Women with dark and coarse body hair in places where only men have hair like face, chest, neck, and back is called hirsutism. The common causes of hirsutism are polycystic ovarian syndrome (PCOD), Cushing's syndrome, congenital adrenal hyperplasia, androgen-secreting tumors, and some medications (Danazol and Fluoxetine).

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I have anal fissures, irregular periods and few hairs on my chin, and I have problems with weight loss. Why?

Query: Hi doctor, I have what seems to be an anal fissure. I sometimes have small amounts of blood on my toilet paper after going. Also, itching and stinging sort of pain during and for about ten minutes after going. I also had to go to the hospital a few weeks ago for what seemed to be a gal stone. I had ...  Read Full »

Dr. Mashfika N Alam

Answer: Hi, Welcome to icliniq.com. I understand your concern. Your symptoms point towards a number of things. The weight gain, along with hirsutism (the facial hair), the menstrual irregularities, and infertility, is all very likely due to a condition called polycystic ovarian syndrome. This is a hormon...  Read Full »

Apart from Yasmin, what can I take to control PCOS?

Query: Hi doctor, I have PCOS, hypothyroidism and pituitary Cushing's disease. I am taking Yasmin, Glucophage 850 mg and T4 150 mg. As I have to take Metyrapone for Cushing's my doctor recommended stopping Yasmin. But if I stop it, I do not have period for months and I get acne all over my body. What can...  Read Full »

Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. Metyrapone (Metopirone) is an orphan medication that holds the FDA approval (Food and Drug Administration) for the diagnosis of Cushing’s syndrome and is occasionally used off-label for short-term treatment of Cushing’s syndrome prior to surgery. Metyrapone prevent...  Read Full »

I have high testosterone levels and thick black facial hair all over my face. Kindly help.

Query: Hello doctor,I have high testosterone levels. Because of this, I have thick black facial hair all over my face. I have had this problem since my adolescence, and it has been getting worse. I want to remove my facial hair. What should I do?Kindly help.Thank you.  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. Your problem is called hirsutism. Hirsutism is a condition in women that results in excessive growth of dark or coarse hair in a male-like pattern (face, chest, and back). With hirsutism, extra hair growth often arises f...  Read Full »

I have hirsutism, obesity, and androgenetic alopecia. Will my facial hair reduce with treatment?

Query: Hello doctor, I am a 31-year-old female 172 cm in height and 130 kg in weight. I suffer from severe hirsutism, obesity, and badly progressed androgenetic alopecia. My concern is with treatment and weight loss my facial hair will minimize, or I have to deal with it for the rest of my life with hair r...  Read Full »

Dr. Zulfiqar Ahmed

Answer: Hello, Welcome to icliniq.com. Have you done any tests, or was any diagnosis made for you? From your history, it seems you have PCOS (polycystic ovarian syndrome), a treatable disease with proper medication and lifestyle modification. Diagnostic Criteria for PCOS are clinical hyperandrogenism, bio...  Read Full »

I have excess body hair in my stomach, chest, chin, and upper lip. Should I consult the doctor?

Query: Hello doctor, I am a 23-year-old female with excess body hair, which has gradually worsened over the last few years. My hair extends up to my stomach and chest. In addition, I have thick dark hairs on my chin and upper lip. The hair growth seems to have increased in the last few years. My periods ar...  Read Full »

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Answer: Hello, Welcome to icliniq.com. I understand your concern.Your symptoms are due to polycystic ovarian syndrome, which causes hirsutism (facial hair ), excess body hair, irregular periods (mainly amenorrhea), and acne. The other causes include medication induced (like corticosteroids). Please provid...  Read Full »

Is there any surgery to eradicate hirsutism?

Query: Hello doctor, I am a 21 year old female. I have been suffering from hirsutism (due to PCOS) for about six years. I have undergone treatments like LASER (for about a year) and even consumed antiandrogens and contraceptive pills. But, nothing really worked out. It is horrible now. The growth of the ha...  Read Full »

Dr. Sunil Sekhri

Answer: Hello, Welcome to icliniq.com. Before I can answer, I would like to see some lab reports. Serum testosterone. DHEAS (most sensitive to adrenals, if > 800 ug/dl suggests adrenal tumor). 17-hydroxyprogesterone. Serum prolactin. Urinary 17-ketosteroid. FSH and LH during the first three days of ...  Read Full »

Why is the DHEA level high and what does it mean?

Query: Hi doctor, My daughter is 15 years old, and she has high levels of DHEA (dehydroepiandrosterone). On the first test, it was 641, and 381 on the second test. She took her test when she had periods, normal testosterone, and thyroid antibodies. She always had a deep voice and body hairs on her chest an...  Read Full »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. I just read your query about your daughter. It appears that your daughter has irregular menses and hirsutism which is mostly due to polycystic ovarian disease. DHEA means dehydroepiandrosterone. The levels are usually raised in two conditions: Polycystic ovarian dis...  Read Full »

I have acne and coarse hair on my body. Why?

Query: Hello doctor, I have had hormonal imbalances my whole life. My menstrual cycle has never been regular. I have acne and coarse hair on my body. My gynecologist said that I have severe PCOD and referred me to an endocrinologist. He asked for some blood tests and I need an evaluation of them as he was ...  Read Full »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. I just read your query about your symptoms and saw your detailed laboratory tests results (attachment removed to protect patient identity). It appears that you have a non-classic congenital adrenal hyperplasia in which there is a partial deficiency of 21 alpha hydro...  Read Full »

Do excess use of birth control pills cause hirsutism?

Query: Hi doctor, I want to ask about hormone imbalance as I have experienced excessive hair growth on my breast, chest, and stomach. I am scared and very depressed. I have chronic anemia. Since I started using birth control pills, I have been experiencing excessive hair growth. Please help.  Read Full »

Dr. Pawar Satyajit Jalinder

Answer: Hi, Welcome to icliniq.com. I have gone through your query and can understand your concern. Excessive hair growth on the chest and stomach can occur due to increased androgens in the body. This is called hirsutism in medical terms. The causes include certain drugs, obesity, PCOS (polycystic ov...  Read Full »

What do the symptoms like acne, hirsutism, weight gain and IBS indicate?

Query: Hello doctor, I have extensive acne on the face, neck, back, upper arms, and abdomen. I also have hirsutism on the jawline, upper lip, chin and neck, weight gain on face, breasts, upper and lower abdomen and thighs, with IBS symptoms. All this started when I was about 16 years old. It has been gett...  Read Full »

Dr. Sugreev Singh

Answer: Hi, Welcome to icliniq.com. Actually, all the symptoms resemble PCOD (polycystic ovary syndrome) only, but you mentioned that you had ruled it by USG (ultrasound). Then other causes would be increased levels of hormones. I would like to suggest you to check your testosterone levels. Though it is a...  Read Full »

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