The relationship between diagnosis, insulin resistance and body mass index in women with hirsutism

Purpose: The aim of this study was to evaluate of hirsutism with Ferriman-Gallwey (FG) Scoring and relationship between diagnosis groups, insulin resistance and body mass index in women with hirsutism. Materials and Methods: This descriptive study was conducted retrospectively between May 2015 and May 2016 in 124 women who visited the Gynecologic Polyclinic with complaints of hirsutism. Hirsutism was assessed by modal FG scoring, FG scores between 8-12 were classified as mild, between 13-18 as moderate, and above 19 as severe hirsutism. Results: The mean age of the participants was 23.96 +/- 5.98 (14-41) years and the FG score was 13.89 +/- 4.18 (8-30) points. Mild hirsutism was found in 43.5% of women (n = 54), moderate hirsutism in 44.4% (n = 55) and severe hirsutism in 12.1% (n = 15). FG scores and Body Mass Index (BMI) and 17-hydroxyprogesterone (17-OHP) values were compared; In the group with severe hirsutism, the mean BMI was higher than the group with mild hirsutism and the highest 17-OHP was in the group with severe hirsutism. PCOS was found in 80.6% (n = 100), idiopathic hirsutism in 16.2% (n = 20) and hyperandrogenic hirsutism in 3.2% (n = 4) of the patients. Conclusion: It is possible to evaluate the FG score practically in cases with hirsutism complaints at the primary health care centers. Monitoring of etiologic factors such as policystic over syndrome (PCOS) is important.