Hirsutism or Just Hyperpilosity from low testosterone

A characteristic problem of women, but in rare cases can affect men, hirsutism or hiperpilosity have in common but differ in symptomatic manifestation cause.

Symptomatic too abundant it means an increase in the number of hairs, or growing too large in thickness and strength of hair.

Women know this problem because experiencing excess hair that may have various sites. An excess facial hair, excess hair in the axial or hair too often and too intense hands or feet.

But how many people know that behind this aesthetic problems after all, can hide a medical pathology. And how can we differentiate where hirsutism (pathology) or just a hyperpilosity (non-pathological excess hair).

What is hyperpilosity

Hyperpilosity is excess hair follicles (i.e. trunk hair) that represent a specific condition of each individual. Although the number of hair follicles or their intensity is all a consequence of hormonal secretions, it only means a pathological condition, but means only a feature of every person.

It says so some people have a greater abundance of hair or lower. The number of hair follicles remains relatively the same all lifetime and does not change significantly, which is why this condition is genetic one.

But if this becomes intensely colored hair, bigger or thicker as long as the diameter of the hair features already hold a hormone secretion and what initially diagnosed as a hyperpilosity can now hirsutism.

What is hirsutism

Hirsutism is already symptomatic manifestations of the same pathologic expression. Ie excess hair or thickness or length of hair, but that appears on the map and is not native (innate).

It can be, in very rare cases and about a congenital hirsutism, but more often this condition express newfound lifetime pathological condition.

How does hirsutism appear?

Define our characters (man / woman) is dictated by a hormone secretion. Starting puberty, estrogen and progesterone secretion of the characters dictate women, testosterone secretion dictates And male characters.

Characters man / woman dictated by these hormones lead to some specific changes: deepening of the voice (men) and vocal acuity (female); changing the structure of bone, the bones become men of a higher density, while the female pelvic bones widen; disposal of muscle and adipose tissue: while muscle fibers grow more intense in men, women start layout fat (the buttocks and chest muscles).

These hormonal changes dictate a whole series of other changes, and among them is found and the number of hair follicles to be developed and the thickness and length of the hairs of the hairiness.

However, both men and women have a lower amount of estrogen and progesterone (for men) get a smaller amount of testosterone (in women) in the entire range of the 3 sex hormones.

Testosterone is the hormone that in turn dictates a hyperpilosity or hirsutism are talking about. This male hormone will determine the number of hair follicles develop, and how will dictate the development of this hairiness.

So, hairiness, whether we are talking about hyperpilosity, whether we are talking about hirsutims is a hypersecretion of testosterone or a decrease secretion of female sex hormones (estrogen and progesterone) which in this case will leave room testosterone (which still remains at reduced rates) to become dominant hormone.

The normal values ​​in these hormones

To determine cases in which hirsutism is suspected, blood tests will be required which evaluates the amount of these hormones can find in the blood.

So women are benchmarks of estrogen can reach between 50/100 and 1450 (average so it is between 300/400 and 800/1000). In men instead, the amount of estrogen must be situated between 90 and a maximum of 200.

These are the defining values ​​of estrogen to appreciate in women if we talk about a hyposecretion of this hormone. But for a clear assessment of the values ​​of an analysis of estrogen consultation of a physician it is necessary because the amount of estrogen and within a month varies depending on the phase of the menstrual cycle when the woman is.

If the consideration defining the most important hormone for this pathology (hirsutism) must be remembered that values ​​are 0.3-10 to a boy aged 0-6 years. And if we talk about puberty it must reach levels ranging between 0.7 and 35/40 (the highest values ​​are accomplished in puberty), then there is a period of plateau practically regulating hormonal values.

But benchmarks are for a man and a woman in adulthood. So testosterone level for a male adult is between 10 and 30, while a woman must be located between 0.2 and 3. All these figures relate to the measurement unit nmol / L.

It is therefore easy to see if you mention a hormone disorder testosterone ( in a woman or even a man. But this value should be permanently correlated with the level of estrogen in the blood (Testosterone in seminal fluid after vasectomy).

What causes these hormonal disorders?

There are several mechanisms by which these hormonal disorders. Some refer to a decrease in the secretion of estrogen, while another refers to a sharp testosterone secretion in pathological way.

Hypo secretion producing estrogen (female)

This hyposecretion estrogen may be a cause endocrine, a parameter that can keep a diet, medication. But dysfunction most often involved is one that you endocrine and metabolic-endocrine disorder.

Hyper secretion produces testosterone (female)

Hypersecretion of testosterone is similar aetiology of estrogen hyposecretion, but most often involved in this pathology refers to a medication.

– Medications

Medicines should not necessarily be strictly in the category classes of drugs with endocrine effects or those who are receiving special cause for regulating endocrine problems. Drugs that have a high content of steroids or corticosteroids interfere clearly and directly and hormonal secretion.

Also, in some way medicines are administered with the role of antibiotic or anti-inflammatory drugs with a role (but not NSAIDs – the drugs, but that the steroid), will clearly interspersed with estrogen secretion in women.

– Nutrition

Diet not only intercalated in the metabolic process of the body but the whole system is complex and sandwiched between him, that any change in a component of metabolism will produce a modification of the rule regarding the endocrine system.

So it was observed that people who have content in the diet too rich in certain nutrients, especially what you fat or fat will tend to have hirsutism. Not just for obese people (and thus those that have excessive intake of fat) will manifest hirsutism, but also because the content hormonal of chemically, they comprises a rich component lipid, such as excess excess fat will therefore be hormonal (vitamin e deficiency).

A lipid content will interact with lipid metabolism and synthesis followed by hormonal secretions so will generate a hormonal change.

Hormonal disorders of gynecologic nature (ovarian cysts)

Cyst formation which means a benign tumor that forms on the ovary and in particular what is called micro-poly-cysts formation of several such small benign tumors on one or both ovaries, in this case it will mean ovarian pathology.

Ovarian cysts interfere in the secretion especially the quantitative but also qualitative what you secretion of sex hormones. Estrogen and progesterone are directly influence and secretory stability as the amount of the ovaries will therefore suffer for which hirsutism can occur as a component of a disorder in which the morphology or structure you ovaries.

The treatment will often include hormone treatment and serve to substitute hormonal secretion, and a possible surgical resection.

Endocrine dysfunctions

They must be considered as a main cause of hirsutism is strictly endocrine disorder. Damage from multiple etiologies of glands, thyroid and (especially) the gonads (ovaries), and the main control gland (i.e. pituitary gland) are the main endocrine glands directly involved in dysfunction.

So hirsutism may be mainly a symptom and first class can demonstrate an endocrine dysfunction, but can be a freestanding pathology collateral with endocrine pathology and can demonstrate more or less aggravation thereof.


When an analysis is if we talk about an endocrine deficiency or if we talk about a hyperpilosity, it can only be done by a doctor. But it is better not to minimize this as only an aesthetic but more importantly analyzes to be made more effective for diagnostic certainty and there is no risk of complications and other endocrine pathologies.

As can be easily seen, hyperpilosity has so multiple etiologies that may seem at first to be difficult to notice the exact cause of these dysfunctions increase in the number of hair follicles or the size of them, but they can hide behind a series of dysfunctions in the most diverse systems. But if we talk about impaired endocrine system is the most difficult as this pathology expressed by hyperpilosity or hirsutism, be remedied and to achieve the effect reversible.