Hirsutism history and symptoms
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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
History and Symptoms
History
A good and accurate history of the onset and developmental milestones are important and useful in making a diagnosis of hirsutism.
- Age of Onset
- During puberty, idiopathic hirsutism and other less serious causes of hirsutism usually begins.
- Hirsutism in middle-aged or older women may suggest an adrenal or ovarian tumor.
- Family History: Congenital adrenal hyperplasia (CAH) in a patient with a family history of hirsutism is consistent with the diagnosis. Idiopathic hirsutism and polycystic ovary syndrome (PCOS) could also be familial and maybe suggestive in making a diagnosis.
- Hirsutism severity and rate of progression
- 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.
- An androgen-secreting tumor is a possibility with a history of rapid severe hirsutism or other signs of virilization.
- Adrenarche and Puberty: Early development of pubic hair is a pointer towards CAH.