Idiopathic hirsutism – medical and psychological aspects

Grażyna Jarząbek-Bielecka; Katarzyna Warchoł-Biedermann; Witold Kędzia

doi:10.20883/medical.e82

Authors

Grażyna Jarząbek-Bielecka Clinic of Gynecology of the Department of Perinatology and Gynecology, Division of Developmental Gynecology and Sexuology of the Department of Perinatology and Gynecology, Poznan University of Medical Sciences, Poland
Katarzyna Warchoł-Biedermann Department of Clinical Psychology, Poznan University of Medical Sciences, Poland
Witold Kędzia Division of Gynecology, Department of Perinatology and Gynecology, Poznan University of Medical Sciences, Poland

DOI:

https://doi.org/10.20883/medical.e82

Keywords:

hair, gynecology, sexuology, girl, women

Abstract

Introduction. Hirsutism is a condition which results in excess of male pattern hair growth - the androgen dependent hair in females. Excessive hair growth usually starts around puberty. The aim of this study was to show the significance of hormonal diagnosis in female adolescent hirsute patients.
Material and methods. The material consisted of medical documentation of 128 female adolescent patients aged 13–22 years who came for a consultation because of excessive male pattern hair growth (second degree of hirsutism according to the Ferriman-Gallwey scale) which they considered unacceptable. The history was indicative of considerable discomfort, decreased mood in subjects and low self-esteem (especially regarding patient’s femininity).
Results. Results of the analysis were confronted with the results of a group of an equal number of participants.
Conclusions. Hormonal tests in female patients with hirsutism were proven to constitute a major diagnostic element allowing for correct diagnosis of the cause of hirsutism, planning further tests and treatment methods.Considering its causes and effects, hirsutism in adolescent patients is a serious concern for developmental gynecology. This disorder is a endocrinological or gynecological problem, which influences patient's well-being.

Downloads

Download data is not yet available.

References

Słomko Z. Ginekologia. Podręcznik dla lekarzy i studentów. PZWL. Warszawa, 1998.

Hirsutism and virilization. www.medical-library.org

Korman E. Podstawy endokrynologii wieku rozwojowego. PZWL. Warszawa, 1999, 279–288.

Skałba P. Endokrynologia ginekologiczna. PZWL. Warszawa, 1993, 164–171.

Romer T. Endokrynologia kliniczna dla ginekologa, internisty i pediatry. PWN. Warszawa, 1998, 172–181.

Speroff L. Kliniczna endokrynologia ginekologiczna i niepłodności. Część 2. Endokrynologia kliniczna. MediPage. Warszawa, 2007, 573–605.

Beck W. Położnictwo i ginekologia. Urban&Partner. Wrocław, 1995, 421–427.

Dalton M. Endokrynologia ginekologiczna. Sanmedika. Warszawa, 1997, 82–87.

Czekanowski R. Zarys ginekologii zachowawczej. PZWL. Warszawa, 1985, 212–214.

Speroff L. Kliniczna endokrynologia ginekologiczna i niepłodności. Część 1. Fizjologia rozrodu. MediPage. Warszawa, 2007.

www.hirsitism.com

Buggs C, Rosenfield RL. Polycystic ovary syndrome in adolescence. Endocrinol Metab Clin North Am. 2005; Sep;34(3):677–705.

Pelusi C, Pasquali R. Polycystic ovary syndrome in adolescents: pathophysiology and treatment implications. Treat Endocrinol. 2003;2(4):215–230.

Jarząbek-Bielecka G, Radomski D, Loewe-Kiedrowska A. The significance of hormonal tests in female patients at the developmental age of hirsutism. In: 16th World Congress of Pediatric and Adolescent Gynecology. Montpellier, France, May 22–25, 2010. Final Programme & Abstract Book. [B.m., 2010] s. 119 abstr. P2.2–46.

Burch W. Endokrynologia. Urban&Partner. Wrocław, 1996, 114–122.

Mishell DR. Położnictwo i ginekologia – podstawowe problemy. Tom 3. Endokrynologia ginekologiczna. ?-medica press. Bielsko-Biała, 1996, 63–85.

Ekback M, Wijma K, Benzein E. It is always on my mind: women's experiences of their bodies when living with hirsutism. Health Care Women Int. 2009;30:358–372.

Keegan A, Liao LM, Boyle M. Hirsutism: a psychological analysis. J Health Psychol. 2003;8:327–345.

Conn J, Jacobs H. Leczenie hirsutyzmu w praktyce ginekologicznej. Medycyna Praktyczna. Ginekologia i Położnictwo. 1999;1(1).

Jakiel G. Hirsutyzm w praktyce ginekologa i dermatologa. Ginekologia po Dyplomie. 2004;6:3(30).

Martin KA, Chang RJ, Ehrmann DA et al. Evaluation and treatment of hirsutism. J Clin Endocrinol Metab. 2008; 93:1105.

Nowotnik A. Wielowymiarowość doświadczenia zespołu policystycznych jajników u kobiet w wieku rozrodczym: przegląd badań. Nowiny Lekarskie. 2012;81(3):268–272.

Jarząbek-Bielecka G, Loewe-Kiedrowska A, Radomski D, Paluszkiewicz A. Znaczenie badań hormonalnych u pacjentek w wieku rozwojowym z hirsutyzmem. Czas Pol Prz Nauk Zdr. 2011;3(28):294–304.

Keegan A, Liao LM, Boyle M. Hirsutism: a psychological analysis. J Health Psychol. 2003 May;8(3):327–345.