1. Based on area of hair growth - whether the hair growth more prominent in the androgen dependent areas. In conditions like Were wolf syndrome, there will be general overgrowth of terminal hair seen in entire body, which is not hormonal dependent.
2. Onset of hair growth- acute or chronic onset due to the underlying pathology
3. Menstrual history- There will be conditions of menstrual irregularities associated with hirsutism as in case of PCOS, Hyperprolactinemia etc conditions.
4. Family history- It runs in certain family, specific ethnic groups and also has some genetic influence.
5. Drug history - various drugs like anabolic steroids, danazol, cyclosporine, phenytoin, triamterene-hydrochlorothiazide, minoxidil, hexacholorobenzene, penicillamine, …show more content…
David Ferriman was a practicing endocrinologist with an interest in disorders of the thyroid, adrenals, and ovaries. In 1961 he, along with Dr. John Michael David Gallwey, a house officer at the time, published a study of 430 women attending a general medicine outpatient clinic at the North Middlesex Hospital, North London, which became the basis for our current method for visual assessing the degree of facial and body terminal hair growth, and the presence of hirsutism in …show more content…
Minimal amounts of visible terminal hair growth represent a score of 1, a score of 2 is given if hair growth is more than minimal but not yet that of a man, and a score of 3 is that of a not very hairy man while a score of 4 is that typically observed in men. Each high score refers to both greater terminal hair density, and importantly, a greater affected body surface area.
The difficulty with many of the visual grading systems proposed is that they are subjective in nature and demonstrate significant inter observer variability. Suggested methods to decrease the risk of ascertainment bias when using a visual scoring system to assess hirsutism include : (i) minimizing the number of examiners , (ii) requesting the patients not use laser or electrolysis for at least 3 months, not depilate or wax for at least 4 weeks, or not to shave for at least 5 days before the exam ,(iii) examining all patients complaining of unwanted hair growth or oligo menorrhea fully, regardless of initial appearance (iv) using a uniform graphical (and possibly photographic) representation of the scoring
2. Onset of hair growth- acute or chronic onset due to the underlying pathology
3. Menstrual history- There will be conditions of menstrual irregularities associated with hirsutism as in case of PCOS, Hyperprolactinemia etc conditions.
4. Family history- It runs in certain family, specific ethnic groups and also has some genetic influence.
5. Drug history - various drugs like anabolic steroids, danazol, cyclosporine, phenytoin, triamterene-hydrochlorothiazide, minoxidil, hexacholorobenzene, penicillamine, …show more content…
David Ferriman was a practicing endocrinologist with an interest in disorders of the thyroid, adrenals, and ovaries. In 1961 he, along with Dr. John Michael David Gallwey, a house officer at the time, published a study of 430 women attending a general medicine outpatient clinic at the North Middlesex Hospital, North London, which became the basis for our current method for visual assessing the degree of facial and body terminal hair growth, and the presence of hirsutism in …show more content…
Minimal amounts of visible terminal hair growth represent a score of 1, a score of 2 is given if hair growth is more than minimal but not yet that of a man, and a score of 3 is that of a not very hairy man while a score of 4 is that typically observed in men. Each high score refers to both greater terminal hair density, and importantly, a greater affected body surface area.
The difficulty with many of the visual grading systems proposed is that they are subjective in nature and demonstrate significant inter observer variability. Suggested methods to decrease the risk of ascertainment bias when using a visual scoring system to assess hirsutism include : (i) minimizing the number of examiners , (ii) requesting the patients not use laser or electrolysis for at least 3 months, not depilate or wax for at least 4 weeks, or not to shave for at least 5 days before the exam ,(iii) examining all patients complaining of unwanted hair growth or oligo menorrhea fully, regardless of initial appearance (iv) using a uniform graphical (and possibly photographic) representation of the scoring