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Hirsutism - androgen dependant (women)
Hypertrichosis - androgen independant

''Cause Hisutism''
PCOS - most common
Cushings
Congenital adrenal hyperplasia
androgen therapy
obesity (peripheral conversion of estrogen to androgen)
adrenal tumour
androgen secreting ovarian tumour
phenytoin

assess hirsutism via FerrimanGalway - 9 body areas, score 0-4 each, >15 is moderate to severe
Mx weight loss if over
Cosmesis - waxing / bleaching (not on NHS)
COCP - Dianette (only for 6/12 as VTE risk - Co-Cyprindiol) or Yasmin (EE + Drospirenone)
facial - topical eflornithine (not if pregnant or breast feeding)

''Causes of Hypertrichosis''
Minoxidil, ciclosporin, diazoxide
congenital hypertrichosis lanuginosa or terminalis
porphyria cutanea tarda
anorexia nervosa