الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Women with mild or moderate hirsutism usally have underlying benign etiology while severe , sudden onset and rapidly progressive hirsutism should be promptly evaluated clinically, ultrasonographically and by hormonal profile to exclude uderlying neoplastic etiology . As regarding hormonal evaluation of a hirsute case, Total tetesterone is the first appropriate test recommended .Obesity and isulin resistance are important risk factors in developing or increasing hirsutism.The commenst causes of hirsutism in the childbearing period in Egyptian women are (PCOS and IH), however diagnosis of these benign causes despite their high prevlance must be established after exclusion of other causes which may be rare but serious and requires specific treatment. Careful history and clinical examination including U.S examination is the appropriate first intervention for hirsute patient and should replace the common mispractice by physicians in ordering full hormonal profile for each hirsute patient without taking careful history and performing meticoulus clinical examination.