{"id":8112,"date":"2020-04-27T05:23:55","date_gmt":"2020-04-27T08:23:55","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/cabello-excesivo\/"},"modified":"2020-04-27T14:40:57","modified_gmt":"2020-04-27T17:40:57","slug":"excessive-hair-2","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/cabello-excesivo\/","title":{"rendered":"Excessive hair"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cabello-excesivo\/#Introduccion\" >Introduction<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cabello-excesivo\/#%C2%BFQue-es-el-hirsutismo\" >What is hirsutism?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cabello-excesivo\/#Hirsutismo\" >Hirsutism<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cabello-excesivo\/#%C2%BFQue-es-la-hipertricosis\" >What is hypertrichosis?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cabello-excesivo\/#Hipertricosis\" >Hypertrichosis<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cabello-excesivo\/#%C2%BFQuien-contrae-el-hirsutismo\" >Who Gets Hirsutism?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cabello-excesivo\/#%C2%BFQuien-contrae-hipertricosis\" >Who gets hypertrichosis?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cabello-excesivo\/#Hipertricosis-congenita\" >Congenital hypertrichosis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cabello-excesivo\/#Hipertricosis-adquirida\" >Acquired hypertrichosis<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cabello-excesivo\/#%C2%BFQue-causa-el-hirsutismo\" >What Causes Hirsutism?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cabello-excesivo\/#%C2%BFQue-causa-la-hipertricosis\" >What causes hypertrichosis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cabello-excesivo\/#%C2%BFCuales-son-las-caracteristicas-clinicas-del-hirsutismo-y-la-hipertricosis\" >What are the clinical features of hirsutism and hypertrichosis?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cabello-excesivo\/#Escala-visual-de-Ferriman-Gallwey-para-evaluar-el-hirsutismo\" >Ferriman-Gallwey visual scale to assess hirsutism<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cabello-excesivo\/#Examen-general\" >General examination<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cabello-excesivo\/#Complicaciones-del-hirsutismo-y-la-hipertricosis\" >Complications of hirsutism and hypertrichosis.<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cabello-excesivo\/#%C2%BFComo-se-diagnostica-el-hirsutismo-y-la-hipertricosis\" >How are hirsutism and hypertrichosis diagnosed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cabello-excesivo\/#%C2%BFCual-es-el-tratamiento-para-el-hirsutismo-y-la-hipertricosis\" >What is the treatment for hirsutism and hypertrichosis?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cabello-excesivo\/#Metodos-fisicos-de-depilacion\" >Physical methods of hair removal.<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cabello-excesivo\/#Tratamiento-medico-del-hirsutismo\" >Medical treatment of hirsutism<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cabello-excesivo\/#%C2%BFComo-se-puede-prevenir-el-hirsutismo-y-la-hipertricosis\" >How can hirsutism and hypertrichosis be prevented?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/cabello-excesivo\/#%C2%BFCual-es-la-perspectiva-para-el-hirsutismo-y-la-hipertricosis\" >What is the outlook for hirsutism and hypertrichosis?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Introduccion\"><\/span>Introduction<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Excessive <span class=\"term\" data-term-id=\"122\">hair<\/span> comprises two entities:<\/p>\n<ul>\n<li>Hirsutism<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1809\">Hypertrichosis<\/span>.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-el-hirsutismo\"><\/span>What is hirsutism?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hirsutism is a male pattern of secondary or post-pubertal hair growth that occurs in women. It arises in the mustache and beard areas at puberty when hair also appears in non-hirsute women in the armpit and pubic regions. Hirsute women can also develop thicker and longer than normal hair on their limbs and trunk.<\/p>\n<p>Hirsutism is also known as hirsute.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Hirsutismo\"><\/span>Hirsutism<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='xs-hair-1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildbd-8569206-2290343' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/xs-hair-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDBd-8569206.jpg'>\n<\/div>\n<p class=\"p-small\">Facial hirsutism<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='xs-hair-2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6718025-5917385' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/xs-hair-2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6718025.jpg'>\n<\/div>\n<p class=\"p-small\">Facial hirsutism<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='xs-hair-3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9210802-4313721' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/xs-hair-3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9210802.jpg'>\n<\/div>\n<p class=\"p-small\">Facial hirsutism<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-la-hipertricosis\"><\/span>What is hypertrichosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hypertrichosis is non-hairy overgrowth of hair above normal for age, <span class=\"term\" data-term-id=\"1167\">sex<\/span> and race of male or female. May refer to unpigmented <span class=\"term\" data-term-id=\"1319\">hair<\/span> or darker, longer, <span class=\"term\" data-term-id=\"1776\">terminal hair<\/span>and can be <span class=\"term\" data-term-id=\"308\">generalized<\/span> or <span class=\"term\" data-term-id=\"324\">located<\/span>.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Hipertricosis\"><\/span>Hypertrichosis<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='xs-hair-4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9197814-1079705' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/xs-hair-4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9197814.jpg'>\n<\/div>\n<p class=\"p-small\">Hypertrichosis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='xs-hair-5__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5025449-9723937' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/xs-hair-5__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5025449.jpg'>\n<\/div>\n<p class=\"p-small\">Hypertrichosis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='xs-hair-6__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3607525-1534104' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/xs-hair-6__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3607525.jpg'>\n<\/div>\n<p class=\"p-small\">Hypertrichosis<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-contrae-el-hirsutismo\"><\/span>Who Gets Hirsutism?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Women who are considered hirsute vary depending on <span class=\"term\" data-term-id=\"837\">culture<\/span> and ethnicity, as the normal range of secondary hair growth varies with race. It should also be noted that women spend a great deal of time and energy removing unwanted hair, resulting in an abnormally hair-free norm in today&#039;s society.<\/p>\n<ul>\n<li>A shaggy pattern of hair growth is usually determined genetically, confirmed if the male and female members of the family also have more hair than average.<\/li>\n<li>Late-onset hirsutism may be due to hyperandrogenism, where there is an increase in circulation <span class=\"term\" data-term-id=\"985\">androgens<\/span> even <span class=\"term\" data-term-id=\"567\">testosterone<\/span>.<\/li>\n<\/ul>\n<p>Hyperandrogenism is often associated with polycystic ovaries, <span class=\"term\" data-term-id=\"1510\">insulin<\/span> resistance and obesity. Rare causes include:<\/p>\n<ul>\n<li>Androgenic drugs<\/li>\n<li>Cushing <span class=\"term\" data-term-id=\"350\">syndrome<\/span><\/li>\n<li><span class=\"term\" data-term-id=\"1036\">Congenital<\/span> adrenal <span class=\"term\" data-term-id=\"136\">hyperplasia<\/span><\/li>\n<li>A <span class=\"term\" data-term-id=\"289\">tumor<\/span> of the adrenal gland or ovary.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-contrae-hipertricosis\"><\/span>Who gets hypertrichosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hair growth is genetically determined and highly variable. Hypertrichosis can be a subjective complaint of healthy individuals. Pathological hypertrichosis can be congenital or acquired.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Hipertricosis-congenita\"><\/span>Congenital hypertrichosis<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>\n<p>Congenital hypertrichosis lanuginosa, also known as universal hypertrichosis and congenital terminal hypertrichosis are very rare syndromes with <span class=\"term\" data-term-id=\"828\">autosomal<\/span> dominant inheritance.<\/li>\n<li>Nevoid hypertrichosis is a <span class=\"term\" data-term-id=\"37\">circumscribed<\/span> terminal hair growth area. A faun tail on the lower back may be associated with underlying spina bifida.<\/li>\n<li>Localized hypertrichosis can also be a feature of congenital disease. <span class=\"term\" data-term-id=\"785\">melanocytic<\/span> <span class=\"term\" data-term-id=\"353\">nevus<\/span>, <span class=\"term\" data-term-id=\"753\">vascular<\/span> <span class=\"term\" data-term-id=\"1631\">malformation<\/span>, Becker naevus and less frequently, other birthmarks.<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Hipertricosis-adquirida\"><\/span>Acquired hypertrichosis<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Generalized acquired hypertrichosis can be associated with:<\/p>\n<ul>\n<li>Cutaneous porphyria delays<\/li>\n<li>\n<p>Malnutrition, for example, anorexia nervosa<\/li>\n<li><span class=\"term\" data-term-id=\"1742\">Malignancy<\/span><\/li>\n<li>A <span class=\"term\" data-term-id=\"380\">systemic<\/span> medications such as cyclosporine, phenytoin, androgenic steroids, or minoxidil.<\/li>\n<\/ul>\n<p>Localized acquired hypertrichosis may be associated with:<\/p>\n<ul>\n<li>Increased vascularity<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1729\">Repetitive<\/span> rub or scratch (lichen simplex)<\/li>\n<li>Applying a plaster cast (temporary)<\/li>\n<li>Repeated application of <span class=\"term\" data-term-id=\"1330\">current<\/span> minoxidil, a powerful topical steroid, iodine or psoralens (topical PUVA)<\/li>\n<li>Trichomegaly (long eyelashes) can arise from local bimatoprost or systemic erlotinib.<\/li>\n<\/ul>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-el-hirsutismo\"><\/span>What Causes Hirsutism?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Different <span class=\"term\" data-term-id=\"775\">genes<\/span> expressed in individual hair <span class=\"term\" data-term-id=\"1301\">follicles<\/span> vary in their response to androgens.<\/p>\n<ul>\n<li>Hair follicles at secondary hair growth sites are more sensitive to androgens than those in other areas.<\/li>\n<li>Androgens alter the mesenchyme<span class=\"term\" data-term-id=\"847\">epithelial<\/span> cellular interactions, changing the duration of hair growth, <span class=\"term\" data-term-id=\"52\">dermal<\/span> <span class=\"term\" data-term-id=\"373\">papilla<\/span> size and cell of the dermal papilla, <span class=\"term\" data-term-id=\"917\">keratinocytes<\/span> and <span class=\"term\" data-term-id=\"784\">melanocyte<\/span> exercise.<\/li>\n<li>The tiny hair follicles that produce tiny, virtually invisible hairs develop into larger intermediate and terminal follicles that get larger. <span class=\"term\" data-term-id=\"1520\">pigmented<\/span> hairs<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-la-hipertricosis\"><\/span>What causes hypertrichosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hypertrichosis is due to a non-hormonal alteration in hair growth driven by genes and <span class=\"term\" data-term-id=\"434\">cytokines<\/span>. The precise causes in an individual are often unknown.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-del-hirsutismo-y-la-hipertricosis\"><\/span>What are the clinical features of hirsutism and hypertrichosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hirsutism is usually first seen in the late teens and tends to become more severe as a woman ages. Hypertrichosis can be present at birth or appear at any time thereafter. The affected areas vary.<\/p>\n<p>Hirsutism is usually isolated. It can involve a single site or multiple sites.<\/p>\n<ul>\n<li>Facial hair: mustache, beard, eyebrows<\/li>\n<li>Abdomen: a diamond shape of pubic hair that extends to the <span class=\"term\" data-term-id=\"1258\">belly button<\/span>\n<\/li>\n<li>Chest: around the nipples or a more extensive growth<\/li>\n<li>Upper back<\/li>\n<li>Inner thighs<\/li>\n<\/ul>\n<p>The severity of hirsutism is assessed using a modified version of the Ferriman-Gallwey visual. <span class=\"term\" data-term-id=\"320\">scale<\/span> for nine areas of the body. The score ranges from 0 (no hair) to 4 (extensive hair growth) in each area.<\/p>\n<ul>\n<li>Total score <8: crecimiento normal del cabello<\/li>\n<li>Total score 8\u201314: mild hirsute<\/li>\n<li>Total score \u2265 15: moderate to severe hirsute<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Escala-visual-de-Ferriman-Gallwey-para-evaluar-el-hirsutismo\"><\/span>Ferriman-Gallwey visual scale to assess hirsutism<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='hirsutism-scale__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildi3xq-5985119-5409432' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/hirsutism-scale__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDI3XQ-5985119.gif'>\n<\/div>\n<p class=\"p-small\">Ferriman-Gallwey visual scale to assess hirsutism<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h3><span class=\"ez-toc-section\" id=\"Examen-general\"><\/span>General examination<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>A general exam can reveal clues to the cause of hirsutism.<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"2\">Acanthosis<\/span> nigricans suggests insulin resistance.<\/li>\n<li>Galactorrhea suggests hyperprolactinemia.<\/li>\n<li>Purple stretch marks, thin skin, bruises, and facial plethora suggest Cushing&#039;s syndrome.<\/li>\n<li>\n<span class=\"term\" data-term-id=\"569\">Virilization<\/span> suggests hyperandrogenism. The signs include:<\/p>\n<ul>\n<li>Deep voice<\/li>\n<li>That is going bald<\/li>\n<li>Acne<\/li>\n<li>A decrease in the size of the breasts.<\/li>\n<li>Clitoral enlargement<\/li>\n<li>Increased muscle mass.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Complicaciones-del-hirsutismo-y-la-hipertricosis\"><\/span>Complications of hirsutism and hypertrichosis.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>People affected by excess hair can suffer great embarrassment with <span class=\"term\" data-term-id=\"394\">psychosocial<\/span> Effects Can be time consuming and costly to remove hair.<\/p>\n<p>Other complications may arise from the underlying disease, if any.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostica-el-hirsutismo-y-la-hipertricosis\"><\/span>How are hirsutism and hypertrichosis diagnosed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hirsutism and hypertrichosis are diagnosed clinically. Investigations are generally not necessary unless the Ferriman-Gallwey score is&gt; 15 when performing blood tests to assess male hormone levels and underlying conditions.<\/p>\n<p>Free <span class=\"term\" data-term-id=\"984\">androgynous<\/span> The index is the total testosterone concentration divided by the concentration of sex hormone binding globulin and multiplied by 100. If it is elevated, check:<\/p>\n<ul>\n<li>Dihydroxyepiandrosterone sulfate (elevated if the androgen is of adrenal origin)<\/li>\n<li>Androstenedione (elevated if the androgen is of ovarian origin).<\/li>\n<\/ul>\n<p>If hirsutism starts early, premature <span class=\"term\" data-term-id=\"983\">adrenache<\/span>and a family history of congenital adrenal hyperplasia:<\/p>\n<ul>\n<li>17-hydroxyprogesterone.<\/li>\n<\/ul>\n<p>If the characteristics of Cushingoid:<\/p>\n<ul>\n<li>Urinal and <span class=\"term\" data-term-id=\"1430\">serum<\/span> cortisol or dexamethasone test overnight.<\/li>\n<\/ul>\n<p>If menstrual disorder:<\/p>\n<ul>\n<li>Luteinizing hormone (LH) and <span class=\"term\" data-term-id=\"1300\">follicle<\/span> stimulating hormone (FSH)<\/li>\n<li>Prolactin<\/li>\n<\/ul>\n<p>If symptoms suggest poor general health:<\/p>\n<ul>\n<li>Thyroid function<\/li>\n<li><span class=\"term\" data-term-id=\"559\">Glucose<\/span><\/li>\n<li>\n<span class=\"term\" data-term-id=\"1469\">Lipids<\/span> (<span class=\"term\" data-term-id=\"1507\">cholesterol<\/span> and <span class=\"term\" data-term-id=\"1508\">triglycerides<\/span>)<\/li>\n<li>Images, according to any symptoms.<\/li>\n<\/ul>\n<p>If you suspect polycystic ovaries:<\/p>\n<ul>\n<li>Perform a pelvic exam<\/li>\n<li>Abdominal \/ transvaginal <span class=\"term\" data-term-id=\"1378\">ultrasound<\/span> examination of the ovaries.<\/li>\n<\/ul>\n<p>The diagnostic features for polycystic ovary syndrome are:<\/p>\n<ol>\n<li>Oligo \/ anovulation<\/li>\n<li>Clinical \/ biochemical signs of hyperandrogenism.<\/li>\n<li>Presence of \u2265 12 follicles in each ovary measuring 2 to 9 mm in diameter and increased ovarian volume (&gt; 10 ml) on pelvic \/ transvaginal ultrasound (optional).<\/li>\n<\/ol>\n<p>If there is skin <span class=\"term\" data-term-id=\"1806\">fragility<\/span> or blisters in places exposed to the sun:<\/p>\n<ul>\n<li>Urinary and fecal check <span class=\"term\" data-term-id=\"1515\">porphyrins<\/span>.<\/li>\n<\/ul>\n<p>If there is a faun&#039;s tail:<\/p>\n<ul>\n<li>Image of the lower spine.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-el-hirsutismo-y-la-hipertricosis\"><\/span>What is the treatment for hirsutism and hypertrichosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Bleaching makes excessive hair less obvious.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Metodos-fisicos-de-depilacion\"><\/span>Physical methods of hair removal.<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Hair removal (waxing and waxing) should be repeated regularly as the hair continues to grow back. The methods include:<\/p>\n<ul>\n<li>Shaved off<\/li>\n<li>Depilatory creams<\/li>\n<li>Hair removal<\/li>\n<li>Electric epilators<\/li>\n<li>Electrolysis and thermolysis.<\/li>\n<li>\n<p>Intense pulsed flash lamps and lasers.<\/li>\n<\/ul>\n<p>Depilatory creams containing eflornithine are available by prescription in some countries.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Tratamiento-medico-del-hirsutismo\"><\/span>Medical treatment of hirsutism<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Some women with hirsutism can be treated with antiandrogens with variable response. This option is not useful in hypertrichosis. Medications to consider include:<\/p>\n<ul>\n<li>Oral contraceptives<\/li>\n<li>Cyproterone<\/li>\n<li>Spironolactone<\/li>\n<li>Flutamide<\/li>\n<li>Finasteride<\/li>\n<li>Low dose <span class=\"term\" data-term-id=\"1428\">glucocorticoids<\/span>\n<\/li>\n<li>Metformin<\/li>\n<li>Rosiglitazone.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-puede-prevenir-el-hirsutismo-y-la-hipertricosis\"><\/span>How can hirsutism and hypertrichosis be prevented?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>It is not yet possible to prevent genetically predetermined excessive hair growth. The insulin resistance associated with obesity can be reduced through weight loss and diet. <span class=\"term\" data-term-id=\"1854\">control<\/span>.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-la-perspectiva-para-el-hirsutismo-y-la-hipertricosis\"><\/span>What is the outlook for hirsutism and hypertrichosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span class=\"term\" data-term-id=\"241\">Forecast<\/span> It depends on the cause. The most common types of excessive hair growth persist throughout life. Hirsutism tends to be more pronounced with age.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Introducci\u00f3n Excesivo cabello comprende dos entidades: Hirsutismo Hipertricosis. \u00bfQu\u00e9 es el hirsutismo? El hirsutismo es un patr\u00f3n masculino de crecimiento del vello secundario o post-puberal que ocurre en las mujeres&#8230;.<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-8112","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8112","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=8112"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8112\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=8112"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=8112"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=8112"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}