Effect of hirsutism on quality of life: a study in Iranian women
Keywords:
Hirsutism, quality of life, DLQI, SF-36Abstract
Objective To evaluate quality of life (QOL) in hirsute women in southeast Iran. Patients and methods In this cross-sectional study a convenience sample of hirsute females aged at least 18 years attending dermatology clinics of Kerman city, southeast of Iran, in 2005 was assessed. Each person with Ferriman-Gallway (F-G) score ≥8 or one area score equal to 4 was included as a hirsute case. QOL was assessed by self-administrated Dermatology Life Quality Index (DLQI) and SF-36 questioners. Results In this study 96 hirsute females with mean age 27.24 years (range, 18-52 year, SD=6.76) were assessed. The mean F-G score was 13.57±6.83 and the mean DLQI score was 10.95±6.76. Symptoms and feelings had the highest mean score among DLQI sections (2.66±1.51) and limit to work/role due to emotional problems had the lowest mean score in SF-36 sections (52.34± 23.62). Conclusion In our setting, hirsutism had considerable effects on quality of life of the affected women. The most components of the QOL which take effect from the disease are those related to symptoms and feelings.ÂReferences
Ehrmann DA. Hirsutism and virilization. In: Longo DA, Fauci AS, Kasper D, Larry Jl, editors. Harrisons’s Principles of Internal Medicine, 18th Edn. New York: McGraw-Hill; 2012. P. 380-4.
Housman T, Derrow A, Snively B et al. Women with excessive facial hair: a statistical evaluation and review of impact on quality of life. Cosmetic Dermatl. 2004;17:157-65.
Messenger AG, de Berker DAR, Sinclair RD. Disorders of hair. In: Burns T, Breathnach S, Cox N, Griffiths C, editors. Rook's Textbook of Dermatology. 8th edn. Oxford: Blackwell Science; 2008. P. 66.80-8.
Meymandi SS, Pour AB, Gedri F. The prevalence of hirsutism and associated features in 295 female medical students in Kerman. Armaghane-Danesh, Journal of Yasuj University of Medical Sciences. 1997; 2 (7-8):24-43.
Akhiani M, Daneshpazhooh M, Barzegar M et al. Frequency of hirsutism in medical students in Tehran. Iran J Dermatol. 2006;9:242-9.
Tabari ST, Ahmadi AH, Gholinejad N, Noori ZT. Frequency of hirsutism among female students in Babol University of Medical Sciences(1999). J Babol Univers Med Sci. 2002;4:20-4.
Ghaderi R, Sharifzadeh G, Javanbakht P. The relationship of hirsutism with body mass index (BMI) and other factors. J Birjand Univers Med Sci. 2004;11:18-22.
Ansarin H, Aziz-Jalili M, Rasi A, Soltani-Arabshahi R. Clinical presentation and etiologic factors of hirsutism in premenopausal Iranian women. Arch Iranian Med. 2007;10:7-13.
Leopoldo F, Allesandro G, Tisi G. Efficacy of the combination ethinyl oestradiol and cyproteron acetate on endocrine, clinical and ultrasonographic profile in polycystic ovarian syndrome. Hum Reprod Health. 2001;16:36-42.
Finlay A, Khan GK. Dermatology Life Quality Index (DLQI): A simple practical measure for routine clinical use. Clin Exp Dermatol. 1994;19:210.
Montazeri A, Goshtasebi A, Vahdani M, Gandek B. The Short Form survey (SF-36): Translation and validation study of the Iranian version. Quality Life Res. 2005;14:875-82.
Jayaprakasam A, Darvay A, Osborne G, McGibbon D. Comparison of assessment of severity and quality of life in cutaneous disease. Clin Exp Dermatol. 2002;27:306-8.
Gawkrodger D. Occupational contact dermatitis has no appreciable impact on quality of life. Contact Dermatitis. 2001;45:17-20.
Williamson D, Gonzalez M, Finlay A. The effect of hair loss on quality of life. J Eur Acad Dermatol Venereol. 2002;15:137-9.
Guyatt G, B. Weaver B, Cronin L et al. Health-related quality of life in women with polycystic ovary syndrome, a self-administered questionnaire, was validated. J Clin Epidemiol. 2004;57:1279-87.
Bishop SC, Basch S, Futterweit W. Polycystic ovary syndrome, depression, and affective disorders. Endocr Pract. 2009;15:475-82.
Janssen OE, Hahn S, Tan S et al. Mood and sexual function in polycystic ovary syndrome. Semin Reprod Med. 2008;26:45-52.
Teede H, Deeks A, Moran L. Polycystic ovary syndrome: a complex condition with psychological, reproductive and metabolic manifestations that impacts on health across the lifespan. BMC Med. 2010;8:41.
Loo W, Lanigan S. Laser treatment improves quality of life of hirsute females. Clin Exp Dermatol. 2002;27:439-41.
Maziar A, Farsi N, Mandegarfard M et al. Unwanted facial hair removal with laser treatment improves quality of life of patients. J Comet Laser Ther. 2010;12:7-9.
Lipton M, Sherr L, Elford J et al. Women living with facial hair: the psychological and behavioral burden. J Psychosom Res. 2006;61:161-8.
Sonino N, Fava G, Mani M et al. Quality of life of hirsute women. Postgrad Med J. 1993;69:186-9.
Drosdzol A, Skrzypulec V, Mazur B, Pawlinska-Chmara R. Quality of life and marital sexual satisfaction in women with polycystic ovary syndrome. Folia Histochemica ET Cytobiologica. 2007;45:93-7.
