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Hirsutism can be caused by abnormally high androgen levels or by hair follicles that are more sensitive to normal androgen levels. Therefore, increased hair growth often is observed in patients with endocrine disorders characterized by hyperandrogenism, which may be caused by abnormalities of the ovaries or the adrenal glands.
Male hormones are called androgens, and they include testosterone. All females produce androgens, but the levels normally remain low. Certain medical conditions can cause a woman to produce too many androgens, causing male-pattern hair growth and other unwanted male characteristics, such as a deep voice. Polycystic ovarian syndrome (PCOS) is one common cause of hirsutism.