Hirsute Women and Treatment.
Hirsutism is a condition in which a woman’s coarse hair grows in a male-like pattern. It indicates that hair follicles have exposure to high quantities of the male hormone androgen in the blood or the hair follicle itself. Having said that, hirsutism treatment is possible.
Hirsutism: As it is!
Hirsutism is a disorder in which body hair grows in abundance in places of the body where it is generally absent, such as the chin, neck, upper lips, back, stomach, and chest. It’s a condition known as hirsute, which means hairy. Hirsutism refers to a male hair growth pattern indicating a more serious medical condition. It affects 5-10% of women in their reproductive years. 40% of women have unwelcome facial hair in some form.
Causality of Hirsutism.
PCOS (Polycystic Ovary Syndrome) is the most prevalent cause of Hirsutism, and it is characterized by significant hormonal imbalances, with androgens being one of them. Excess hair growth, irregular periods, obesity, and cysts in the ovaries are symptoms of this condition.
Cushing Syndrome is characterized by higher cortisol levels in the body, secreted by the adrenal glands. It can cause higher-than-normal levels of androgen secretion, resulting in dark, coarse hair growth.
Tumors in the adrenal glands and ovaries may cause Hirsutism.
Congenital Adrenal Hyperplasia
CAH is a condition in which the adrenal glands develop abnormally at birth. In this group of hereditary adrenal steroidogenesis diseases, lower cortisol production leads to an overproduction of androgenic hormones.
Obesity can increase androgen hormone production, worsening Hirsutism and potentially PCOS.
For patrilineal reasons
PCOS, Hirsutism, and congenital adrenal hyperplasia are all conditions that can run in families.
Treatment for Hirsutism.
When you detect excessive hair growth on your face or other regions of your body, it’s a good idea to talk to your doctor. Because Hirsutism can be a sign of an underlying problem, it’s advisable to get medical help as soon as possible.
Before going to the clinic, most women remove their hair using various epilation methods such as plucking, shaving, and waxing. While affordable and straightforward, these treatments are temporary and can cause physical discomfort, scarring, folliculitis, irritating dermatitis, or discoloration. Hair removal has also been accomplished by electrolysis. The efficacy ranges from 15% to 50% and can result in permanent hair loss with repeated treatment.
Long-term Treatments for Hirsutism.
The fundamental cause is excess androgens, and they must be addressed domestically. It is a longer-term project that will include lifestyle modifications. Healthy eating habits, moderate daily exercise, and weight loss are lifestyle modifications. Yoga and meditation are both beneficial.
Other Popular Treatments for Hirsutism.
Hair removal with lasers.
Large areas, such as hairs on the chest or upper back, are difficult to treat with electrolysis, and it might take a long time. Lasers have grown in popularity over the last two decades and can accomplish permanent hair reduction (not removal). They operate on the idea of selective photothermolysis, in which the laser light works only on the target to kill it (melanin).
Treatment of Hirsutism with Drugs.
All women with PCOS should be advised on food and exercise before beginning hirsutism treatment. Weight loss as therapy is recommended for all obese women. Moreover, obesity in the upper body has been linked to lower levels of sex hormone-binding globulin and higher amounts of free Test in non-hirsute and hirsute women, leading to Hirsutism. When several laboratory tests prove hyperandrogenism, drugs are prescribed for treatment.
Oral Contraceptive Pills.
Contraceptives taken orally are beneficial in treating Hirsutism. Oral contraceptives (OCP) are the first-line treatment for Hirsutism, especially in women who want to get pregnant. Combinations of estrogen and progesterone:
- Gonadotropin secretion is reduced, and ovarian androgen synthesis is also reduced as a result.
- Lower levels of free testosterone are associated with higher levels of SHBG.
- Suppresses the synthesis of androgens in the adrenal glands.
Blockers of androgen receptors.
- Spironolactone (SPA)* is an androgen blocker that competes with DHT for receptor binding.
- Cyproterone acetate (CA)* is a powerful progestogen and antiandrogen. It works by lowering circulating Tst and androstenedione levels by lowering circulating LH, and it’s been used to treat Hirsutism successfully.
*Only as directed and dosed by a physician.
Inhibitors of 5-RA.
The 5-alpha reductase inhibitor finasteride is beneficial in treating IH. The treatments are prescribed by the doctor.
GnRH (Gonadotrophin or Gonadotropin)
GnRH (gonadotropin-releasing hormone) is a hormone that is produced by GnRH agonists.
It is a parenteral treatment for women with severe Hirsutism who haven’t responded to OC or antiandrogens.
Glucocorticoids inhibit the adrenal glands.
Corticosteroids have traditionally treated Hirsutism caused by congenital adrenal hyperplasia (CAH).
Biological growth factors for hair follicles.
Eflornithine hydrochloride is a novel substance used as a topical cream (13.9%) to reduce or stop the growth of facial hair in women. It is thought to prevent hair development by blocking a keratin production enzyme.
General Medical Advice.
Hirsutism necessitates extensive clinical evaluation and research. Therefore, most women are advised to use oral contraceptives for pharmacological therapy.
Use your Medication for hirsutism treatment in a Safe Way. Your doctors, nurses, and pharmacists do their best to keep you well, but you must also take responsibility for your health. Learn how to ask the right questions. Expect to be answered.