symptom of hyperandrogenism in women from the Indian subcontinent and from Mediterranean countries than it is in those of northern European or east Asian origin. Clinical assessment of hirsutism

182 J Fam Plann Reprod Health Care 2012;38:182–186. doi:10.1136/jfprhc-2011-100175 Abstract Excess male-pattern body hair in women is a very common and psychologically damaging condition. Although its cause is usually a chronic and benign disorder (most commonly polycystic ovary syndrome) it may rarely be an indication of a more serious endocrine disease such as Cushing syndrome or an androgen-secreting tumour. Investigations do not usually need to be extensive, but effective management is important, irrespective of cause, for what can be a debilitating symptom. Specifi c treatment of any underlying disease is important but in most cases treatment is empirical; it may simply involve physical hair removal, ideally by electrolysis or laser treatment. However, endocrine therapy to suppress androgen production and/or action is desirable in many, if not most, cases.