Hirsutism

HirsutismWhat is hirsutism? Hirsutism is the excessive growth of terminal (long, dark, thick hair in women male pattern. Women terminal hair are not unusual on the arms, legs, upper lip, around the nipples and on the white line of the abdomen, but they are a deviation from the norm on the chin, chest, upper abdomen and upper back. Usually hirsutism is the result of increased production of male sex hormones (androgens) or increased sensitivity of hair follicles to these hormones. Hirsutism occurs in approximately 5 percent of women. What is the difference between hirsutism from hypertrichosis? Hypertrichosis is excessive growth of lanugo and terminal hair in those places where normal hair growth is the norm, women and men, taking into account national characteristics and age. So hair growth on the legs in women is the norm. In the event of excessive growth, this situation is called hypertrichosis. Men considered normal hair growth on the chest. However, the appearance of too much hair will be called hypertrichosis. But the occurrence of terminal hair on the chest in women is called hirsutism. What is tiny, and what is the terminal hair? Vellus hair is thin, in the form of a gun hair, which cover almost the whole body, not just areas where the appearance of the hair depends on the level of androgens. Terminal hair - pigmented, long, thick. What are the causes of hirsutism? The main cause of hirsutism is the excessive amount of male hormones (hyperandrogenism). Other less common causes are the use of some medications, family factors (family hirsutism) and unknown. The last group of reasons are combined in the concept of idiopathic hirsutism, when causes of hirsutism cannot be found, you experience normal menstrual cycle, normal levels of male sex hormones and normal reproductive function. What are the causes of giperandrogenii? 1. Disorders of ovarian function: Syndrome Stein-Leventhal (polycystic ovaries, polycystic ovary syndrome) is the result of a breach of hormone secretion is an increase in the number of theca cells, which increase the synthesis of male sex hormones, lack of ovulation with irregular menstruation. Excessive amounts of theca cells in the ovaries, which leads to excessive transition of estrogen to testosterone Neoplasms ovarian - arrhenoblastoma, hillsno-cell tumor granular theca cell tumor. 2. Dysfunction of the adrenal glands Congenital adrenal hyperplasia (with a lack of certain enzymes in the adrenal glands is a constant stimulation of the adrenal glands, resulting in enhanced emission of intermediate fractions of hormones that turn into tissues to testosterone) 3. Neoplasm of adrenal adenoma and cancer. Cushing's syndrome (pituitary tumors or other tumors that produce ACTH - adrenocorticotropic hormone, constantly stimulating the adrenal glands). 4. Menstrual irregularities What is a family hirsutism? Family hirsutism call the appearance of hirsutism in certain families (genetic hirsutism) and certain ethnic groups. So among some of the peoples of the Mediterranean and the Caucasus hirsutism occurs more frequently. The Nordic peoples hirsutism occurs less frequently. Asian women excessive hair growth is rare. What is idiopathic hirsutism? When the cause of hirsutism is unknown, it is called idiopathic. Idiopathic hirsutism is associated with increased sensitivity of the hair follicles, increased number of androgen receptors in the skin, increased enzyme activity, which enhances the transfer of testosterone to its active fraction - dihydrotestosterone. For polycystic ovary disease and idiopathic hirsutism accounts for about 90 percent of all cases of hirsutism. What medications cause hypertrichosis and hirsutism? Minoxidil, Cyclosporine, Corticosteroids (Cortisol, Hydrocortisone and others), Diazoxide, Streptomycin, Interferon, Acetazolamide Cause hirsutism oral contraceptives? Some of progestins - the component parts of oral contraceptives, have androgenic effects. It is especially characteristic action for progestins used in the first oral contraceptives. Currently progestins with androgenic effect is rarely used in modern oral contraceptives (more popular oral contraceptives with antiandrogenna action). What is dangerous hirsutism? By itself, the excessive hair growth is not threatening to life and health factor, however, hirsutism can be caused by serious diseases. When and why to go to the doctor? Consult a doctor if hirsutism should always. You must apply first to the endocrinologist or gynecologist-endocrinologist to establish the causes of hirsutism. When detected, causes of hirsutism associated with the endocrine system, after treatment of excessive hair growth will decrease. When family and idiopathic hirsutism treatment is to remove the hair. Symptoms, which in combination with hirsutism, talk about the serious causes of excess hair growth: obesity, menstrual disorders, frequent bone fractures, high blood pressure, infertility, hair loss on the head. What are the methods of treatment of hirsutism? When hirsutism resulting from polycystic ovaries used oral contraceptives, spironolactone (aldactone), clomiphene, etc. In congenital adrenal hyperplasia is assigned cortisol. When idiopathic, familial hirsutism hair can be removed with the help of modern means of hair removal..



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