Hirsutism: What is virilism?

Virilism is more extensive than hirsutism, with additional evidence of masculinisation. There may be acne, oily skin, temporal scalp baldness, enlargement of the clitoris, voice deepening, breast size reduction, and irregular or absent periods. Occasionally, there may be increased libido and aggression.

Virilization is a relatively uncommon feature of hyperandrogenism, and its presence often suggests an androgen-producing tumor.⁰⁶⁰¹

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This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London.

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