatment is different from patient to patient and is indicative of symptoms. Especially in obese women, lifestyle change and weight loss result in significant improvement in menstrual irregularity and hairiness. Local treatments such as waxing and laser hair removal can be applied in the treatment of hirsutism. Some drugs are used, especially those with menstrual irregularity or middle-severe cases, especially birth control pills. These drugs are responded to at the earliest 6 months due to the hair cycle. The mean duration of treatment is 2–3 years. As the underlying cause persists, local or drug treatment does not completely remove the hair.