1 / 8

Hirsutism

Hirsutism. Max Brinsmead PhD FRANZCOG July 2012. Definition of Hirsutism. Terminal hairs in a female (or child) in a male pattern distribution and amount Hairs that are not regulated by androgens include: Scalp Eyebrows Eyelashes. Role of 5 -Reductase.

sandra_john
Download Presentation

Hirsutism

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Hirsutism Max Brinsmead PhD FRANZCOG July 2012

  2. Definition of Hirsutism • Terminal hairs in a female (or child) in a male pattern distribution and amount • Hairs that are not regulated by androgens include: • Scalp • Eyebrows • Eyelashes

  3. Role of 5-Reductase • Converts Testosterone to Dihydrotestosterone in hair follicles • Is increased in both idiopathic and other forms of hirsutism

  4. Idiopathic Hirsuitism • Hirsutism with normal menstrual cycles and serum androgens • More common in Mediterranean, Middle Eastern and Southern Asian women • This means that the incidence of hirsutism is culturally determined • Up to 50% of Australian women complain of hirsutism

  5. Medical Causes for Hirsutism • PCO Disorder 60 - 80% • Androgen-producing tumour • Congenital Adrenal Hyperplasia • Cushings Syndrome • Drugs

  6. The clinical evaluation of hirsutism • When and where is the hair? • Weight and menstrual history • Family history • Drugs • Acne • Symptoms or signs of virilisation • Temporal hair loss • Voice change • Clitoral enlargement

  7. Tests for a patient with hirsutism… • Androgens i.e. TEST, SHBG & FAI • HydroxyPROG • DHEAS • PROL & TSH • Ovarian ultrasound

  8. Treatment options for hirsutism… • Counselling • Cosmesis • Combined Oral Contraceptive • Cyproterone acetate • With or without COC e.g. Diane • Spironolactone • Causes irregular periods • Topical Eflornithine

More Related