Hirsutism

Hirsutism means increased growth of coarse, dark hair in a pattern often associated with higher androgen activity, such as on the face, chest or back. It is a description of hair growth, not a diagnosis by itself. Family traits, hormonal conditions and other factors can contribute.

Does unwanted hair mean a hormone disorder?

Not always. The amount and distribution of body hair vary naturally. A clinician considers changes from your usual pattern, how quickly they developed and whether there are other symptoms. Irregular periods, acne or scalp hair thinning may be relevant, but do not establish a diagnosis on their own.

Describe when the change began and whether hair growth has accelerated. Mention changes in your voice, menstrual cycle or other physical features. Rapid new changes deserve timely assessment rather than being treated solely as a cosmetic issue.

For the Australian guidance behind this explanation, see Better Health Channel, Victorian Government: Hirsutism (excessive hair) - women - Better Health Channel.

What might an assessment involve?

A doctor reviews the history, examines the relevant pattern and decides whether blood tests or further assessment are useful. Testing should be directed by the findings. Polycystic ovary syndrome is one possible explanation, but it is not the only one.

You can discuss how much the hair growth bothers you and which approaches you prefer. Cosmetic methods and medical options have different purposes, costs and limitations. A doctor decides whether a treatment is suitable, including consideration of pregnancy or plans to become pregnant. Avoid assuming a product advertised for hair removal will address an underlying hormonal problem.

How should progress be reviewed?

Hair growth changes slowly, so agree on a realistic review plan and how to compare progress. Photographs can be useful if you feel comfortable taking them. Report unwanted effects or new symptoms rather than persisting without advice. Telehealth can begin the discussion, but examination and appropriately timed tests may be needed before a clear diagnosis or management plan is established.

Where to go next

Read online doctor consultations to understand the relevant service. A doctor decides whether a consultation, examination, referral or another pathway is appropriate for your situation.