Adolescent Hirsutism: Causes, Presentation, and Treatment
Hirsutism in adolescents is a condition where excessive hair growth occurs due to various causes, such as androgenic factors and hormonal imbalances. This article discusses the causes of hirsutism, its different presentations, and effective treatment options available, including systemic therapies and mechanical depilation methods. It emphasizes the importance of early diagnosis and appropriate management in adolescent patients experiencing hirsutism.
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Presentation Transcript
Adolescence and Hirsutism Prof. Maysoon Sharief, D.G.O., C.A.B.O.G Department of Gynecology & Obstetrics, University of Basrah, Basrah, Iraq.
Introduction Hirsutisum The entire body is covered with Different types of hair in different site Androgens are involved in sebum Production. Androgens affect some areas of human body and increase hair growth rate and the thickness of terminal hairs
Causes of hirsutism in adolescents 1- Androgenic causes :- Congenital adrenal hyperplasia - Classic - Late onset 2- Androgen- secreting tumours 3- Polycystic ovarian syndrome 4- Idopathic 5- XY gonadal dysgenesis 6- Constitutional basis ,familial.
Presentation of hirsutism 1- Hirsutism alone (need dermatologist) 2- Hirsutism and associated pilosebaceous over activity(more in teenage girls) 3- Hirsutism and ovulatorydisorders.(comes mostly to gynecology) 4- Hirsutisum and signs virilization (need immediate work-up)
Treatment The most effective strategy is to combine systemic therapy which has a slow onset effectiveness with mechanical depilation( shaving, plucking, waxing ,depilatory creams) or light- based(laser or pulsed- light) hair removal 1- Systemic therapies a- decrease ovarian or adrenal production like OCS, spironolactones, b- flutamidepotent nonsteroidal selective antiandrogen
3- Cyproterones 4- Insulin sensitizers 5- Cosmetic measures disadvantages:- hydrogen peroxide bleaching is not suitable for severe hirsutisum Plucking can cause skin irritation, folliculitis Waxing can cause skin irritation Shaving may be psychological unacceptable Chemical depliatones can cause skin irritation
Treatment Treatment for hirsutism is the same in adult In the adolescence the main stay in the treatment of androgen excess has been the oral contraceptive pill. The girls with PCO need ovarian suppression and lowering circulating androgens.
