Hirsutism natural history, complications and prognosis: Difference between revisions
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===Complications=== | ===Complications=== | ||
As well as the physical signs of excess hair, hirsutism can affect you psychologically (mentally). It can cause embarrassment and affect your self-confidence, and therefore your quality of life.<ref name="urlComplications of hirsutism - Irelands Health Service">{{cite web |url=http://www.hse.ie/eng/health/az/H/Hairy-body-or-face/Complications-of-hirsutism.html |title=Complications of hirsutism - Ireland's Health Service |format= |work= |accessdate=}}</ref>Some women feel self-conscious about having unwanted body hair or even may develop [[depression]]. Also, although hirsutism doesn't cause physical complications, the underlying cause of a hormonal imbalance can. For example if hirsutism is due to [[PCOS]] , it can lead to [[infertility]]. | As well as the physical signs of excess hair, hirsutism can affect you psychologically (mentally). It can cause embarrassment and affect your self-confidence, and therefore your quality of life.<ref name="urlComplications of hirsutism - Irelands Health Service">{{cite web |url=http://www.hse.ie/eng/health/az/H/Hairy-body-or-face/Complications-of-hirsutism.html |title=Complications of hirsutism - Ireland's Health Service |format= |work= |accessdate=}}</ref>Some women feel self-conscious about having unwanted body hair or even may develop [[depression]]. Also, although hirsutism doesn't cause physical complications, the underlying cause of a hormonal imbalance can. For example if hirsutism is due to [[PCOS]] , it can lead to [[infertility]].<ref name="urlHirsutism Disease Reference Guide - Drugs.com">{{cite web |url=https://www.drugs.com/mcd/hirsutism |title=Hirsutism Disease Reference Guide - Drugs.com |format= |work= |accessdate=}}</ref> | ||
===Prognosis=== | ===Prognosis=== | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
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Overview
Natural History, Complications and Prognosis
Natural History
- Age of onset
- Idiopathic hirsutism and the other less-serious causes of hirsutism usually begin at puberty.
- Hirsutism that occurs in middle-aged or older women may suggest an adrenal or ovarian tumor.
- Family history: A patient with a family history of hirsutism is consistent with CAH; however, idiopathic hirsutism and polycystic ovary syndrome (PCOS) can also be familial.
- Hirsutism severity and rate of progression
- The history of a benign form of hirsutism is usually characterized by pubertal onset with slow progression over many years. This is often true of hirsutism with PCOS.
- When a history of rapid severe hirsutism or other signs of virilization are obtained, an androgen-secreting tumor is a possibility.
- Adrenarche and puberty
- Because the development of pubic hair depends on adrenal androgens, early development points toward CAH.
- In contrast, ovarian hyperandrogenism is associated with normal adrenarche and delayed menarche or irregular menses.[1]
- Hirsutism severity and rate of progression
Complications
As well as the physical signs of excess hair, hirsutism can affect you psychologically (mentally). It can cause embarrassment and affect your self-confidence, and therefore your quality of life.[2]Some women feel self-conscious about having unwanted body hair or even may develop depression. Also, although hirsutism doesn't cause physical complications, the underlying cause of a hormonal imbalance can. For example if hirsutism is due to PCOS , it can lead to infertility.[3]
Prognosis
Prognosis depends on the underlynig cause of the hirsutism and whether it is benign or malignant.[4]