الفهرس 
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Abstract
Quality of life (QOL) is an emerging general parameter of patients’ wellbeing, which can be defined in various ways. QOL is a multifactorial concept consisting of individual perception of physical, psychological and social functioning.
Hirsutism is a common disorder of excess growth of terminal hair in an androgen-dependent male distribution in women, including the chin, upper lip, breasts, upper back, and abdomen. It affects 5% to 10% of women of reproductive age, hyperandrogenemia is the key trigger for excess hair growth, it can be a consequence of endogenous androgen overproduction from the ovaries or the adrenal glands (or both), of exposure to an exogenous source of androgen such as a drug, or of heightened hair follicle sensitivity and metabolism of normal circulating androgen levels (targetend-organ dysfunction).
Hirsutism in women results in significant psychological and social problems. It impacts negatively upon the quality of life of women and is the cause of stress, anxiety and depression, particularly in cultures where hairlessness is viewed as the norm for women. Facially hirsute women perceive themselves to be in poorer health than non-hirsute women.
Although most causes of hirsutism are benign, treatment is important to improve the self-esteem of the patients. The most effective treatment for hirsutism is combination therapy. Weight loss should be encouraged in overweight and obese hirsute women, because it reduces insulin resistance and androgen production.
The present work aimed to evaluate the correlations between the levels of hirsutism, quality of life, anxiety and depression in hirsute women.
One hundred female patients with hirsutism over the age of eighteen years were enrolled in this study. Each woman was asked to fill a self-report questionnaire).
The results of this study showed that not only the quality of life, but also the self-related health status are seriously affected by the level of hirsutism in women. The higher the level of hirsutism, the worse the quality of life, measured by DLQI and EQ index, and the lower the level of self-perceived health status, measured by EQVAS.
Hirsutism has a great negative impact on HRQoL in women and causes psychological problems . Psychological or psychiatric treatment has been suggested for this group of patients. However, according to our results the outcome of HRQoL, anxiety and depression level is significantly correlated with the level of hairiness.so it is more appropriate to offer effective medical treatment for hirsutism than to just offer psychotherapy and refer the women back to self-treatment.
Conclusion
We concluded that:
Hirsutism has a great negative impact on HRQoL in women as HRQoL, anxiety and depression level is significantly correlated with the level of hairiness. Although hirsutism is not a serious or life threatening disease, it produces social, psychological and emotional disabilities which may cause social and marital problems, it is more appropriate to offer effective medical treatment for hirsutism plus psychotherapy.