Abstract

Objectives: The aim of this study was to assess clinical, hormonal profile, and causes of hirsutism in women who had attended the gynecology clinic at king Hussein medical center. Methods: A retrospective study where clinical information were collected from the medical records of 120 hirsute women, including age, age at onset of the symptoms, duration, rapidity of the onset of the symptoms, parity, menstrual cycle history, age of menarche, family history of hirsutism. Hirsutism was determined by the modified Ferriman-Gallwey index. Laboratory tests and ultrasound were done. Results: The mean age at presentation was 24±4.3 .The maximum hirsutism Ferriman Gallwey score was 20 with a range between10-20. Sixty women (50%) had score more than12. The face was the most common site, 67 women had menstrual abnormalities (55.8%) and 46 were obese (body mass index > 25 kg/M2) (38.3%). A positive family history was obtained in 55women (45.8%). Polycystic ovary syndrome was assumed to be the cause of hirsutism in 68 women (56.8%), 4 women had microadenoma (3.3%) and 3 women had hypothyroidism ((2.5%). Conclusion: Polystic ovary syndrome and idiopathic hirsutism, which were evident in about 94% of the studied patients, are the main causes of hirsutism.

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