Profile of Hirsute Women in Kashmir Valley

Background: Hirsutism is a common condition affecting up to about 10 % of women. Although primarily of cosmetic, psychological & social concern, it may be the sign of a more serious medical indication. Aim: Aim of the study was to determine the clinical, investigative and treatment profile of hirsute females. Methods: Fifty Kashmiri females presenting with hirsutism in the reproductive age were prospectively evaluated clinically and biochemically. Results: Mean age of patients was 32±5.8 years and mean Ferriman Gallwey (F-G) score was 11.3±1.6. Eighty six percent of the patients had involvement of face followed by chest and inner thighs. Menstrual irregularity, seborrhea and acne were the common associated clinical features. Thirty six patients had altered biochemical parameters with 16 patients having polycystic ovaries on ultrasonography (USG). Polycystic Ovarian Syndrome (PCOS) was the commonest cause followed by idiopathic hirsutism. Twenty three patients were referred to endocrinology and gynaecology departments for further management. Treatment modalities used were antiandrogens in 17, Eflornithine in 7, electrolysis in 5 and laser epilation in 11 patient