Excessive Body Hair in Teen Girls: Is It Hormonal Imbalance?

Endocrine disorders? Excessive body hair?

I am a high school freshman, and since I was in the first year of junior high, I have started to grow hair on my abdomen, which has become thicker and more noticeable over time.
Sometimes I pluck it, but it seems to grow back even more.
The thickness is now similar to that of underarm hair.
My leg hair has also increased; when I was younger, I had very little hair, but during junior high, it became more pronounced.
The hair on my thighs has changed significantly, starting from a small patch and gradually growing inward, making it feel like my entire thigh is covered in hair.
Is this due to excess male hormones or an endocrine imbalance? I remember eating McDonald's frequently when I was younger (almost every week), but I only know that it can lead to precocious puberty.
Is there a connection to this? What can I do to reduce the hair? Thank you, doctor!

Xiao Xuan, 10~19 year old female. Ask Date: 2016/10/11

Dr. Wu Yuxin reply Dermatology

Without actually seeing the lesion, it is difficult to make a definitive diagnosis.
If you are very concerned, please seek medical attention as soon as possible.
You may start by consulting a gynecologist or an endocrinologist to have blood tests done to confirm whether your androgen and estrogen levels are normal.

Reply Date: 2016/10/11

More Info

Excessive body hair in teenage girls can indeed be a source of concern and may be linked to hormonal imbalances, particularly an excess of androgens, which are male hormones that are present in both males and females. This condition is known as hirsutism when excessive hair growth occurs in areas where males typically grow hair, such as the face, chest, and back.
During puberty, it is common for both boys and girls to experience changes in their body hair due to hormonal fluctuations. In girls, an increase in androgens can lead to more pronounced hair growth. Factors contributing to this hormonal imbalance can include genetics, polycystic ovary syndrome (PCOS), and other endocrine disorders. If you have a family history of similar hair growth patterns, it could be a hereditary trait rather than a hormonal issue.

Regarding your concern about diet, while fast food consumption, such as frequent visits to McDonald's, is not directly linked to excessive body hair, a poor diet can affect overall health and hormonal balance. A balanced diet rich in fruits, vegetables, whole grains, and lean proteins can support hormonal health.
If you are experiencing significant changes in hair growth that are distressing, it would be advisable to consult with a healthcare professional, such as an endocrinologist or a dermatologist. They can perform a thorough evaluation, which may include blood tests to check hormone levels and other potential underlying conditions.
In terms of managing excessive body hair, there are several options available:
1. Hair Removal Techniques: Temporary methods such as shaving, waxing, or using depilatory creams can provide immediate relief. However, these methods require regular maintenance.

2. Laser Hair Removal: This is a more permanent solution that targets hair follicles to reduce hair growth over time. It is generally safe and effective but may require multiple sessions.

3. Medications: If a hormonal imbalance is diagnosed, medications such as oral contraceptives or anti-androgens (like spironolactone) may be prescribed to help regulate hormone levels and reduce hair growth.

4. Lifestyle Changes: Maintaining a healthy weight, regular exercise, and a balanced diet can help manage hormone levels and overall health.

5. Psychological Support: If excessive hair growth is causing emotional distress, speaking with a counselor or therapist may be beneficial to address body image concerns.

It is important to remember that every individual is unique, and what works for one person may not work for another. Seeking professional advice tailored to your specific situation is the best course of action.
In summary, while hormonal imbalances can contribute to excessive body hair, it is essential to consider a comprehensive approach that includes medical evaluation, lifestyle changes, and potential hair removal methods. Your concerns are valid, and addressing them with a healthcare provider can lead to effective management and peace of mind.

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