Defining hirsutism in Chinese women: a cross-sectional study.

Abstract:

OBJECTIVE:To determine the normative cut-off score that defines hirsutism among Chinese women, and the effect of age, menstrual irregularities, and polycystic ovaries on the same. DESIGN:Cross-sectional, population-based study. SETTING:A multistage systematic cluster random sampling among 16 communities from two rural and two city regions. PATIENT(S):A representative sample of 2,988 women aged 20-45 years from the general population of Southern China. INTERVENTION(S):Subjects underwent physical and ultrasound evaluations. MAIN OUTCOME MEASURE(S):Terminal hair growth was assessed using the modified Ferriman-Gallwey (mFG) scoring system. RESULT(S):An mFG score ≥5 was observed in 10% and a score of ≥2 in 25% of the subjects. Cluster analysis identified an mFG score of 5 as the cut-off value that defines abnormal terminal facial and body hair growth in a male pattern (i.e., hirsutism) in the total population; scores of 6, 5, and 4 for women aged 20-25, 26-30, and >30 years, respectively. Defined by these cut-off values, the prevalence of hirsutism in our total population was 10.5%; and decreased with increasing age: 14.4%, 10.7%, 7.9%, 3.6%, and 1.5%, respectively, in women aged 20-25, 26-30, 31-35, 36-40, and 41-45 years. Furthermore, the incidence of acne, menses irregularities, polycystic ovaries, and acanthosis nigricans were significantly increased among the hirsute women. CONCLUSION(S):An mFG score of 5 or greater indicates hair growth above the norm among women in the general Southern Chinese population, a cut-off value that decreases with increasing age.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Zhao X,Ni R,Li L,Mo Y,Huang J,Huang M,Azziz R,Yang D

doi

10.1016/j.fertnstert.2011.06.040

subject

Has Abstract

pub_date

2011-09-01 00:00:00

pages

792-6

issue

3

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(11)01017-X

journal_volume

96

pub_type

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