Although hirsutism is generally associated with hyperandrogenemia, one-half of women with mild symptoms have normal androgen levels.The most common cause of hirsutism is polycystic ovary syndrome, accounting for three out of every four cases. In patients whose hirsutism is not related to medication use, evaluation is focused on testing for endocrinopathies and neoplasms, such as polycystic ovary syndrome, adrenal hyperplasia, thyroid dysfunction, Cushing syndrome, and androgen-secreting tumors.
As a first step, your doctor may recommend weight loss through a low-calorie diet combined with moderate exercise activities.
Even a modest reduction in your weight — for instance, losing 5 percent of your body weight — might improve your condition.
Further workup is guided by history and physical examination, and may include thyroid function tests, prolactin level, 17-hydroxyprogesterone level, and corticotropin stimulation test.
Polycystic ovary syndrome treatment generally focuses on management of your individual main concerns, such as infertility, hirsutism, acne or obesity.
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