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Published on: 8/20/2026

What are the symptoms and causes of hirsutism in women with PCOS?

Hirsutism in women with PCOS (polycystic ovary syndrome) is caused by elevated androgens, or male hormones, which trigger excess coarse hair growth on the face, chest, back, and abdomen. This hormonal imbalance often occurs alongside other PCOS symptoms, including irregular or missed periods, acne, oily skin, weight gain, and thinning scalp hair.

Because hirsutism can overlap with other hormonal conditions, identifying the root cause early is key to effective treatment. Take a free, instant, online symptom check to better understand your symptoms and confidently navigate your next steps with a doctor.

Reviewed for medical accuracy: 07/14/2026

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Explanation

Hirsutism is when women have too much hair growing in areas where men usually have hair, like the face or chest. This can happen in women with a condition called PCOS, or polycystic ovary syndrome.

Causes of Hirsutism in PCOS:

  • Hormones: Women with PCOS often have more male hormones, called androgens, in their bodies. This can make hair grow more in some places.
  • Genetics: Sometimes, hirsutism can run in families, which means it might be passed down from parents.

Symptoms:

  • Excess Hair: Hair grows more on the face, chest, or back. Hair is often coarser hair.

Understanding these symptoms and causes can help in managing hirsutism. If you have concerns about hirsutism or PCOS, you can use a free symptom checker to better understand your symptoms before talking to a healthcare provider for guidance.

(References)

  • Matheson E, & Bain J. (2019). Hirsutism in Women. American family physician, 31361105.

  • Azziz R. (2003). The evaluation and management of hirsutism. Obstetrics and gynecology, 12738163.

  • Spritzer PM, Marchesan LB, Santos BR, & Fighera TM. (2022). Hirsutism, Normal Androgens and Diagnosis of PCOS. Diagnostics (Basel, Switzerland), 36010272.

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