Causes

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The cause of hirsutism can be either an increased level of androgens (male hormones) or an oversensitivity of hair follicles to androgens. Male hormones such as testosterone stimulate hair growth, increase size and intensify the pigmentation of hair. Other symptoms associated with a high level of male hormones include acne, irregular menstrual periods, deepening of the voice and increased muscle mass.

Growing evidence implicates high circulating levels of insulin in women to the development of hirsutism. This theory is consistent with the observation that obese (and thus presumably insulin resistant hyperinsulinemic) women are at high risk of becoming hirsute. Further, treatments that lower insulin levels will lead to a reduction in hirsutism.

It is speculated that insulin, at high enough concentration, stimulates the ovarian theca cells to produce androgens. There may also be an effect of high levels of insulin to activate the insulin-like growth factor-I (IGF-1) receptor in those same cells. Again, the result is increased androgen production.

One study suggests clothing may also affects the amount of hair but it may not cause hirsutism.

The following may be some of the conditions that may increase a woman's normally low level of male hormones:

* Polycystic ovary syndrome
* Cushing's disease
* Tumors in the ovaries or adrenal gland (cancer)
* Certain medications
* Congenital adrenal hyperplasia

Hirsutism
This article has been prepared to help you understand how hair disorders can affect you, what tests are used, and what treatment is available. It outlines the advantages and disadvantages of different treatments.

Hormone and Endocrine Problems - Hirsutism...
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