Volume 2

Number 2 July 2018

Clinico-Pathologycal Study in Women with Hirsutism in a Rural Tertiary Hospital of Bangladesh

DOI: https://doi.org/10.70357/jdamc.2018.v0202.02

Walid KM1 , Khan MMU2 , Tasnim M3 , Haque KMN4 , Haque MS5 , Islam MN6 , Biswas MA7 , Khan MIA8

Abstract

The objective of the study was to find out the status of clinical features, gonadotrophins, testosterone and ovarianultrasonography with hirsutism in female of Bangladesh, in addition to socio-demographic characteristics of the respondents.A descriptive cross-sectional record review was done among 51 patients with hirsutism in Diabetic Association MedicalCollege, Faridpur during the period from February, 2015 to April, 2017 using preformed checklist. History of ovariandysfunction and BMI were assessed and testosterone, LH, FSH and ovarian ultrasonography findings were recorded. Inclusioncriteria included hirsutism in reproductive age, between menarche to 40 years of age with exclusion of any known cause forhirsutism. Among the patients 16 (31.37%) were within twenty years and 30 (58.83%) were between twenty-one to thirty yearsof age. 7 (13.72%) patients were overweight and 31 (60.78%) patients were obese. 46 (90.2%) patients had eitheroligomenorrhoea or amenorrhea. Only 5 (9.8%) of the patient had raised testosterone while 43 (84.31%) had LH:FSH >1.Abdominal ultrasonography showed 17 (33.33%) patients had obvious polycystic ovary and 20 (39.22%) had normal ovary.Polycystic ovarian syndrome is the commonest cause of hirsutism in Bangladesh. Usually the patients are below thirty years ofage and above normal bodyweight, most of them have altered LH to FSH ratio but not raised testosterone.

Keywords: Hirsutism, Hyperandrogenism, Gonadotropins, polycystic ovarian syndrome.


  1. Assistant Professor, Department of Endocrinology

    Diabetic Association Medical College, Faridpur

  2. Associate Professor, Department of Dermatology & Venereology

    Diabetic Association Medical College, Faridpur

  3. Lecturer, Department of Biochemistry

    Diabetic Association Medical College, Faridpur

  4. Assistant Professor, Department of Endocrinology

    Diabetic Association Medical College, Faridpur

  5. Associate Professor, Department of Radiology

    Diabetic Association Medical College, Faridpur

  6. Associate Professor, Department of ENT

    Diabetic Association Medical College, Faridpur

  7. Associate Professor, Department of Respiratory Medicine

    Diabetic Association Medical College, Faridpur

  • Associate Professor, Department of Cardiology

    Diabetic Association Medical College, Faridpur

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    Volume 2, Number 2 July 2018
    Page: 11-14