- Drugs such as minoxidil, anabolic steroids, certain antipsychotics, or progestin-dominant contraceptives may contribute to hirsutism. A thorough medication review is essential during evaluation.
When to Consult a Healthcare Provider
When to Consult a Healthcare Provider
Seek clinical evaluation if you observe:
✓ Rapid or progressive increase in coarse facial hair
✓ Hair growth in multiple androgen-sensitive areas
✓ Concurrent symptoms: irregular menses, severe acne (especially jawline), unexplained weight changes, scalp hair loss, fatigue, or skin changes (e.g., acanthosis nigricans)
✓ Concern about medication side effects
A provider may recommend:
Hormonal panel (total/free testosterone, DHEA-S, SHBG, prolactin)
Thyroid function tests (TSH, free T4)
Metabolic screening (fasting glucose, insulin, lipid panel)
Pelvic ultrasound (if PCOS is suspected)
Management Approaches
