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Although hirsutism is broadly defined as excessive ____________________ , the common clinical use of the term refers to women ____________________ excess growth of terminal hair in a male pattern . ____________________ this sense , hirsutism is one of the most common endocrine ____________________ , affecting approximately 10% of women in the United States . In these women , the hairiness implies the presence of ____________________ androgen action , which may represent a serious or , more likely , ____________________ nonserious medical problem . Regardless of the etiology , hirsutism can produce mental ____________________ and emotional anguish . Even mild cases of hirsutism may be viewed ____________________ the patient and others as a presumptive loss of femininity . In ____________________ severe cases , hirsutism can be a serious cosmetic ____________________ . The major objectives in the management of hirsutism ____________________ to rule out a serious underlying medical ____________________ and to devise a plan of treatment .