Unwanted Facial Hair

Classification of Severity of Hirsutism

In 1961 Ferriman-Galwey published studies on 430 Caucasian women between the ages of 15-74 years based on patients seen in a hospital clinic. The system is based on 11 body sites with a severity score of 0 to 5 for the upper lip, chin, lower back, upper abdomen, arms, forearms, thigh and leg.

The index specifically evaluates the severity of male pattern hair growth in women on 9 different body sites, namely the upper lip, chin, chest, upper back, upper abdomen, arm, forearm, thigh, and lower leg.

A score is made between 0 and 5 for hair growth in each of the 9 locations with 0 representing no excessive terminal hair growth and 4 representing extensive terminal hair growth. The numbers are added up to a maximum of 36 points. Typically, a modified score of 8 or greater is considered adequate for a diagnosis of hirsutism, although some specialists suggest a final score of 6 is enough. The score is used, together with an assessment of hair growth patterns and other clinically relevant tests, to determine the level of severity which will be mild, moderate or severe.

Score for the upper lip and chin

Grade 1 - a few hairs at the outer part of the upper lip/few scattered hairs on the chin

Grade 2 - small moustache at the outer margins of the upper lip/scattered hair with a small concentration on the chin

Grade 3 -moustache extending halfway from the outer margin of the upper lip/light complete coverage of the chin

Grade 4 -moustache on the entire upper lip/heavy growth on the entire chin


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