Hirsutism natural history, complications and prognosis: Difference between revisions

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Revision as of 15:58, 15 September 2017

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

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.^[1]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.^[2]

Prognosis

References

Template:WH Template:WS

[urlComplications_of_hirsutism_-_Irelands_Health_Service-1] "Complications of hirsutism - Ireland's Health Service".

[urlHirsutism_Disease_Reference_Guide_-_Drugs.com-2] "Hirsutism Disease Reference Guide - Drugs.com".

[1]

[2]

@@ Line 9: / Line 9: @@
 ==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 gland|adrena]]<nowiki/>l or [[Ovarian tumor|ovarian tumo]]<nowiki/>r.
-* 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|mense]]<nowiki/>s.<ref name="urlHirsutism Clinical Presentation: History, Physical, Causes">{{cite web |url=http://emedicine.medscape.com/article/121038-clinical |title=Hirsutism Clinical Presentation: History, Physical, Causes |format= |work= |accessdate=}}</ref>
 ===Complications===
@@ Line 24: / Line 16: @@
 ===Prognosis===
-[[Prognosis]] depends on the underlynig cause of the hirsutism and whether it is [[benign]] or [[malignant]].<ref name="urlHirsutism: Background, Pathophysiology, Epidemiology">{{cite web |url=http://emedicine.medscape.com/article/121038-overview#a2 |title=Hirsutism: Background, Pathophysiology, Epidemiology |format= |work= |accessdate=}}</ref>
 ==References==