Hirsutism can be caused by which conditions?

• A. Polycystic ovaries or tumors of the adrenal glands
• B. Vitamin deficiency
• C. Lack of sleep
• D. Excessive sugar intake

Answer: (A)

Hirsutism arises when there are higher levels of androgens or when hair follicles are more sensitive to androgens. In women, the most common sources of excess androgens are the ovaries and adrenal glands. Polycystic ovaries often produce more androgens, and adrenal gland tumors or hyperplasia can also raise androgen levels such as DHEA and androstenedione, leading to increased facial and body hair. The other options—vitamin deficiencies, lack of sleep, or excessive sugar intake—do not directly elevate androgens or affect hair follicle sensitivity in a way that causes hirsutism.