Hirsutism - Diagnosis

Diagnosis

One method of evaluating hirsutism is the Ferriman-Gallwey score which gives a score based on the amount and location of hair growth on a woman.

Diagnosis of patients with even mild hirsutism should include assessment of ovulation and ovarian ultrasound (because of the high prevalence of polycystic ovary syndrome), as well as 17-hydroxyprogesterone (because of the possibility of finding nonclassic 21-hydroxylase deficiency).

Other blood value that may be evaluated in the workup of hirsutism include:

  • the androgens testosterone and dehydroepiandrosterone sulfate
  • thyroid-stimulating hormone
  • prolactin

If no underlying cause can be identified, the condition is considered idiopathic.

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