Hormonal Disorders

Hirsutism

Hirsutism is excessive hair growth in women in male-pattern areas (face, chest, back) caused by excess androgens (male hormones). Dr. Rashmi Bastakoti, Nepal's leading PCOS and hormonal disorder specialist with 25+ years of experience, provides comprehensive hirsutism treatment at GyneNepal, Kathmandu. Affecting 5-10% of women, hirsutism often indicates underlying hormonal imbalances like PCOS (70-80% of cases). Dr. Rashmi's holistic approach combines hormonal therapy, cosmetic treatments, and lifestyle modifications. She has successfully treated over 1,500 hirsutism cases, helping women regain confidence. Early diagnosis prevents progression and addresses root causes. Modified Ferriman-Gallwey scoring system used for objective assessment. Serving Kathmandu, Lalitpur, Bhaktapur with evidence-based hirsutism management.

Warning Signs & Symptoms

⚠️Excess facial hair (upper lip, chin, sideburns)
⚠️Coarse body hair on chest, back, abdomen
⚠️Male-pattern baldness or hair thinning
⚠️Acne and oily skin
⚠️Deepening of voice
⚠️Increased muscle mass
⚠️Clitoral enlargement (severe cases)
⚠️Irregular or absent periods
⚠️Difficulty conceiving
⚠️Psychological distress and low self-esteem

Common Causes

🔍Polycystic Ovary Syndrome (PCOS) - 70-80% of cases
🔍Idiopathic hirsutism (no identifiable cause)
🔍Congenital adrenal hyperplasia
🔍Cushing's syndrome (excess cortisol)
🔍Androgen-secreting ovarian or adrenal tumors
🔍Medications (danazol, anabolic steroids)
🔍Insulin resistance and obesity
🔍Thyroid disorders
🔍Hyperprolactinemia
🔍Genetic predisposition and ethnicity

Diagnostic Tests

Modified Ferriman-Gallwey score (>8 indicates hirsutism)
Physical examination and medical history
Blood tests: Total and free testosterone
DHEA-S (dehydroepiandrosterone sulfate)
17-hydroxyprogesterone (rule out CAH)
LH/FSH ratio (elevated in PCOS)
Prolactin and thyroid function tests
Fasting glucose and insulin levels
Pelvic ultrasound for PCOS assessment
ACTH stimulation test if indicated

Treatment Options

💊Hormonal contraceptives (first-line treatment)
💊Anti-androgen medications: Spironolactone 50-200mg daily
💊Cyproterone acetate (not available in all countries)
💊Finasteride 5mg daily
💊Metformin for insulin resistance and PCOS
💊Eflornithine cream (Vaniqa) for facial hair
💊Laser hair removal (long-term reduction)
💊Electrolysis (permanent hair removal)
💊Weight loss (5-10% reduces androgens)
💊Lifestyle modifications and dietary changes

Recommended Specialist

Dr Rashmi Bastakoti

Dr Rashmi Bastakoti

MBBS, MD (Obs & Gyne), Fellowship in Reproductive Medicine (Nepal)

25 years
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Contact Information

📞
Phone
+977 9700682797
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Email
info@gynenepal.com
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Location
Dillibazar Pipalbot, Kathmandu
Hours
Mon-Sat: 8 AM - 6 PM