Mayo Clinic Health Manager
Get free personalized health guidance for you and your family.
Get Started
About our e-newsletters
- Free e-newsletters
- Mayo Clinic expertise
- We do not share your e-mail address
Housecall, our weekly general-interest e-newsletter, keeps you up to date on a wide variety of health topics with timely, reliable, practical information, recipes, blogs, questions and answers with Mayo Clinic experts and more. Our biweekly topic-specific e-newsletters also include blogs, questions and answers with Mayo Clinic experts, and other useful information that will help you manage your health.
Housecall Archives
Mayo Clinic Housecall
Stay up to date on the latest health information.
What you get
- Free weekly e-newsletter
- Mayo Clinic expertise
- Recipes, tools and other helpful information
- We do not share your e-mail address
Tests and diagnosis
By Mayo Clinic staffMaking a diagnosis of hirsutism begins with discussing your medical history. Your doctor may ask you about your menstrual cycles, the time of onset of your symptoms, whether you're taking any medications, and a family history of certain conditions. Tests that help make a diagnosis may include:
- Physical exam. Your doctor may check your face, neck, chest, breasts, back, abdomen and pelvis for hair growth. You may also be examined for other signs of androgen excess and for conditions that can result in a hormonal imbalance.
- Blood tests. Tests that measure the amount of certain hormones in your blood, including testosterone, may help determine whether hirsutism is caused by elevated androgen levels.
Further testing
The extent of further testing you'll undergo depends on the severity of your hirsutism and any other associated symptoms. If androgen levels in your blood are elevated, you may undergo imaging tests. These may include:
- Ultrasound. This imaging test uses high-frequency sound waves to produce pictures of your body's internal structures. An ultrasound of the ovaries or adrenal glands may be performed to check for tumors or cysts.
- Computerized tomography (CT) scan. A CT scan is a type of X-ray test that provides cross-sectional images of your internal organs. A CT scan of your body may be used to evaluate the adrenal glands.
- Hirsutism (excess hair). American Academy of Family Physicians. http://familydoctor.org/online/famdocen/home/common/hormone/210.html. Accessed Nov. 14, 2008.
- Bulun, S, et al. Physiology and pathology of the female reproductive axis In: Kronenberg HM, et al., eds. Williams Textbook of Endocrinology. 11th ed. St. Louis, Mo.: W.B. Saunders; 2008.
- Evaluation and treatment of hirsutism in premenopausal women: An Endocrine Society clinical practice guideline. Chevy Chase, Md.: The Endocrine Society. http://jcem.endojournals.org/cgi/content/abstract/93/4/1105. Accessed Nov. 14, 2008.
- Chang J, et al, eds. The Hormone Foundation's patient guide to the evaluation and treatment of hirsutism in premenopausal women. The Hormone Foundation. http://www.hormone.org/Resources/Patient_Guides/upload/Hirsutism_Patient_Guide.pdf. Accessed Nov. 14, 2008.
- Hirsutism. The Merck Manuals Online Medical Library: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec10/ch124/ch124c.html?qt=hirsutism&alt=sh#sec10-ch124-ch124c-989. Accessed Nov. 14, 2008.
- Hormones and the skin. American Academy of Dermatology. http://www.aad.org/media/background/factsheets/fact_hormones.html. Accessed Nov. 14, 2008.
- Azziz R. Hirsutism. In: Goldman L, et al., eds. Goldman: Cecil Medicine. 23rd ed. Philadelphia, Pa.: Saunders Elsevier; 2007:1853.
- Polycystic Ovary Syndrome (PCOS). U.S. Department of Health and Human Services. http://www.4woman.gov/faq/polycystic-ovary-syndrome.cfm. Accessed Nov. 14, 2008.
