Hirsutism caused excessive hair growth

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Hirsutism is excessive body hair, and called the increased production of sebum by the increased production of male sex hormones (androgens). The androgens are formed at the woman in the adrenal cortex and in the ovaries. In addition to these disorders, they also play a role in menstrual disorders and may be cause of sterility.

A typical feature
A typical characteristic of the male Behaarungsmuster hirsutism in women, particularly regarding the facial and pubic hair, but also on the breasts, shoulders, sternum. Delineate them are hairs that are not typical male Behaarungsmuster, as on the lower legs or forearms. Such excess hair is called hypertrichosis.
Causes
It can be propagated in the ovaries or adrenal androgens are produced (often there is a hormone-producing tumor), or low production of transport proteins. Even this more free androgen in the blood is present. In addition, also an inherited sensitivity of hair follicles to androgens play a role (hereditary form), which is also more difficult to treat.

Symptoms
Depending on the severity distinguish different degrees of hirsutism:
In the foreground, the hormone-induced formation of a male Behaarungstyps stands at the woman, upper lip, chest, Pointy pubic hair to his navel (H. 1 degree), chin, sideburns, inner thighs (H. 2nd degree), and hand back, buttocks, shoulder, sternum (H. 3rd degree). It can also head to the failure of hair to the balding (alopecia) lead. Not infrequently, this disorder is associated with acne, the formation of papules and pustules especially on the face and back, and seborrhea, increased secretion of sebaceous glands of the skin especially in the head. Finally, it can also lead to general Vermännlichungserscheinungen (virilization): Propagation of the muscles, enlargement of the clitoris, deepening of the voice.

Diagnosis
For the diagnosis of the evidence showing whether there is actually an increase of Androgenanteiles, ie an endocrine form of hirsutism. This particular hormone tests are necessary, most importantly, free testosterone and DHEAS to Androgendiagnostik, LH / FSH Verhältis to the exclusion of polycystic ovary syndrome, ovarian estradiol to determine the activity and TSH to assess thyroid function. In addition, a general physical and gynecological examination is necessary. Often without these elaborate diagnostics in women with no desire to have children because of physical appearance began to therapy.

Therapy
To hormonal therapy of hirsutism endocrine suitable AntiandrogenPräparate eg cyproterone acetate (Androcur, Virilit) and estradiol valerate in the second Half of the cycle. With an existing desire contraception in addition, the cyclic administration of such Diane recommended 35th In addition, even Valette, and Neo-Ovosiston Eunomius have an antiandrogenic effect. Other contraceptives are to some extent effective, because it is able to bind Estrogenanteil indirectly (through sex hormone-binding globulin), free testosterone, particularly in acne and seborrhea. As a topical ointment therapy may be considered appropriate. The treatment should last at least a year. Only then an assessment of treatment success is possible.

When genetic hirsutism this therapy can be tried. If the desired effect, helping shave, hair bleaching, hair removal cream or mechanical hair removal (epilation). Good results have been achieved by electric epilation and laser therapy. Here, the hair root is destroyed. However, this method is not suitable for larger areas (time factor). In addition, these treatments are not covered by the cash registers.

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