Hirsutism clinical evaluation examination

Hirsutism

1. Clinical Evaluation – History of Hirsutism By J. THAMARAI SELVA N 22770763 163

2. HISTORY Age of patient Age of onset of hirsutism Rapidity of progression Severity (e.g., frequency of hair removal) Associated menstrual irregularities:Oligomenorrhoea Amenorrhoea

3. Voice changes Signs of virilization Weight gain Family history of hirsutism Medications

4. Clinical Insights: Onset at puberty → likely PCOS or NCCAH Onset at older age → consider ovarian tumors Rapid progression → suggestive of tumors Hair removal frequency → indicates severity and psychological impact Positive family history → common in PCOS, NCAH, idiopathic hirsutism Virilization → suggests excess testosterone, possible ovarian/adrenal tumor Amenorrhoea → indicates moderate to severe androgen elevation

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