{"id":3088784,"date":"2022-01-07T08:16:00","date_gmt":"2022-01-07T13:16:00","guid":{"rendered":"https:\/\/myendoconsult.com\/learn\/?p=3088784"},"modified":"2023-06-21T03:54:20","modified_gmt":"2023-06-21T08:54:20","slug":"ferriman-gallwey-score","status":"publish","type":"post","link":"https:\/\/myendoconsult.com\/learn\/ferriman-gallwey-score\/","title":{"rendered":"Ferriman Gallwey score"},"content":{"rendered":"<p><\/p><img decoding=\"async\" src=\"https:\/\/endoconsult.b-cdn.net\/wp-content\/uploads\/ferriman-gallwey-score-feat-img-1.jpg\" alt=\"\" \/><p><\/p><p><\/p><p>The Ferriman Gallwey score is a <strong>numerical scoring assessment<\/strong> used to evaluate the severity of <a href=\"https:\/\/myendoconsult.com\/learn\/what-is-hirsutism\/\"><strong>hirsutism<\/strong><\/a> in women. The score ranges from 0 to 4, with 0 being no hair growth and 4 being severe hair growth.<\/p><p><\/p><p><\/p><p>\u00a0A woman&#8217;s <strong>Ferriman Gallwey score<\/strong> is calculated by adding up the number of areas on her body where she has excess hair growth. The areas that are counted include the upper lip, chin, chest, back, abdomen, thighs, and arms.<\/p><p><\/p><p><\/p><h2 class=\"wp-block-heading\">Ferriman-Gallwey Score Calculator<\/h2><p><\/p><p><\/p><p>This scoring system evaluates eleven different body parts, with scores ranging from zero (no excessive terminal hair growth visible) to four (extensive hair growth visible) for each body part evaluated.<\/p><p><\/p><p><div class='fluentform ff-default fluentform_wrapper_49  ff_guten_block ff_guten_block-49 ffs_default_wrap'><form data-form_id=\"49\" id=\"fluentform_49\" class=\"frm-fluent-form fluent_form_49 ff-el-form-top ff_form_instance_49_1 ff-form-loading ff_calc_form ffs_default\" data-form_instance=\"ff_form_instance_49_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">ferriman galway score<\/legend>        <div\n                style=\"display: none!important; position: absolute!important; transform: translateX(1000%)!important;\"\n                class=\"ff-el-group ff-hpsf-container\"\n        >\n            <div class=\"ff-el-input--label asterisk-right\">\n                <label for=\"ff_49_item_sf\" aria-label=\"Subscribe\">\n                    Subscribe                <\/label>\n            <\/div>\n            <div class=\"ff-el-input--content\">\n                <input type=\"text\"\n                       name=\"item_49__fluent_sf\"\n                       class=\"ff-el-form-control\"\n                       id=\"ff_49_item_sf\"\n                \/>\n            <\/div>\n        <\/div>\n        <input type='hidden' name='__fluent_form_embded_post_id' value='3088784' \/><input type=\"hidden\" id=\"_fluentform_49_fluentformnonce\" name=\"_fluentform_49_fluentformnonce\" value=\"d5104174a0\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/learn\/wp-json\/wp\/v2\/posts\/3088784\" \/><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-49_1\" ><h3 class='ff-el-section-title'>Upper Lip<\/h3><div class='ff-section_break_desk'><p>Degree of terminal hair growth over the upper lip. Varying from scanty sparse hair to florid hair growth typical of a male with a full moustache<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-4408193 size-full\" src=\"https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/upper-lip-fg-score.jpg\" alt=\"\" width=\"393\" height=\"91\" srcset=\"https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/upper-lip-fg-score.jpg 393w, https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/upper-lip-fg-score-300x69.jpg 300w\" sizes=\"auto, (max-width: 393px) 100vw, 393px\" \/><\/p><\/div><hr \/><\/div><div class='ff-el-group ff-el-form-bottom'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Select the Degree of hair growth involving the upper lip\">Select the Degree of hair growth involving the upper lip<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_734a319b15960fcaef9ac10da4015f13'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='input_radio_734a319b15960fcaef9ac10da4015f13' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_e6862a8921b78ec2c277829746fd643e'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='input_radio_e6862a8921b78ec2c277829746fd643e' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_896c219d3f421faa50df67d915f46513'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='input_radio_896c219d3f421faa50df67d915f46513' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_ff824fbeb532352f0851cffa519d0221'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='input_radio_ff824fbeb532352f0851cffa519d0221' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_f31f9380ec92516e4a727ecb336cef77'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"4\" data-calc_value=\"4\"  id='input_radio_f31f9380ec92516e4a727ecb336cef77' aria-label='4' aria-invalid='false' aria-required=true> <span>4<\/span><\/label><\/div><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-49_2\" ><h3 class='ff-el-section-title'>Chin<\/h3><div class='ff-section_break_desk'><p>Degree of terminal hair growth over the chin. Varying from scanty sparse hair to florid hair growth typical of a male with a full beard.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-4408194 size-full\" src=\"https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/chin-fg-score.jpg\" alt=\"\" width=\"425\" height=\"106\" srcset=\"https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/chin-fg-score.jpg 425w, https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/chin-fg-score-300x75.jpg 300w\" sizes=\"auto, (max-width: 425px) 100vw, 425px\" \/><\/p><\/div><hr \/><\/div><div class='ff-el-group ff-el-form-bottom'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Select the Degree of hair growth involving the chin.\">Select the Degree of hair growth involving the chin.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_61c93fe70162e0f87cc56e8acb426486'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='input_radio_1_61c93fe70162e0f87cc56e8acb426486' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_921f4ac5427013fd1d00c9b18ce3006e'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='input_radio_1_921f4ac5427013fd1d00c9b18ce3006e' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_1b7c9f82796854f5edcfd18bd42ed437'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='input_radio_1_1b7c9f82796854f5edcfd18bd42ed437' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_0dac858cc0b157a6abf1f48b8534a91c'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='input_radio_1_0dac858cc0b157a6abf1f48b8534a91c' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_1_95843d9733e72042116176523a9871b3'><input  type=\"radio\" name=\"input_radio_1\" data-name=\"input_radio_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"4\" data-calc_value=\"4\"  id='input_radio_1_95843d9733e72042116176523a9871b3' aria-label='4' aria-invalid='false' aria-required=true> <span>4<\/span><\/label><\/div><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-49_3\" ><h3 class='ff-el-section-title'>Chest<\/h3><div class='ff-section_break_desk'><p>Degree of terminal hair growth over the chest. Varying from scanty sparse hair to florid hair growth typical of a male<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-4408195 size-full\" src=\"https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/chest-fg-score.jpg\" alt=\"\" width=\"400\" height=\"117\" srcset=\"https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/chest-fg-score.jpg 400w, https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/chest-fg-score-300x88.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><\/p><\/div><hr \/><\/div><div class='ff-el-group ff-el-form-bottom'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Select the Degree of hair growth involving the chest\">Select the Degree of hair growth involving the chest<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_946df9e26e503fc461ee12d6ce409fa5'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='input_radio_2_946df9e26e503fc461ee12d6ce409fa5' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_374d106be1a7b457f37b45dd3cedd75f'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='input_radio_2_374d106be1a7b457f37b45dd3cedd75f' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_e5bb134729bb19befd148d1dced4e189'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='input_radio_2_e5bb134729bb19befd148d1dced4e189' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_2240bf4248320e627aa9d48e349713c6'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='input_radio_2_2240bf4248320e627aa9d48e349713c6' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_2_a7e5c959801eaf49e3a71dac1f2b8427'><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"4\" data-calc_value=\"4\"  id='input_radio_2_a7e5c959801eaf49e3a71dac1f2b8427' aria-label='4' aria-invalid='false' aria-required=true> <span>4<\/span><\/label><\/div><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-49_4\" ><h3 class='ff-el-section-title'>Upper Abdomen<\/h3><div class='ff-section_break_desk'><p>Degree of terminal hair growth over the upper abdomen. Varying from scanty sparse hair to florid hair growth typical of a male<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-4408196 size-full\" src=\"https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/upper-abd-fg-score.jpg\" alt=\"\" width=\"392\" height=\"83\" srcset=\"https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/upper-abd-fg-score.jpg 392w, https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/upper-abd-fg-score-300x64.jpg 300w\" sizes=\"auto, (max-width: 392px) 100vw, 392px\" \/><\/p><\/div><hr \/><\/div><div class='ff-el-group ff-el-form-bottom'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Select the Degree of hair growth involving the upper abdomen\">Select the Degree of hair growth involving the upper abdomen<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_3_56d7ff2c33bc70d01ffe2e8530855e2d'><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='input_radio_3_56d7ff2c33bc70d01ffe2e8530855e2d' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_3_ade517e14029d3b435c71eb6123cce77'><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='input_radio_3_ade517e14029d3b435c71eb6123cce77' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_3_c40d6f16997cad5c2bc61fdd1e10c95d'><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='input_radio_3_c40d6f16997cad5c2bc61fdd1e10c95d' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_3_6454657928762337ca0bf263f83b7b52'><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='input_radio_3_6454657928762337ca0bf263f83b7b52' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_3_fdabd55f9a8d8371e08004daf32559b8'><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"4\" data-calc_value=\"4\"  id='input_radio_3_fdabd55f9a8d8371e08004daf32559b8' aria-label='4' aria-invalid='false' aria-required=true> <span>4<\/span><\/label><\/div><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-49_5\" ><h3 class='ff-el-section-title'>Lower Abdomen<\/h3><div class='ff-section_break_desk'><p>Degree of terminal hair growth over the lower abdomen. Varying from scanty sparse hair to florid hair growth typical of a male<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-4408197 size-full\" src=\"https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/lower-abdomen-fg-score.jpg\" alt=\"\" width=\"411\" height=\"109\" srcset=\"https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/lower-abdomen-fg-score.jpg 411w, https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/lower-abdomen-fg-score-300x80.jpg 300w\" sizes=\"auto, (max-width: 411px) 100vw, 411px\" \/><\/p><\/div><hr \/><\/div><div class='ff-el-group ff-el-form-bottom'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Select the Degree of hair growth involving the lower abdomen\">Select the Degree of hair growth involving the lower abdomen<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_4_5e66d7b690829e7c5a91f2a770bc3e1e'><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='input_radio_4_5e66d7b690829e7c5a91f2a770bc3e1e' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_4_ee1dd9dea9cebc73f7ba655c2898ab3e'><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='input_radio_4_ee1dd9dea9cebc73f7ba655c2898ab3e' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_4_b5070cdccda1e0ddf54587dcc888d249'><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='input_radio_4_b5070cdccda1e0ddf54587dcc888d249' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_4_128f225d6aa757746a4ba955132818a3'><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='input_radio_4_128f225d6aa757746a4ba955132818a3' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_4_6d95be284cf35b0947fd86b44c71aa8d'><input  type=\"radio\" name=\"input_radio_4\" data-name=\"input_radio_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"4\" data-calc_value=\"4\"  id='input_radio_4_6d95be284cf35b0947fd86b44c71aa8d' aria-label='4' aria-invalid='false' aria-required=true> <span>4<\/span><\/label><\/div><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-49_6\" ><h3 class='ff-el-section-title'>Upper Arms<\/h3><div class='ff-section_break_desk'><p>Degree of terminal hair growth over the upper arms. Varying from scanty sparse hair to florid hair growth typical of a male<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-4408198 size-full\" src=\"https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/upper-arms-fg-score.jpg\" alt=\"\" width=\"385\" height=\"136\" srcset=\"https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/upper-arms-fg-score.jpg 385w, https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/upper-arms-fg-score-300x106.jpg 300w\" sizes=\"auto, (max-width: 385px) 100vw, 385px\" \/><\/p><\/div><hr \/><\/div><div class='ff-el-group ff-el-form-bottom'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Select the Degree of hair growth involving the upper arms.\">Select the Degree of hair growth involving the upper arms.<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_5_f97c735a8f2829f48a7f1faa249d1267'><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='input_radio_5_f97c735a8f2829f48a7f1faa249d1267' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_5_522d7f23e5b9872352520c7955623f9f'><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='input_radio_5_522d7f23e5b9872352520c7955623f9f' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_5_0f272319dd7f5f963eefb28bc3bd495b'><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='input_radio_5_0f272319dd7f5f963eefb28bc3bd495b' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_5_7195ca3a8e9d451bf07947b164de6bea'><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='input_radio_5_7195ca3a8e9d451bf07947b164de6bea' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_5_41e9d9a938edeb727cc9f2dd78db9fda'><input  type=\"radio\" name=\"input_radio_5\" data-name=\"input_radio_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"4\" data-calc_value=\"4\"  id='input_radio_5_41e9d9a938edeb727cc9f2dd78db9fda' aria-label='4' aria-invalid='false' aria-required=true> <span>4<\/span><\/label><\/div><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-49_7\" ><h3 class='ff-el-section-title'>Thighs<\/h3><div class='ff-section_break_desk'><p>Degree of terminal hair growth over the thighs. Varying from scanty sparse hair to florid hair growth typical of a male<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-4408199 size-full\" src=\"https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/thighs-fg-score.jpg\" alt=\"\" width=\"426\" height=\"112\" srcset=\"https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/thighs-fg-score.jpg 426w, https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/thighs-fg-score-300x79.jpg 300w\" sizes=\"auto, (max-width: 426px) 100vw, 426px\" \/><\/p><\/div><hr \/><\/div><div class='ff-el-group ff-el-form-bottom'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Select the Degree of hair growth involving the thighs\">Select the Degree of hair growth involving the thighs<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_6_77ebef96f0041f4d4466c98b05e835a5'><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='input_radio_6_77ebef96f0041f4d4466c98b05e835a5' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_6_d0d9ceddb1b894cc896aaf7fea538b2f'><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='input_radio_6_d0d9ceddb1b894cc896aaf7fea538b2f' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_6_458c806e7dd815125e43e2f3708a0a75'><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='input_radio_6_458c806e7dd815125e43e2f3708a0a75' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_6_9a510c4f5cfc394512a78552e5dba155'><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='input_radio_6_9a510c4f5cfc394512a78552e5dba155' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_6_5895cb7b1580fbf05bcc8e12ef922e11'><input  type=\"radio\" name=\"input_radio_6\" data-name=\"input_radio_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"4\" data-calc_value=\"4\"  id='input_radio_6_5895cb7b1580fbf05bcc8e12ef922e11' aria-label='4' aria-invalid='false' aria-required=true> <span>4<\/span><\/label><\/div><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-49_8\" ><h3 class='ff-el-section-title'>Upper Back<\/h3><div class='ff-section_break_desk'><p>Degree of terminal hair growth over the upper back. Varying from scanty sparse hair to florid hair growth typical of a male<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-4408200 size-full\" src=\"https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/upper-back-fg-score.jpg\" alt=\"\" width=\"381\" height=\"135\" srcset=\"https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/upper-back-fg-score.jpg 381w, https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/upper-back-fg-score-300x106.jpg 300w\" sizes=\"auto, (max-width: 381px) 100vw, 381px\" \/><\/p><\/div><hr \/><\/div><div class='ff-el-group ff-el-form-bottom'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Select the Degree of hair growth involving the upper back\">Select the Degree of hair growth involving the upper back<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_7_b6c362a1457af61756bdcb3189039eae'><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='input_radio_7_b6c362a1457af61756bdcb3189039eae' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_7_13cfab952b87082ca9a013eed36935f4'><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='input_radio_7_13cfab952b87082ca9a013eed36935f4' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_7_7753d088f9c02939c77c56b19358c02a'><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='input_radio_7_7753d088f9c02939c77c56b19358c02a' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_7_7c78fa43de4f91e88fe52edbdaa551ee'><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='input_radio_7_7c78fa43de4f91e88fe52edbdaa551ee' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_7_285838ddfd2390b646317d558b0632a0'><input  type=\"radio\" name=\"input_radio_7\" data-name=\"input_radio_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"4\" data-calc_value=\"4\"  id='input_radio_7_285838ddfd2390b646317d558b0632a0' aria-label='4' aria-invalid='false' aria-required=true> <span>4<\/span><\/label><\/div><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-49_9\" ><h3 class='ff-el-section-title'>Lower Back<\/h3><div class='ff-section_break_desk'><p>Degree of terminal hair growth over the lower back. Varying from scanty sparse hair to florid hair growth typical of a male<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-4408201 size-full\" src=\"https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/lower-back-fg-score.jpg\" alt=\"\" width=\"398\" height=\"74\" srcset=\"https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/lower-back-fg-score.jpg 398w, https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/lower-back-fg-score-300x56.jpg 300w\" sizes=\"auto, (max-width: 398px) 100vw, 398px\" \/><\/p><\/div><hr \/><\/div><div class='ff-el-group ff-el-form-bottom'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Select the Degree of hair growth involving the lower back\">Select the Degree of hair growth involving the lower back<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_8_dc61d093b3343bb5accd4cd0b829c968'><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='input_radio_8_dc61d093b3343bb5accd4cd0b829c968' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_8_fe3a1e2e7fb9d217a41516404d6fc277'><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='input_radio_8_fe3a1e2e7fb9d217a41516404d6fc277' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_8_5ff31f0efbb23915a90ce5eb17fef2f6'><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='input_radio_8_5ff31f0efbb23915a90ce5eb17fef2f6' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_8_396295281a966ad5a3904d0f37f585cc'><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='input_radio_8_396295281a966ad5a3904d0f37f585cc' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='input_radio_8_024d72a641231356dc06aa7ab507696b'><input  type=\"radio\" name=\"input_radio_8\" data-name=\"input_radio_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"4\" data-calc_value=\"4\"  id='input_radio_8_024d72a641231356dc06aa7ab507696b' aria-label='4' aria-invalid='false' aria-required=true> <span>4<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_49_numeric-field' id='label_ff_49_numeric-field' aria-label=\"Modified FG Score\">Modified FG Score<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"numeric-field\" id=\"ff_49_numeric-field\" class=\"ff-el-form-control  ff_has_formula\" data-name=\"numeric-field\" data-calculation_formula=\"{radio.input_radio} + {radio.input_radio_1} + {radio.input_radio_2} + {radio.input_radio_3} + {radio.input_radio_4} + {radio.input_radio_5} + {radio.input_radio_6} + {radio.input_radio_7} + {radio.input_radio_8}\" readonly=\"1\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class=\"ff-el-group  has-conditions ff-el-section-break  ff_left\" data-name=\"section_break-49_10\" ><h3 class='ff-el-section-title'>Clinically Insignificant Hair Growth<\/h3><div class='ff-section_break_desk'><p>Clinically Insignificant Hair Growth. This does not suggest hirsutism<\/p><\/div><hr \/><\/div><div class=\"ff-el-group  has-conditions ff-el-section-break  ff_left\" data-name=\"section_break-49_11\" ><h3 class='ff-el-section-title'>Clinically significant Hair Growth<\/h3><div class='ff-section_break_desk'><p>A modified Ferriman-Gallway score of \u22658 is consistent with clinically significant hirsutism\u00a0<\/p><\/div><hr \/><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\"  aria-label=\"Submit Form\">Submit Form<\/button><\/div><\/fieldset><\/form><div id='fluentform_49_errors' class='ff-errors-in-stack ff_form_instance_49_1 ff-form-loading_errors ff_form_instance_49_1_errors'><\/div><\/div>            <script type=\"text\/javascript\">\n                window.fluent_form_ff_form_instance_49_1 = {\"id\":\"49\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_49_1\",\"form_id_selector\":\"fluentform_49\",\"rules\":{\"input_radio\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"input_radio_1\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"input_radio_2\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"input_radio_3\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"input_radio_4\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"input_radio_5\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"input_radio_6\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"input_radio_7\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"input_radio_8\":{\"required\":{\"value\":true,\"message\":\"This field is required\"}},\"numeric-field\":{\"required\":{\"value\":false,\"message\":\"This field is required\"},\"numeric\":{\"value\":true,\"message\":\"This field must contain numeric value\"},\"min\":{\"value\":\"\",\"message\":\"Minimum value is \"},\"max\":{\"value\":\"\",\"message\":\"Maximum value is \"},\"digits\":{\"value\":\"\",\"message\":\"The number of digits has to be \"}}},\"debounce_time\":300,\"conditionals\":{\"section_break-49_10\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"numeric-field\",\"value\":\"8\",\"operator\":\"<\"}]},\"section_break-49_11\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"numeric-field\",\"value\":\"8\",\"operator\":\">=\"}]}}};\n                            <\/script>\n            <\/p><p><span style=\"color: var(--tcb-skin-color-24); font-size: 50px; font-weight: var(--g-regular-weight, normal);\">Origin of the Ferriman Gallwey Score<\/span><\/p><p>The original Ferriman Gallwey scoring system, an objective means of assessing the degree of hirsutism at the bedside, was first published by D. Ferriman and Gallwey in an article published in the journal of clinical endocrinology and metabolism in 1961.\u00a0It can be caused by an underlying medical condition, such as <a style=\"font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-size: var( --e-global-typography-text-font-size ); letter-spacing: var( --e-global-typography-text-letter-spacing ); word-spacing: var( --e-global-typography-text-word-spacing ); text-align: var(--text-align); background-color: #ffffff;\" href=\"https:\/\/www.myendoconsult.com\/learn\/pathophysiology-of-pcos\/\">polycystic ovary syndrome (PCOS)<\/a>, or it can be a side effect of certain medications, such as testosterone replacement therapy. Hirsutism can also occur in healthy women with no known cause.<\/p><h2 data-pm-slice=\"1 1 []\">The modified Ferriman Gallway score<\/h2><p>The original assessment of hirsutism using the Ferriman-Gallway score assigned a grade ranging from 0 to 4, depending on the presence and extent of terminal hair distribution involving 11 anatomic sites [1]. A score of 0 (no hair growth) to 4 (severe hair growth) at each anatomic site.<\/p><p>To calculate the Ferriman-Gallwey score, simply add up the scores for each of the 9 body areas. It is a quick and easy way to estimate the degree of hirsutism in women. The score ranges from 0-36, with a higher score indicating more severe hirsutism. A total score of 8 or more is generally considered to be indicative of hirsutism.<\/p><p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/endoconsult.b-cdn.net\/wp-content\/uploads\/ferriman-gallwey-score-chart.jpg\" sizes=\"auto, (max-width: 1636px) 100vw, 1636px\" srcset=\"https:\/\/endoconsult.b-cdn.net\/wp-content\/uploads\/ferriman-gallwey-score-chart.jpg 1636w, https:\/\/endoconsult.b-cdn.net\/wp-content\/uploads\/ferriman-gallwey-score-chart-300x179.jpg 300w, https:\/\/endoconsult.b-cdn.net\/wp-content\/uploads\/ferriman-gallwey-score-chart-768x457.jpg 768w, https:\/\/endoconsult.b-cdn.net\/wp-content\/uploads\/ferriman-gallwey-score-chart-1536x914.jpg 1536w, https:\/\/endoconsult.b-cdn.net\/wp-content\/uploads\/ferriman-gallwey-score-chart-624x372.jpg 624w\" alt=\"\" width=\"1636\" height=\"974\" \/><\/p><p><strong>A chart for visually scoring hirsutism<\/strong>.<\/p><p>The Ferriman Gallwey score is based on the assessment of 9 body sites<\/p><ul><li>Upper lip<\/li><li>Chin<\/li><li>Chest<\/li><li>Upper back<\/li><li>Lower back<\/li><li>Upper abdomen<\/li><li>Lower abdomen<\/li><li>Upper arms<\/li><li>Forearms (not included in the modified Ferriman Gallwey score)<\/li><li>Thighs<\/li><li>Legs (not included in the modified Ferriman Gallwey score)<\/li><\/ul><p>The forearm and lower leg have been excluded from the modified score since terminal hair growth in these areas is inconsistently associated with hyperandrogenemia. In certain Eastern ethnicities, hair in this area is also a normal variant. The modified Ferriman-Gallway score objectively assesses 9 anatomic regions for evidence of terminal hair growth [2]. <b>A modified Ferriman-Gallway score of \u22658 is consistent with clinically significant hirsutism<\/b> [3,4].<\/p><p>Goodman et al. proposed a hirsutism scoring system based on a further modification of this score in a paper published in 2001. This suggests scoring additional sites, including the sides of the face, neck, gluteal, inguinal, etc. This modification to the original score is barely utilized in routine clinical practice. A cardinal reason for its lack of adoption may be that applying it in a busy endocrine practice is cumbersome. Of note, it increases the sites of assessment from 11 to 19.<\/p><h2 data-pm-slice=\"1 1 []\">Types of hair growth in normal physiology<\/h2><h3>Classification based on androgen dependence<\/h3><p>Most of the hair on the body is androgen-dependent (sexual hair) except hair present in the nostrils, lateral and occipital areas of the scalp, eyelashes, and nostrils (asexual hair). Pubic (perineal) and axillary hair, although androgen-dependent, is present in both sexes and is conventionally referred to as ambosexual hair.<\/p><h3>Classification based on morphology<\/h3><p>Terminal hair \u2013 This is thick, pigmented hair present in androgen-dependent regions of the body<\/p><p>Vellus hair \u2013 This is thin, unpigmented hair which is fairly distributed all over the body.<\/p><h2>What is hirsutism?<\/h2><p><b>Hirsutism <\/b>is defined as the presence of terminal, pigmented hair in a <b>male-pattern (androgen-dependent) distribution<\/b>. Although axillary and perineal hair represents androgen-dependent areas, they are present in both sexes and thus do not fall under the &#8220;male pattern&#8221;.<\/p><p>It is a common dermatologic manifestation of polycystic ovary syndrome (PCOS) with a reported prevalence of 50-70% [5]. Conversely, <b>hypertrichosis<\/b> refers to the proliferation of <b>light unpigmented hair<\/b> in <b>non-androgen dependent (non-sexual) <\/b>regions of the body.<\/p><h2 data-pm-slice=\"1 1 []\">Endocrine causes of hirsutism or virilization<\/h2><p>Every patient evaluated for new-onset hirsutism should have an assessment of serum testosterone. Testosterone levels &gt;150 ng\/dL suggest possible androgen producing tumors.<\/p><ul><li>Adrenal tumors<\/li><li><a href=\"https:\/\/www.myendoconsult.com\/learn\/what-is-cushings-syndrome\/\">Cushing&#8217;s syndrome<\/a><\/li><li>Classic and <a href=\"https:\/\/myendoconsult.com\/learn\/non-classical-adrenal-hyperplasia\/\">non-classic congenital adrenal hyperplasia<\/a><\/li><li>Hyperandrogenism, insulin resistance, acanthosis nigricans (HAIR-AN syndrome)<\/li><li>Ovarian hyperthecosis<\/li><li>Ovarian tumors<\/li><li>The features of virilization include acne, male pattern baldness, deep male voice, and clitoral enlargement<\/li><li>Idiopathic hirsutism<\/li><li><a href=\"https:\/\/myendoconsult.com\/learn\/pathophysiology-of-polycystic-ovary-syndrome\/\">Polycystic ovarian syndrome<\/a><\/li><li>Other androgen excess states<\/li><\/ul><h2>Pathophysiology of hirsutism in excess androgen states<\/h2><p>Circulating androgens are responsible for hirsutism, although the degree of hirsutism is not necessarily determined by the severity of hyperandrogenemia. This has been attributed to interindividual differences in the response of hair follicles to androgens [5] \u00a0<\/p><p>Hirsutism, like acne, and male pattern alopecia is dependent on the local abundance of 5-\u03b1-reductase (which reduces testosterone to active dihydrotestosterone) in the pilosebaceous unit [6].<\/p><p>The local concentration of 5-\u03b1-reductase in the skin varies by ethnicity. For example, hirsutism tends to be more common in women of Mediterranean background and less frequent and milder in women of East Asian or Native-American background [7\u20139].<\/p><h2 data-pm-slice=\"1 1 []\">Reference<\/h2><p>1.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ferriman D, Gallwey JD. Clinical assessment of body hair growth in women. <em>J Clin Endocrinol Metab<\/em>. 1961;21:1440-1447. doi:10.1210\/jcem-21-11-1440<\/p><p>2.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Cook H, Brennan K, Azziz R. Reanalyzing the modified ferriman-gallwey score: is there a simpler method for assessing the extent of hirsutism? <em>Fertil Steril<\/em>. 2011;96(5):1266-1270.e1. doi:10.1016\/j.fertnstert.2011.08.022<\/p><p>3.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Aswini R, Jayapalan S. Modified Ferriman\u2013Gallwey Score in Hirsutism and its Association with Metabolic Syndrome. <em>Int J Trichology<\/em>. 2017;9(1):7-13. doi:10.4103\/ijt.ijt_93_16<\/p><p>4.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Hatch R, Rosenfield RL, Kim MH, Tredway D. Hirsutism: implications, etiology, and management. <em>Am J Obstet Gynecol<\/em>. 1981;140(7):815-830.<\/p><p>5.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Feng JG, Guo Y, Ma LA, Xing J, Sun RF, Zhu W. Prevalence of dermatologic manifestations and metabolic biomarkers in women with polycystic ovary syndrome in north China. <em>J Cosmet Dermatol<\/em>. 2018;17(3):511-517. doi:10.1111\/jocd.12387<\/p><p>6.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Rosenfield RL. Clinical practice. Hirsutism. <em>N Engl J Med<\/em>. 2005;353(24):2578-2588. doi:10.1056\/NEJMcp033496<\/p><p>7.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Coskun A, Ercan O, Arikan DC, et al. Modified Ferriman\u2013Gallwey hirsutism score and androgen levels in Turkish women. <em>Eur J Obstet Gynecol Reprod Biol<\/em>. 2011;154(2):167-171. doi:10.1016\/j.ejogrb.2010.10.001<\/p><p>8.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Escobar-Morreale HF, Carmina E, Dewailly D, et al. Epidemiology, diagnosis and management of hirsutism: a consensus statement by the Androgen Excess and Polycystic Ovary Syndrome Society. <em>Hum Reprod Update<\/em>. 2012;18(2):146-170. doi:10.1093\/humupd\/dmr042<\/p><p>9.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Martin KA, Anderson RR, Chang RJ, et al. Evaluation and Treatment of Hirsutism in Premenopausal Women: An Endocrine Society Clinical Practice Guideline. <em>J Clin Endocrinol Metab<\/em>. 2018;103(4):1233-1257. doi:10.1210\/jc.2018-00241<\/p>","protected":false},"excerpt":{"rendered":"<p>The Ferriman Gallwey score is a numerical scoring assessment used to evaluate the severity of hirsutism in women. The score ranges from 0 to 4, with 0 being no hair growth and 4 being severe hair growth. \u00a0A woman&#8217;s Ferriman Gallwey score is calculated by adding up the number of areas on her body where [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":4409203,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[52,96],"tags":[],"class_list":["post-3088784","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-endocrine-disease-reproductive-health","category-endocrine-reviews-reproduction","post-wrapper","thrv_wrapper"],"_links":{"self":[{"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/posts\/3088784","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/comments?post=3088784"}],"version-history":[{"count":98,"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/posts\/3088784\/revisions"}],"predecessor-version":[{"id":4420331,"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/posts\/3088784\/revisions\/4420331"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/media\/4409203"}],"wp:attachment":[{"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/media?parent=3088784"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/categories?post=3088784"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/tags?post=3088784"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}