Idiopathic hirsutism: an uncommon cause of hirsutism in Alabama.

Abstract:

OBJECTIVE:To determine the prevalence of idiopathic hirsutism among a population of consecutive hirsute patients. DESIGN:Prospective cohort study. SETTING:University-based clinic. PATIENT(S):Premenopausal women with a complaint of hirsutism who were not receiving hormonal therapy. INTERVENTION(S):Evaluations for total and free testosterone, (T), 17-hydroxyprogesterone (17-HP), and DHEAS serum levels. MAIN OUTCOME MEASURE(S):Ovulatory function in women with cycles of < or =35 days in length was assessed with a basal body temperature (BBT) calendar and day 22-24 progesterone levels. RESULT(S):Of 132 consecutive hirsute women studied, 68 had cycles of >35 days in length. Of the remaining 64 patients, 25 also had oligo/anovulation by BBT and day 22-24 progesterone level. Of the 39 patients with hirsutism and regular ovulatory function, 22 had total and free T and DHEAS levels within normal limits. CONCLUSION(S):If idiopathic hirsutism is defined by the presence of hirsutism, regular ovulation, and normal androgen levels, only 17% of consecutive hirsute patients can be diagnosed with the disorder. Alternatively, if idiopathic hirsutism is based solely on the presence of hirsutism and regular ovulation, regardless of androgen levels, then 29% of the total hirsute population can be considered as having idiopathic hirsutism. Importantly, 40% of hirsute patients with a history of "regular cycles" were actually oligo/anovulatory, indicating the need to objectively assess ovulatory function in such patients.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Azziz R,Waggoner WT,Ochoa T,Knochenhauer ES,Boots LR

doi

10.1016/s0015-0282(98)00141-1

subject

Has Abstract

pub_date

1998-08-01 00:00:00

pages

274-8

issue

2

eissn

0015-0282

issn

1556-5653

pii

S0015028298001411

journal_volume

70

pub_type

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