abdomen. It is a sign of androgen (male hormone) excess and is most commonly caused by PCOS (Polycystic Ovary Syndrome).
Dr. Manoj Choudhary measures androgen levels (testosterone, DHEAS), evaluates for PCOS, adrenal disorders, and rarer causes like androgen-secreting tumors. Identifying the exact source of excess androgen is essential for effective treatment.
Treatment includes oral contraceptive pills, anti-androgen medications (spironolactone, finasteride), and Metformin for insulin-resistant PCOS. Laser hair removal works best when combined with hormonal treatment that stops new growth.
Common Causes
PCOS — most common cause (70–80%)
Congenital Adrenal Hyperplasia (CAH)
Adrenal or ovarian androgen-secreting tumor
Cushing’s syndrome
Insulin resistance
Idiopathic (sensitive hair follicles)
⚠️ When to Seek Help: Rapidly appearing facial hair over weeks or months requires urgent evaluation to exclude an androgen-secreting tumor.
