What does hirsutism mean in women?

Most women with hirsutism notice unwanted terminal hair on the upper lip, chin, jaw, chest, lower abdomen, back or inner thighs. The change may develop gradually, and some people have regular menstrual cycles. Common contributors include inherited hair patterns, increased androgen production, polycystic ovary syndrome, certain medicines or sensitivity of hair follicles to hormones.

A clinician considers the distribution, timing and associated features rather than judging the hair in isolation. Acne, irregular periods, difficulty becoming pregnant or scalp hair thinning can help guide the evaluation.

Keep a simple record of hair growth, menstrual changes, acne and medicines. A doctor may examine the skin and discuss hormone testing when the history suggests it. Shaving, trimming, threading or waxing can manage visible hair; shaving does not make follicles produce thicker hair.

Longer-term options include laser hair removal or electrolysis, selected according to hair and skin characteristics. Medicines may reduce new growth when an underlying hormonal driver is present, but they need personalised prescribing and monitoring.

Book a medical review for new or troublesome growth, especially with irregular periods, marked acne, scalp hair loss or fertility concerns. Seek prompt assessment when coarse hair appears rapidly or alongside voice deepening, increased muscle mass or clitoral enlargement, because these changes need timely evaluation.

What pattern do you see, and could a hormonal condition be contributing? Do I need tests? Which hair-removal method fits my skin and hair? If medicine is considered, what monitoring and pregnancy precautions apply?