Hirsutism Symptoms, Causes, and Treatments
Discover hirsutism, its symptoms, causes, and treatment options. Learn how excessive hair growth in women is managed through medical and lifestyle approaches.
Written by Dr. Siri Nallapu
Reviewed by Dr. Rohinipriyanka Pondugula MBBS
Last updated on 2nd Sep, 2025
Hirsutism is a common condition that causes excessive hair growth in women, typically in areas where men usually grow hair, such as the face, chest, and back. While some hair growth is normal, hirsutism can be distressing and may indicate an underlying health issue. If you or someone you know is dealing with this condition, understanding its causes, symptoms, and treatment options can help manage it effectively.
What is Hirsutism?
Hirsutism is a condition where women develop coarse, dark hair in a male-like pattern due to higher-than-normal levels of androgens (male hormones). All women produce small amounts of androgens, but when these levels rise, they can lead to unwanted hair growth.
This condition affects about 5-10% of women and can be influenced by genetics, hormonal imbalances, or medical conditions like polycystic ovary syndrome (PCOS).
Consult a Top Endocrinologist
Symptoms of Hirsutism
The main symptom of hirsutism is excessive hair growth in areas such as:
- Upper lip and chin (facial hair)
- Chest and around the nipples
- Lower abdomen (stomach)
- Back and shoulders
Other symptoms that may accompany hirsutism include:
- Acne or oily skin (due to increased androgens)
- Deepening of the voice (in rare cases)
- Irregular periods (if linked to PCOS or hormonal imbalance)
- Thinning hair on the scalp (male-pattern baldness)
If you notice these symptoms, it’s a good idea to consult a doctor to determine the underlying cause.
What Causes Hirsutism?
Several factors can contribute to hirsutism:
1. Polycystic Ovary Syndrome (PCOS)
- PCOS is the most common cause of hirsutism. It leads to hormonal imbalances, causing irregular periods, weight gain, and excessive hair growth.
2. High Androgen Levels
- Conditions like adrenal gland disorders (e.g., congenital adrenal hyperplasia) or tumors (rarely) can increase androgen production.
3. Medications
Certain drugs, such as:
- Steroids (used for inflammation)
- Hormonal treatments (like testosterone therapy)
- Some birth control pills
- It may trigger excessive hair growth.
4. Genetics & Ethnicity
- Women from certain ethnic backgrounds (Mediterranean, Middle Eastern, or South Asian descent) may naturally have more body hair without an underlying condition.
5. Insulin Resistance & Obesity
- Excess body fat can increase insulin levels, which may stimulate androgen production and worsen hirsutism.
How is Hirsutism Diagnosed?
If you suspect hirsutism, a doctor may recommend:
- Blood tests (to check hormone levels)
- Pelvic ultrasound (to detect PCOS or ovarian cysts)
- Other tests (like thyroid function tests if needed)
Early diagnosis helps in managing the condition effectively.
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Treatment Options for Hirsutism
While hirsutism cannot always be cured, several treatments can help manage symptoms:
1. Medical Treatments
- Anti-androgen medications (e.g., spironolactone) block male hormones.
- Birth control pills regulate hormones and reduce hair growth.
- Topical creams (like eflornithine) slow facial hair growth.
2. Hair Removal Methods
- Shaving, waxing, or threading (temporary solutions)
- Laser hair removal (reduces hair growth long-term)
- Electrolysis (permanent hair removal for small areas)
3. Lifestyle & Dietary Changes
- Weight management (losing excess weight can lower androgen levels).
- Balanced diet (low-glycemic foods help with insulin resistance).
- Exercise (improves hormone balance).
4. Natural Remedies (Limited Evidence)
- Spearmint tea (may reduce androgens).
- Saw palmetto (some studies suggest it helps).
Always consult a doctor before trying supplements.
When to See a Doctor?
Seek medical advice if:
- Hair growth is sudden and rapid.
- You experience irregular periods or acne.
- Hair removal methods don’t help.
If you're concerned about hirsutism, you can book a consultation with an endocrinologist or dermatologist through Apollo 24|7 for expert guidance.
Final Thoughts
Hirsutism can be frustrating, but with the right diagnosis and treatment, it can be managed effectively. Whether through medications, lifestyle changes, or hair removal techniques, there are ways to reduce unwanted hair growth and improve confidence. If you suspect hirsutism, don’t hesitate to seek medical advice. Early intervention can make a big difference in managing symptoms and improving quality of life.
Consult a Top Endocrinologist
Consult a Top Endocrinologist
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Consult a Top Endocrinologist
Dr. Anand Ravi
General Physician
2 Years • MBBS
Bengaluru
PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru
Dr. Nithin Reddy Modhugu
Endocrinologist
6 Years • MBBS, MD (General Medicine), DNB (Endocrinology)
Hyderabad
Dr. Nithin's Endocrine Clinic, Hyderabad
(100+ Patients)
Dr. Gayatri S
Endocrinologist
4 Years • Suggested Qualifictaion- MBBS, MD (Internal Medicine), DM (ENDOCRINOLOGY)
Nellore
Narayana hospital, Nellore
Dr. E Prabhakar Sastry
General Physician/ Internal Medicine Specialist
40 Years • MD(Internal Medicine)
Manikonda Jagir
Apollo Clinic, Manikonda, Manikonda Jagir
(125+ Patients)
Dr. Venkata Rakesh Chintala
Endocrinologist
8 Years • MBBS,MD( GEN MEDICINE), DM ( ENDOCRINOLOGY)
Krishna district
Sanjeevani Hospital, Krishna district
