Hirsutism natural history, complications and prognosis: Difference between revisions
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* Adrenarche and puberty | * Adrenarche and puberty | ||
** Early development of pubic hair points toward CAH, because the development of pubic hair depends on adrenal androgens | ** Early development of pubic hair points toward CAH, because the development of pubic hair depends on adrenal androgens | ||
** In patients with ovarian hyperandrogenism normal adrenarche and delayed menarche or irregular menses would be expected. | ** In patients with ovarian hyperandrogenism normal adrenarche and delayed menarche or irregular menses would be expected.<ref name="pmid19567450">{{cite journal |vauthors=Yildiz BO, Bolour S, Woods K, Moore A, Azziz R |title=Visually scoring hirsutism |journal=Hum. Reprod. Update |volume=16 |issue=1 |pages=51–64 |year=2010 |pmid=19567450 |pmc=2792145 |doi=10.1093/humupd/dmp024 |url=}}</ref> | ||
===Complications=== | ===Complications=== | ||
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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
The patient's age of onset of hirsutism can be helpful in the etiologic diagnosis.
- Age of onset
- Idiopathic hirsutism and hirsutism with benign causes usually begin at puberty.
- Hirsutism due to adrenal or ovarian tumors usually occurs in middle-aged and older women
- Family history: A positive family history of hirsutism is consistent with congenital adrenal hyperplasia (CAH); however, idiopathic hirsutism and polycystic ovary syndrome (PCOS) can also be familial.
- Hirsutism severity and rate of progression
- The benign forms of hirsutism such as hirsutism due to PCOS and idiopathic hirsutism are usually characterized by pubertal onset with slow progression over many years.
- In patients with rapid and severe hirsutism or other signs of virilization, ovarian or adrenal tumors should be considered.
- Adrenarche and puberty
- Early development of pubic hair points toward CAH, because the development of pubic hair depends on adrenal androgens
- In patients with ovarian hyperandrogenism normal adrenarche and delayed menarche or irregular menses would be expected.[1]
Complications
As well as the physical signs of excess hair, hirsutism can affect patients psychologically (mentally). It can cause embarrassment and affect patient's self-confidence, and therefore the 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
References
- ↑ Yildiz BO, Bolour S, Woods K, Moore A, Azziz R (2010). "Visually scoring hirsutism". Hum. Reprod. Update. 16 (1): 51–64. doi:10.1093/humupd/dmp024. PMC 2792145. PMID 19567450.
- ↑ "Complications of hirsutism - Ireland's Health Service".
- ↑ "Hirsutism Disease Reference Guide - Drugs.com".