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Hirsutism is the excessive growth of terminal hair in a typical male pattern in a female. It is often a sign of excessive androgen levels. Although many conditions can lead to hirsutism, polycystic ovary syndrome and idiopathic hyperandrogenism account for more than 85% of cases. Less common causes include idiopathic hirsutism, nonclassic congenital adrenal hyperplasia, androgen-secreting tumors, medications, hyperprolactinemia, thyroid disorders, and Cushing syndrome. Women with an abnormal hirsutism score based on the Ferriman-Gallwey scoring system should be evaluated for elevated androgen levels. Women with rapid onset of hirsutism over a few months or signs of virilization are at high risk of having an androgen-secreting tumor. Hirsutism may be treated with pharmacologic agents and/or hair removal. Recommended pharmacologic therapies include combined oral contraceptives, finasteride, spironolactone, and topical eflornithine. Because of the length of the hair growth cycle, therapies should be tried for at least six months before switching treatments. Hair removal methods such as shaving, waxing, and plucking may be effective, but their effects are temporary. Photoepilation and electrolysis are somewhat effective for long-term hair removal but are expensive. [ABSTRACT FROM AUTHOR]

Discusses the management and treatment of women with hirsutism, an excessive growth of androgen-responsive terminal hair in women. Causes of hirsutism; Sign and symptoms of hirsutism; Guidelines for the treatment of patients with hirsutism; Conclusions.

Presents an abstract of the study `Comparison of spironolactone, flutamide, and finasteride efficacy in the treatment of hirsutism: a randomized, double blind, placebo-controlled trial,' by P. Moghetti et al., from the January 2000 issue of the `Journal of Clinical Endocrinology and Metabolism.'

Presents a summary of the article `Treatment of Hirsutism: Comparisons Between Different Antiandrogens With Central and Peripheral Effects,' by F. Fruzzetti et al., published in the March 1999 issue of the `Fertility & Sterility.'

Presents information taken from the `American Academy of Dermatology' on the effect Dermatology' on the effect of minoxidil to hair growth in women with hair loss. Effect of scalp hairs per half-inch square; Mechanics of testing operations. Comparison to result of placebo group.