6. Excess Facial Hair – The Struggle with Hirsutism
Excess facial hair, or hirsutism, can be one of the most visible and socially challenging symptoms for those with CAH. This growth is not the light fuzz that everyone has but rather a thicker, darker hair growth pattern that aligns more traditionally with male secondary sex characteristics.
The presence of hirsutism in CAH is a direct consequence of elevated androgen levels, a hallmark of the disorder. These male hormones prompt hair follicles to produce hair that’s more akin to the male patterns of growth.
The effects of hirsutism are not merely cosmetic; they carry significant psychosocial implications. For women, excess facial hair can be a source of distress and anxiety, potentially impacting self-esteem and how they interact socially.
Addressing hirsutism in CAH involves a two-pronged approach: medical treatment to manage hormone levels and physical hair removal methods. Medications like anti-androgens can help reduce hair growth, while laser therapy and electrolysis provide more immediate cosmetic solutions. (6)
