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About one in 10 women are affected by this problem. Self-care by home remedies and medical treatment can help get rid of unwanted hair. Other symptoms of hirsutism may include skin conditions like acne or seborrhea, development of warts within skin folds (acanthosis nigricans), unexplained increase in sex drive, masculine characteristics such as deepened voice or increased muscle mass, irregular or absent menstrual periods, high levels of insulin, infertility, decreased breast size, and enlargement of the clitoris.
Hirsutism can be caused by different conditions such as PCOS, Cushing syndrome, congenital adrenal hyperplasia, tumors, and medications. Diagnosis involves a medical history, physical examination, specific questioning, assessment of body hair using a standard scoring system, and blood tests to check testosterone levels, thyroid function tests, tests to check for PCOS, and tests to check for an androgen-secreting tumor.
Treatment options may include medications to block the effects of androgens, anti-androgen medications, medications to help block the production of androgens in the ovaries such as the oral contraceptive pill, insulin medications if hyperinsulinemia is present, and surgical removal of an adrenal or ovarian tumor. Self-care involves hair removal treatments such as plucking, shaving, waxing, depilation, and bleaching. It is important to consult with a specialist such as an endocrinologist or a gynecologist depending on the underlying cause.