Endocrine diseases



hirsutism photo hirsutism - especially female endocrine disease, manifested by excessive growth of hair on the face and / or body of androgens (male) type.There is such body hair is usually on the abdomen, back, chest in cells, chin and upper lip.If hirsutism is often disrupted menstrual cycle, there are uterine bleeding, anemia and infertility.According to the long-term observation, it was found that hirsutism in some degree observed in 7% of women and sometimes can be so pronounced that a woman to remove excess hair should apply a variety of mechanical methods.

female hirsutism - not only a cosmetic problem, because the presence of excess hair growth indicates the presence of the female body of certain rather serious pathological processes which require a corresponding correction by the endocrinologist and gynecologist.If hirsutism in androgen-dependent areas (thighs, back, abdomen, chest, face, area around the areola) an increase in coarse pigmented hair core.It is tied to certain areas of in

creased body hair allows to differentiate hirsutism from hypertrichosis, in which there is excess hair growth in androgen-independent areas.

hirsutism - Causes

due to exposure to a number of specific factors, non-pigmented soft thin vellus hair transformed into a pigmented, hard and long.The main causes include idiopathic hirsutism, androgen excess, side effects of drugs, hereditary factors, and hyperandrogenism.

Hyperandrogenism, or as it is called - increased production of androgens, developing under the following conditions:

- Upset pituitary function in acromegaly, prolactinomas syndrome, Cushing's and so on. The development of hirsutism pituitary origin is caused by a primary lesion of the pituitary gland, followed by involvement in passingpathological process of the adrenal glands, marked with the increased secretion of androgens and cortisol

- disorder adrenal function in tumors of the adrenal glands, acquired and / or congenital adrenal hyperplasia, and so on. The development of hirsutism adrenal origin is due to the increased production of adrenal steroid hormones (androgens including)

- disorders of ovarian function in the hypothalamic amenorrhea, gipertikoze ovaries, ovarian tumors (malignant and / or benign), chronic anovulation, polycystic ovary syndrome, and so on. The development of hirsutism, ovarian origin is characterized by hypertrophy of the ovaries, menstrual irregularities, and often infertility

Genetic (Family) hirsutism develops as a result of chromosomal and genetic characteristics, which are observed in certain ethnic groups or families over the past few generations.Several hirsutism often seen in women of Mediterranean and Caucasian nationalities, at least - at the Asian and Nordic.

To develop hirsutism may cause side effects of such drugs as corticosteroids (cortisol, hydrocortisone, and so on.), Progestins, anabolic drugs, androgens, acetazolamide, streptomycin, cyclosporin, interferon, karbomazepin, minoxidil, diazoxide, and so forth.

If hirsutismIt develops for reasons which can not be determined, it is given a name - idiopathic syndrome of excess androgens.In this form of hirsutism have an increased sensitivity to androgens hair follicles and skin receptors.Symptoms of idiopathic hirsutism less strongly expressed, reproductive and hormonal cycle is usually not broken, hormonal abnormalities are minor.

also causes of hirsutism include age and physiological state of the female body, in which a shift of the ratio of androgens and estrogens (postmenopause, pregnancy and so on.).In about 90% of cases it is caused by the development of idiopathic hirsutism syndrome or polycystic ovary syndrome.

hirsutism - symptoms

main manifestation of hirsutism in women - male pattern hair distribution, in other words, the growth of pigmented short coarse hair on the buttocks, inner thighs, abdomen, back, around the areola breast, chest and face.

Because elevated androgens in women observed alopecia, increased greasiness of the hair and skin, acne.Hirsutism often accompany certain disorders of menstrual function (amenorrhea, irregular menstruation) and infertility.

As the further course of hirsutism due to hyperandrogenism in women may experience signs of virilization (gain masculine traits) breasts are reduced in size, sex drive increases, the temples appear receding hairline, his voice grows coarse, muscle mass increases, body fatlocalized on the body of male type.Female genital organs are also undergoing some changes: the formation of vaginal lubrication stops, reduced labia, the clitoris increases.

Hirsutism - Treatment

If there is mild hirsutism, in which there are no violations of menstrual function, a special treatment is usually not performed.

Because usually hirsutism is not an independent disease, but acts as a manifestation of a present in a woman's disease, treatment strategy aimed at eliminating the primary trigger the development of hirsutism factor (treatment of diseases such as acromegaly, hypothyroidism, Cushing's syndrome;removal of ovarian tumors, pituitary or adrenal glands, causing the cancellation of drugs hair growth).

Drug therapy for hirsutism is assigned only after the exclusion of women having androgen-secreting tumors.Sincehirsutism usually develops as a result of hyperandrogenism, well-proven drugs antiandronennogo actions that reduce the sensitivity of hair follicles to androgens and suppress testosterone levels.

When diagnosed congenital form of adrenal hyperplasia typically used dexamethasone, prednisone or hydrocortisone.If polycystic ovaries, in order to suppress the excess androgen production is shown receiving such drugs like clomiphene, aldalakton and oral contraceptive (Diane-35, Janine, etc.).The usual cycle of treatment hormonal preparations - from 3 to 6 months, and sometimes these cycles are performed repeatedly with short intervals.When pregnancy antiandrogen treatment is better not to spend, becausein these preparations there are serious contraindications.

If hirsutism is accompanied by obesity, women are recommended a diet low in carbohydrates.In order to make unwanted hair less noticeable, or to remove them and help the different cosmetic treatments for hirsutism (waxing, shaving, plucking, bleaching and so on.).If manifestations of hirsutism expressed slightly, excess hair is well disguised bleaching with hydrogen peroxide.Despite the fairly wide range of cosmetic services in the struggle with increased body hair is most effective proven laser hair removal and photo-epilation.

hirsutism Treatment lasts long enough, and the first effect of reducing hair growth usually becomes apparent only after five to ten months after the start of treatment.It should take into account the fact that in the case of the effectiveness of treatment, suspended only new hair growth, but existing unfortunately do not disappear.

Most women suffering from hirsutism likely to develop serious psychological complexes that significantly impede their communication in society and hinder the full and intimate family life.

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