eISSN: 2299-0046
ISSN: 1642-395X
Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii
Current issue Archive Manuscripts accepted About the journal Abstracting and indexing Subscription Contact Instructions for authors
SCImago Journal & Country Rank
vol. 35
Original paper

Grading of hirsutism based on the Ferriman-Gallwey scoring system in Kosovar women

Besa Gacaferri Lumezi, Violeta Lokaj Berisha, Hatixhe Latifi Pupovci, Afërdita Goçi, Ardiana Baloku Hajrushi

Adv Dermatol Allergol 2018; XXXV (6): 631-635
Online publish date: 2018/08/13
View full text
Get citation
JabRef, Mendeley
Papers, Reference Manager, RefWorks, Zotero
Hirsutism is defined as excess terminal hair that commonly appears in a male pattern in women.

To examine severity and distribution of hirsutism with Ferriman-Gallwey visual scoring system in hirsute women in Kosovo.

Material and Methods
This prospective study included 160 women, 135 with hirsutism and 25 as a control group. The Ferriman-Gallwey score is used to evaluate hirsutism. The examiner scored the subjects on a scale of 0–4 for terminal hair growth on eleven different body areas according to the Ferriman-Gallwey scoring system. An Ferriman-Gallwey score of 8 or more was considered diagnostic of hirsutism. A thorough physical examination with specific emphasis on signs of virilization (including frontal baldness, loss of female body contours, increased muscularity, acne, clitoromegaly, and atrophy of breast) was done in all patients.

The positive family history of hirsutism was present in 63.7%. In 51.1% of women with hirsutism, the menstrual cycle was regular, 25.2% had oligomenorrhea, 13.3% amenorrhea, 7.4% dysmenorrhea, 1.5% polymenorrhea and 1.5% oligomenorrhea and dysmenorrhea. The age group with the highest scoring comprised women under 20 years and 20–29 years group with an average value of 23.9 and 24.8, respectively. In our study population, 40% of the patients had an Ferriman-Gallwey score of 3 for the upper lip and 47% of patients had an Ferriman-Gallwey score of 3 for the chin.

The Ferriman-Gallwey scoring system has a great significance and value to establish the diagnosis of hirsutism and is an acceptable screening method.


hirsutism, Ferriman-Gallwey score, Kosovar women

Messenger AG, de Berker DA, Sinclair RD. Disorders of hair. In: Rook’s Textbook of Dermatology. 8th ed., Vol. 4. Burns T, Breathnach S, Cox N, Griffiths C (eds). West Sussex: Wiley-Blackwell 2010; 66.80-9.
Blume-Peytavi U. How to diagnose and treat medically women with excessive hair. Dermatol Clin 2013; 31: 57-65.
Lumezi BG, Pupovci LH, Berisha LV, et al. Acne in hirsute women. Postep Dermatol Alergol 2014; 31: 356-61.
Guyatt G, 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.
Yildiz BO, Bolour S, Woods K, et al. Visually scoring hirsutism. Hum Reprod Update 2010; 16: 51-64.
Swingler R, Awala A, Gordon U. Hirsutism in young women. Obstetr Gynaecol 2009; 11: 101-7.
Brodell LA, Mercurio MG. Hirsutism: diagnosis and management. Gend Med 2010; 7: 79-87.
Chhabra S, Gautam RK, Kulshreshtha B, et al. Hirsutism: a clinico-investigative study. Int J Trichology 2012; 4: 246-50.
Ahmad QM, Shah IH, Sameem F, et al. Hirsutism in Kashmir: an etiological study. Indian J Dermatol 2000; 54: 80-2.
Ghalib AK, Tahir SS. Prevalence of hirsutism in adult females in gynecology outpatient Clinic at Tikrit Teaching Hospital. J Fac Med Baghdad 2005; 47: 44-8.
Hunter MH, Carek PJ. Evaluation and treatment of women with hirsutism. Am Fam Physician 2003; 67: 2565-72.
Bazarganipour F, Ziae S, Montazeri A, et al. Health-related quality of life and its relationship with clinical symptoms among Iranian patients with polycystic ovarian syndrome. Iran J Reprod Med 2013; 11: 371-8.
Saxena P, Prakash A, Nigam A, et al. Polycystic ovary syndrome: is obesity a sine qua non? A clinical, hormonal, and metabolic assessment in relation to body mass index. Indian J Endocrinol Metabol 2012; 16: 996-9.
Azziz R, Sanchez LA, Knochenhauer ES, et al. Androgen excess in women: experience with over 1000 consecutive patients. J Clin Endocrinol Metab 2004; 89: 453-62.
Goodman N, Bledsoe M, Cobin R, et al. American Association of Clinical Endocrinologists Hyperandrogenism Guidelines. Endocr Pract 2001; 7: 120-34.
Knochenhauer E, Hines G, Conway-Myers B, et al. Examination of the chin or lower abdomen only for the prediction of hirsutism. Fert Steril 2000; 74: 980-3.
Atallah D, Al-Ruhaily, Malabu UH, et al. Hirsutism in Saudi females of reproductive age: a hospital based study. Ann Saudi 2008; 28: 28-32.
Quick links
© 2019 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe