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What is constitutional hirsutism?

QUESTION – What is the correlation between Women Health and Hirsutism? What is constitutional hirsutism?

Constitutional hirsutism – ANSWER from experts

Hirsutism is a term defined as excessive and unwanted hair growth in women in a male-type pattern (hair on the face, beard area, chest, and abdomen).

Studies suggest that constitutional hirsutism affects 5% – 15% of women, varying according to characteristics and differ in different countries. At least 5% of women of reproductive age mentioned hirsutism which can be considered as constitutional.

Constitutional hirsutism is the most common form of hirsutism. During this type hirsutism the hair follicles are more sensitive to androgens and no excess androgens are discovered. Constitutional hair grow often runs strongly in families. Certain ethnic backgrounds, i.e. Mediterraneans and East Indians, are particularly affected.

What is constitutional hirsutism?

Constitutional hirsutism symptoms include the following:

  • High Hirsute Score
    Excess terminal hair growth in androgen-sensitive body areas (face, beard area, chest, and abdomen).
  • Normal regular menstrual cycle
    Hormonal and ultrasound tests show normal ovulation and normal hormonal changes during whole menstrual cycle.
  • Normal androgen level
    Hormonal tests discovered normal levels of all kinds of androgens in the blood and urine.
  • Increased skin sensitivity to androgens (hereditary)
    Experts suggest that it is probable that genetic modifications of the androgen receptor function and possibly 5a-reductase functions can alter the manifestation of hirsutism.
  • Family history of hirsutism
    In most cases female family members (mothers, grandmothers, sisters, ants) also have hirsutism.


Ferriman-Gallwey score


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