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Hirsutism: causes, photo, treatment and drugs, prognosis

Hirsutism disease is not an independent pathology, but acts as a manifestation of abnormalities in the body, or an individual genetically determined feature.

This term is applicable only in relation to women, and differs from some other phenomena associated with the growth of body hair found in both sexes.

Content

Hirsutism - what is it?

Hirsutism is the excessive hairiness of the female face and body according to the male type. It can be manifested by the growth of a beard, mustache, excess hair on the arms, legs, and body, and is due to the high concentration of androgen, male sex hormones, in the blood. She, in turn, is caused by various diseases.

Hirsutism photo

Hirsutism photo 1

Frequent satellites of hirsutism - infertility, overweight and failure of the menstrual cycle, as well as the growth of muscle mass. Defeminization symptoms may occur - a decrease in the size of the mammary glands, a decrease in the tone of voice, and the absence of vaginal secretion (lubrication).

Hirsutism can be a temporary condition or permanent when the underlying pathology is chronic or congenital.

Two other phenomena, virilism and hypertrichosis, are close to hirsutism. In the first case, the body also has an increased level of androgens, which can be manifested by the growth of hair on the body and face of a male type (not always), baldness, coarseness of voice.

Sometimes virilism causes hirsutism. In hypertrichosis, excessive hair growth is not always caused by changes in the concentration of hormones and is found in both sexes. It can be associated with hereditary diseases and skin lesions.

As in virilism, hirsutism, and hypertrichosis, there is increased hair growth, these concepts are often confused. But for various reasons, the treatment regimen for them is often different.

Causes of Hirsutism

Hirsutism in women photo 3 Diseases in which hair growth is enhanced, not so much, but among them there are serious violations. Therefore, the treatment of hirsutism should not be limited only to the cosmetic removal of vegetation on the face and body. The first step is to go through a thorough examination and find out the cause of the problem.

Changes in the production of hormones with hirsutism are often associated with taking medications, in particular, oral contraceptives or other hormonal drugs.

Male-type hair growth on the body of a woman is provoked by:

  • Ovarian disease - polycystic, cancer or benign neoplasms. Disruption of hormonal function in these pathologies leads to hirsutism.
  • Asher-Thiere syndrome and diabetes mellitus , which are often associated with each other.
  • Menopausal period when the production of female estrogen hormones is reduced.
  • Adrenal Diseases.
  • Pituitary diseases - Morgagni-Stewart-Morel syndrome and others. The pituitary gland, or pineal gland, regulates the endocrine system, therefore, with functional disorders of this organ, hormonal imbalance develops.
  • Adrenal pathologies - hyperplasia of the cortex, tumors, Cushing syndrome, Addison's disease. The adrenal cortex produces male sex hormones, so these diseases can provoke hirsutism.
  • Disorders in the thyroid gland.
  • Obesity and other metabolic diseases.
  • Diseases of the liver or kidneys.
  • Heredity - in this case, hormonal disorders may not be, and intensive hair growth is laid genetically.

With hirsutism, the cause can be a long or incorrect use of medicines that affect hormonal levels. Among them are Cortisone, Cyclosporin, Interferon, Prednisone, androgen-based drugs, for example, anabolics.

Hirsutism in women

Hirsutism in women

Hair growing on a person’s skin can be of three types:

  • Short, soft and colorless downy, covering most of the body;
  • Hard bristles are eyelashes, eyebrows and hairs in the nostrils;
  • Soft long hair on the head, in the armpits, on the external genitals, as well as on the face of men.

The signs of hirsutism in women are the appearance of dark and hard hair on the skin (sideburns, vegetation on the chin and above the upper lip, on the chest, abdomen, thighs). It can appear at any age, including puberty.

The concept of hirsutism is applicable only to women, since men naturally have a high level of androgens in the blood and, as a consequence, increased growth of hair on the face and body.

Congenital hirsutism, not caused by health problems, is common among women of Caucasian ethnicity and in eastern countries. If male-type hair growth develops without genetic predisposition, you should consult a doctor to determine its causes.

Treatment of hirsutism in women - drugs and methods

Treatment of hirsutism in women

In hirsutism in women, treatment is aimed at removing the root cause of hair growth, for which the help of specialists such as an endocrinologist, oncologist, gynecologist, general practitioner, surgeon, and dermatologist may be required. Only after that it makes sense to remove the hair itself, and an experienced cosmetologist will help you choose the appropriate method.

The first step is to contact an endocrinologist and pass blood tests for the content of testosterone, gonadotropin, cortisol, androstenedione in it.

In the course of diagnostics, a study of blood serum for the concentration of DHAE-S (dehydroepiandrosterone sulfate) is carried out - this allows determining the main place of androgen production in the body.

Drugs in the treatment of hirsutism

After identifying the causes of male hairiness, appropriate medications are prescribed. In hirsutism, drug treatment may include one of the following options:

  • Acceptance of oral contraceptives combined to suppress the production of male hormones — such agents contain a minimal concentration of estrogen (Diane-35, Jeanine, and others).
  • Dexamethasone or Prednisone - they reduce the production of androgens by the adrenal glands, and are often prescribed for hereditary hyperplasia of these endocrine glands.
  • Spironolactone blocks androgen receptors and inhibits their synthesis, efficiency is observed only a few days after the start of treatment. Of the side effects of the drug are often observed intermenstrual bleeding.
  • Ketoconazole is indicated if taking the above remedies does not work.

Attention! Combined oral contraceptives are not prescribed to women over 35 years old, smoking patients, with liver failure, pregnancy, hypertension, thromboembolic complications. They are also highly undesirable if a woman plans childbearing.

Hormone therapy can last from 3 months to a year. Treatment of baldness in women with contraceptives is carried out strictly on the appointment of a specialist. This is due to the fact that with hirsutism in most cases hormonal disorders occur.

Improper use of hormones without prior diagnosis and adjusted dose of administration can have an even more negative impact on the endocrine and other internal organs, causing the development of such complications:

  • failures in the menstrual cycle;
  • cysts in the ovaries;
  • pathology of the uterus and uterine bleeding.

Therapy of the dosage form of hirsutism consists in the abolition of drugs that cause male pattern hair growth.

Tumor removal

If the cause is ovarian or adrenal cancer, surgical removal of the tumor is indicated. In hirsutism, it is the tumor cells that produce an excess of androgens.

If the tumor is of considerable size, the attending physician may decide to completely remove the affected organ. After surgery, maintenance hormone therapy is usually indicated, which is often necessary throughout life.

Getting rid of hair

Treatment of the cause of hair growth stops the formation of an excess of new vegetation on the body and face, but does not destroy the existing hair.

Cosmetology methods help to get rid of them:

  • photoepilation;
  • laser hair removal;
  • bioepilation waxing;
  • the use of special creams;
  • regular epilation;
  • plucking and shaving.

The first two methods are most effective because they destroy hair follicles, thereby preventing the growth of new hairs.

Treatment of hirsutism at home

Is it possible to cure hirsutism on my own at home? Therapy of pathological causes should be carried out exclusively after the diagnosis and for the purpose of the specialist. Acceptance of drugs that are prescribed by the doctor, usually carried out at home, in strict accordance with the recommended scheme.

As for folk remedies, their use is aimed only at removing or lightening hair, but not at all at eliminating the cause of excess vegetation on the face and body. At home with hirsutism most often used such tools:

  • tincture of dope;
  • lemon juice;
  • spirit tincture of walnut partitions.

An oil dope tincture wipe the skin once a day for 2-3 months. The tool acts on the hair follicles, so before applying it should be done depilation, for example, shave. Apply tincture in small quantities, putting a few drops on a cotton swab or a napkin.

Datura - a poisonous plant, so any means based on it require caution in the application. The tincture should be kept out of the reach of children and animals, should not be applied to the skin of the face and mucous membranes and should not be allowed to get inside.

Soothes tough hairs and reduces the growth of tincture of walnuts. For its preparation, raw materials from 30 nuts are poured over 100 ml of alcohol and insist for 2-3 weeks. The composition lubricates areas of skin with excess vegetation 1 time per day for 3-4 weeks. Regular rubbing of the skin with lemon juice helps soften and lighten dark hair, making it less noticeable.

Complications of Hirsutism

The consequences and complications of hirsutism can be:

  1. Violation of the monthly cycle;
  2. Infertility ;
  3. Uterine hemorrhages and, as a consequence, anemia;
  4. Diabetes mellitus in hairiness due to polycystic ovary ;
  5. The appearance of secondary male sexual characteristics - increase in muscle mass, coarsening of the voice, changes in facial features, reduction of the mammary glands;
  6. Baldness.

Against the background of hirsutism syndrome, depression and other mental disorders often develop.

Forecast

Male-type hair treatment can take up to 6-12 months, while it does not result in the reduction or disappearance of existing hair.

The prognosis for timely treatment is favorable.

As a result of therapy, the pathological cause of hirsutism is eliminated and the growth of new hair is significantly slowed down.

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