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Skin & Hair Concerns
Question #29067
17 days ago
72

Tests for Sudden Body Hair Growth - #29067

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What tests should be done to find the cause of sudden body hair growth? Please tell me which tests are mandatory.

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
16 days ago
5

For sudden or increased body hair growth (hirsutism/hypertrichosis) lasting more than 6 months, especially with weight gain, it’s reasonable to check for hormonal causes—but not everyone needs extensive testing. The most important (baseline/mandatory) tests usually include: serum total testosterone, DHEAS (dehydroepiandrosterone sulfate), and TSH (thyroid function)—these help rule out common hormonal imbalances. Depending on findings and symptoms, doctors may also add LH/FSH ratio (to assess conditions like PCOS in females, or hormonal balance in general), prolactin, and fasting glucose or insulin levels (to check for insulin resistance). If testosterone or DHEAS is significantly elevated, further evaluation (like imaging) may be needed, but that’s not routine for everyone. Since you are male and some body hair variation can be normal, testing is mainly needed if the growth is rapid, excessive, or associated with other symptoms like acne, voice changes, or significant weight changes. In summary, start with testosterone, DHEAS, and TSH as core tests, and then proceed further only if abnormalities are found or symptoms suggest a deeper hormonal issue.

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
16 days ago
5

Hello

For sudden or increased body hair growth, the goal is to check for hormonal or metabolic causes such as Hyperandrogenism, Polycystic Ovary Syndrome (if female), or less commonly thyroid or adrenal issues.

The single most important (mandatory) test to start with is: Serum Total Testosterone — this screens for excess male hormone levels, which is the most common medical cause of increased body hair.

Other useful tests that doctors commonly add depending on symptoms include: • DHEA-S — checks adrenal gland androgen production • TSH (Thyroid function test) — screens for thyroid disorders like Hypothyroidism • Fasting Blood Sugar / HbA1c — evaluates insulin resistance • Lipid profile — if weight gain is present • Prolactin — if there are menstrual or sexual hormone symptoms • Ultrasound abdomen/pelvis — mainly if female and PCOS is suspected

For a 23-year-old male, serious disease is uncommon. Often the causes are normal hormonal variation, genetics, weight gain, gym supplements, or improved nutrition. Testing is most necessary if the hair growth is rapid, excessive, or associated with other symptoms like significant weight gain, low libido, breast enlargement, or fatigue.

Feel free to talk Regards

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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
16 days ago
5

Hello If you’re experiencing sudden body hair growth (hirsutism), it’s a good idea to consult a healthcare professional for a thorough evaluation. Here are some common tests that may be recommended to identify the underlying cause:

### Recommended Tests 1. Hormonal Profile: - Testosterone Levels: To check for elevated levels of testosterone, which can cause increased body hair. - Dihydrotestosterone (DHT): A more potent form of testosterone that can also contribute to hair growth. - Dehydroepiandrosterone sulfate (DHEAS): An androgen produced by the adrenal glands.

2. Thyroid Function Tests: - TSH (Thyroid Stimulating Hormone): To check for thyroid dysfunction, which can affect hair growth.

3. Luteinizing Hormone (LH) and Follicle-Stimulating Hormone (FSH): - These hormones help assess ovarian function and can indicate conditions like polycystic ovary syndrome (PCOS).

4. Prolactin Levels: - Elevated prolactin can sometimes be associated with hirsutism.

5. Pelvic Ultrasound: - To check for ovarian cysts or other abnormalities, especially if PCOS is suspected.

### Mandatory Test - Hormonal Profile (Testosterone and DHEAS): This is often considered the most critical test to start with, as it directly assesses the androgens that can lead to increased body hair growth.

### Next Steps - Consult a Doctor: It’s essential to discuss your symptoms and test results

Thank you

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
16 days ago
5

Hello dear I think it is hirsutism It is due to hormonal alterations I am suggesting some tests. Please share the result with dermatologist in person for better clarity and for safety please donot take any medication without consulting the concerned physician Serum tsh Serum testosterone Serum dhea Pelvic USG for pcos Serum prolactin Ct scan Mri if recommended by dermatologist Serum Lh Serum fh Serum cortisol Hopefully you recover soon Regards

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Dr. Nikhil Chauhan
I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.
16 days ago
5

Hello, Sudden body hair growth at any age (especially in young men) needs checking. Here are the mandatory tests 👇

✅ Mandatory Tests (do these first)

1. Total Testosterone – high levels can increase body hair. 2. Free Testosterone – biologically active form. 3. DHT (Dihydrotestosterone) – most potent androgen for hair. 4. LH & FSH – tells if your brain is overdriving testosterone production. 5. Estradiol (E2) – hormone balance matters.

🔍 If above are abnormal, add:

· DHEA-S (adrenal source) · 17-OH Progesterone (rule out late-onset congenital adrenal hyperplasia) · Prolactin · Testicular ultrasound (if tumor suspected – rare)

📌 Bottom line:

Total Testosterone + DHT are the two most mandatory. Add LH & FSH to understand the cause.

Get these done → see a urologist or endocrinologist.

— Dr. Nikhil Chauhan

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Sudden body hair growth, known as hirsutism, can be a sign of underlying hormonal imbalance or other health issues. To pinpoint the cause, several tests may be necessary, but not every test will be mandatory for each individual. It’s crucial to start with a thorough clinical evaluation, including a detailed medical history and physical examination by your healthcare provider. This helps to determine the most relevant tests for your specific situation. The first mandatory test is usually a blood test to measure hormone levels. These typically include androgens like testosterone, as well as DHEA-S, which can help assess whether the condition is related to elevated male hormones. Sometimes tests for other hormones such as follicle-stimulating hormone (FSH), luteinizing hormone (LH), and prolactin might be warranted if there’s a suspicion of polycystic ovary syndrome (PCOS) or other endocrine disorders. Another key test can be the thyroid function test, since thyroid issues can sometimes contribute to changes in hair growth. Depending on initial findings, your doctor may also suggest an ultrasound of the ovaries if PCOS is suspected. Additional imaging or further blood tests may be needed based on those results. If there’s any suspicion of adrenal gland disorders, a CT or MRI might be recommended to check for masses or other abnormalities. It’s important to have these tests interpreted by your healthcare provider who will consider your entire clinical picture, including lifestyle factors and any other symptoms like irregular menstrual cycles or acne, that could point toward a diagnosis. In some cases, ongoing monitoring might be preferred over immediate extensive testing. Remember, while the tests provide valuable information, clinical judgment based on history and examination is crucial in guiding these decisions. Always discuss with your doctor which tests are right for you and why they are necessary based on your individual circumstances. It is possible that the tests may need to be repeated or that additional testing may be required over time as part of a comprehensive diagnostic strategy.

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