Hirsutism is most commonly associated with which condition?

Hirsutism is most commonly associated with polycystic ovarian syndrome (PCOS), which is a hormonal disorder prevalent among women of reproductive age. PCOS is characterized by an imbalance in reproductive hormones, leading to symptoms such as irregular menstrual cycles, weight gain, acne, and increased hair growth in areas where men typically grow hair, such as the face, chest, and back. This excessive hair growth is due to higher levels of androgens, which are male hormones that women also produce, albeit in lower amounts.

The condition often arises because of insulin resistance, which is frequently seen in women with PCOS. This resistance leads to increased insulin levels in the blood, which can further trigger the ovaries to produce more androgens, thereby contributing to hirsutism. Identifying and treating PCOS is essential for managing symptoms, including hirsutism, and improving the overall health of affected individuals.

Other conditions listed, such as Asherman's syndrome, Turner's syndrome, and androgen insensitivity syndrome, do not primarily manifest with hirsutism as a hallmark symptom. Asherman's syndrome involves intrauterine scarring affecting menstruation, Turner's syndrome is characterized by several developmental issues including short stature and ovarian failure