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Hirsutism

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HIRSUTISM - excessive hair growth in women, expressed in the appearance of a mustache, beard, as well as abundant hair growth on the limbs and trunk. The occurrence of hirsutism is due to the influence of many neurohumoral factors, the main of which is an increase in the secretion of male sex hormones - androgens or an increase in the sensitivity of tissues to them.

Hirsutism may be constitutional (in healthy women); arise when androgens or compounds similar to them in chemical structure are introduced for therapeutic purposes; develop with a number of endocrine diseases - adrenogenital syndrome, tumors of the ovaries and adrenal glands, acromegaly, Itsenko-Cushing's disease. Sometimes hirsutism is observed during pregnancy and in the menopause, as well as with brain damage - tumors, encephalitis, multiple sclerosis, epilepsy. In some cases, its cause is any local effect on the skin or skin diseases. In a number of patients, hirsutism occurs due to impaired androgen metabolism in the skin (the so-called idiopathic hirsutism).

Treatment is directed to the underlying disease. With constitutional and idiopathic hirsutism, special cosmetic procedures are prescribed - hair removal, etc., and in the absence of contraindications - antiandrogen drugs (for example, androcourt). See also Virilism .