The effect of hirsutism on the quality of life of Indian women


  • Kiran K. C. Department of Dermatology, Dr B. R. Ambedkar Medical College Hospital, K G Halli, Bangalore, Karnataka
  • Arushi Gupta Department of Dermatology, Dr B. R. Ambedkar Medical College Hospital, K G Halli, Bangalore, Karnataka
  • Mohini Gupta Dr B. R. Ambedkar Medical College Hospital, K G Halli, Bangalore, Karnataka



Hirsutism, Dermatology life quality index, Polycystic ovarian syndrome


Background: Quality of life is an individual perception of physical, psychological and social functioning. Hirsutism is excess male pattern hair growth in females. In women, hirsutism causes significant psychological and social problems. It impacts quality of life negatively. So, this study was undertaken to determine the quality of life of women with hirsutism using dermatology life quality index (DLQI).

Methods: Hirsutism was assessed quantitatively by Ferriman-Gallwey score (F-G score) and qualitatively by self-administered questionnaires of DLQI. Other parameters such as age, occupation, co- morbidities, socio-economic status, marriage status, religion, educational status were assessed.

Results: DLQI of 100 hirsute women, 12% had no effect, 34% had small effect, moderate effect in 37%, had very large effect in 17% and no patients had extremely large affect. Daily activity had highest mean DLQI followed by symptoms and feelings. The mean DLQI score of 100 hirsute women was 6.67±4.57. Mean DLQI score of hirsute women with polycystic ovarian syndrome (PCOS) was 9.96±5.62 which was greater than the patients without PCOS and it was statistically significant (p=0.03). DLQI score was not affected by severity of hirsutism, age, occupation, socio-economic status, marriage status, religion and educational status.

Conclusions: Hirsutism had a moderate effect on the quality of life of Indian women. Impairment of quality of life was greater with the presence of PCOS. Daily activity of the Indian women was affected the most due to the presence of hirsutism.


Rahnama Z, Sohbati S, Safizadeh H. Effect of hirsutism on quality of life: a study in Iranian women. J Pakistan Assoc Dermatol. 2013;23(1):28-33.

Azziz R, Carmina E, Sawaya ME. Idiopathic hirsutism. Endocr Rev. 2000;21(4):347-62.

Hodeeb YM, Dinary AMA, Hassan HM, Samy DA. Hirsutism and Health Related Quality of Life. Mod Chem Aappl. 2015;2:170.

Baig T, Aman S, Nadeem M, Kazmi AH. Quality of life in patients of hirsutism. J Pak Assoc Dermatol. 2014;24(3):217-3.

Singh T, Sharma S, Nagesh S. Socio-economic status scales updated for 2017. Int J Res Med Sci. 2017;5:3264-7.

Finlay AY, Khan GK. Dermatology Life Quality Index (DLQI) - a simple practical measure for routine clinical use. Clin Exp Dermatol. 1994;19(2):210-6.

Chabra S, Gautam RK, Kulusshreshta B, Prasad A, Sharma N. Hirsutism: a Clinico-investigative study. Int J Trichol. 2012;4:246-50.

Sharma NL, Mahajan VK, Jindal R, Gupta M, Lath A. Hirsutism:Clinico-investigative profile of 50 indian patient. Indian J Dermatol. 2008;53:111-4.

Pate C. The story plot of living the embrassment of hirsutism. Arch Psychiatr Nurs. 2013;27(3)156-7.

Loo WJ, Lannigan SW. Laser treatment improves quality of life of hirsute females. Clin Exp Dermatol. 2006;31:753-6.

Jones GL, Hall JM, Balen AH, Ledger WL. Health related quality of life measurement in women with polycystic ovary syndrome: a systematic review. Hum Reprod Update. 2008;14(1):15-25.






Original Research Articles