Severity hirsutism
For objectification, the Baron assessment or the Ferriman-Gallwey score have proven useful.
Assessment according to Baron
Grade | Description |
Grade I (light) |
|
Grade II (intermediate) | Same as Grade I, plus:
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Grade III (strong) | Same as grade II, plus:
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Ferriman-Gallwey score
Localizations | Score | Points | |||
1 | 2 | 3 | 4 | ||
Upper lip | little hair outside | little beard outside | upper lip beard almost to midline | Beard up to midline. | |
Chin | scattered hairs | Hair accumulation | complete hair cover | dense complete hair cover | |
Chest | single periareolar | hairs in the midline | 3/4 covered | completely covered | |
Back | single hair | several hairs | complete hair cover | dense complete hair cover | |
Loin | sacral hair pad | pad with lateral extension | 3/4 covered | complete hair cover | |
Upper abdomen | little hair in the midline | more than (1) but still in the area of the midline | half hairline | complete hair cover | |
Lower abdomen | Some hair in the midline | line of hairs at the center line | Band of hairs | inverted V | |
Upper arm | discreet hair | more, still no closed hair cover | half hair cover | complete hair cover | |
Thigh | discreet hair | more, still no closed hair cover | half hair cover | complete hair cover | |
Total score |
Assessment: hirsutism exists with a total score > 8; areas without hair are scored as 0