Hirsutism and hormones: what to know

Hirsutism means coarse, darker hair in areas such as the chin, upper lip, chest, or abdomen. Hair follicles can respond strongly to androgens, or the body may produce more of these hormones. Polycystic ovary syndrome is one possible association, while family pattern, medicines, and other endocrine conditions can also matter. Some people have regular cycles and no identifiable hormone disorder.

Note when the growth began, where it appears, how quickly it changed, and whether periods, acne, or scalp hair have changed. Bring a list of medicines and supplements. A clinician may examine the hair distribution and decide whether hormone testing is useful. Options for visible hair include [Laser Hair Removal](/treatments/laser-and-energy/laser-hair-removal/) and [Electrolysis Hair Removal](/treatments/laser-and-energy/electrolysis-hair-removal/).

Arrange an appointment for newly appearing or steadily increasing coarse hair, particularly with irregular periods or fertility concerns. Seek prompt review if growth accelerates or is accompanied by voice deepening, scalp hair thinning, severe acne, or increased muscle bulk. These features do not diagnose a cause, but they make timely assessment more useful.

Could my symptoms fit an androgen-related condition? Which tests, if any, are appropriate? Would [Spironolactone Treatment](/treatments/medical-dermatology/spironolactone-therapy/) be safe for me, and how would pregnancy planning affect the choice?