<unk>  (from Latin hirsutus = shaggy, hairy) is defined as excessive and increased hair growth in women in locations where the occurrence of terminal hair normally is minimal or absent. It refers to a male pattern of body hair (androgenic hair) and it is therefore primarily of cosmetic and psychological concern.<unk>  is a symptom rather than a disease and may be a sign of a more serious medical indication, especially if it develops well after puberty.It affects 5-15% of women . In most of the cases there is an underlying hormonal imbalance . Excessive amount of androgen plays a major role, as 70% of patients with excessive androgen will develop<unk> . However in 5 to 15% of patients suffering from<unk>  , there is no increase in androgen level and are considered as idiopathic<unk> . About 50% of<unk>  cases have high androgen level. Free testosterone is the main circulating androgen and is often elevated in hirsute women and the level of androgens and hair follicle sensitivity to androgens play the major role . Ovulatory dysfunction (PCOs), diabetes, thyroid hormone abnormalities and CAH are some of the underlying causes for<unk> .There is a scoring system which is called  Ferriman–Gallwey scale, which quantitates the extent of hair growth in the most androgen-sensitive sites and patients with a score of 8 or more ,would be considered a hirstue<unk>  must be distinguished from hypertrichosis which is a result of either heredity or the use of medications such as glucocorticoids, phenytoin, minoxidil, or cyclosporine. Hypertrichosis is not caused by excess androgen.Pubertal onset<unk>  specially when it is mild ,points toward PCOS or idiopathic<unk>  but sever late onset<unk>  with other virlization signs can be due to ovarian or adrenal tumors.<unk>  can lead to significant psychological distress for women and even depression if left untreated and based on the underlying cause other medical complications can occur (e.g. in cases of<unk>  due to PCOS , if the treatment doesn't address PCOS , it can lead to infertility.) Prognosis depend on underlying etiology .Treatment options include: Cosmetic and hormonal therapy .Cosmetic therapy includes shaving, waxing , laser hair removal therapy , etc. Hormonal therapy includes : oral contraceptives, finestride , spironolactone ,etc.
Hirsutism
Aspermia
Gigantism
Sleepwalking
Sexual obsessions
Anosmia
Polydipsia
Gynecomastia