Hirsutism a sign of PCOS

NEW YORK: Women with dark, coarse hair growth on the face, chest or back should be tested for polycystic ovary syndrome (PCOS) and other underlying health problems, a new Endocrine Society guideline says.

Hirsutism – the growth of unwanted hair in places where men typically grow hair, such as the face or chest – affects between 5 and 10% of women.

“Excess facial or body hair is not only distressing to women, it is often a symptom of an underlying medical problem,” said Dr Kathryn Martin, chairwoman of the guideline task force. Martin is an endocrinologist at Massachusetts General Hospital in Boston.

“It is important to see your healthcare provider to find out what is causing the excess hair growth and treat it,” she added.

Hirsutism can be caused by polycystic ovary syndrome (PCOS), a common condition linked with infertility and metabolic health problems.

The guideline indicates that all women with hirsutism should have blood tests for testosterone and other male sex hormones called androgens. Women naturally have small amounts of these hormones, but levels are higher in women with PCOS and other conditions that cause hirsutism.

The tests had previously been recommended only for women with moderate to severe hirsutism. The new guideline is meant to improve detection of PCOS and other underlying health conditions.

Mild cases of hirsutism with no sign of an underlying health condition can be treated with medication or direct hair removal. Oral contraceptives are suggested as a first line of treatment for most women with hirsutism who are not trying to get pregnant.

In addition, the society recommends that women with hirsutism who are also obese may benefit from exercise and a healthy diet.