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They inhibit the production of the potent androgen DHT.

Definition MSH Excessive hair growth at inappropriate locations, such as on the extremities, the head, and the back.

It is speculated that insulin, at high enough concentration, stimulates the ovarian theca cells to produce androgens.

Eventually, the multiple small cysts formed in the ovary from follicles that failed to mature and ovulate result in the PCOS appearance on ultrasound.

DIAGNOSING HIRSUTISM Physicians trained to treat hirsutism and related problems generally include reproductive and medical endocrinologists.

Ovarian or Adrenal Tumors On rare occasions, an androgen-producing tumor may develop in the ovaries or adrenal glands.

For all other cases, laboratory evaluation of the serum markers to know the exact etiology should be done.

Hair-bleaching products, which usually contain hydrogen peroxide, may cause skin irritation.

For patients with moderate or severe symptoms, an early morning total testosterone level should be obtained, and if moderately elevated, it should be followed by a plasma free testosterone level.