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However, she says there are other reasons you might see more noticeable hairs cropping up on your face, like an over or underactive adrenal gland. “Hair is the perfect barometer for what is going on inside,” she says. “If something is happening within your body, many times the first indicator will be a change in your hair.” Otherwise, it could be harmless. “It’s normal that as we age, our [female hormone] estrogen levels drop and [male hormone] testosterone becomes more influential.” To know for sure, visit an endocrinologist for a blood test, but in the meantime, here are her top methods for dealing with facial hair growth.
Diagnosis of patients with even mild hirsutism should include assessment of ovulation and ovarian ultrasound , due to the high prevalence of polycystic ovary syndrome (PCOS) , as well as 17α-hydroxyprogesterone (because of the possibility of finding nonclassic 21-hydroxylase deficiency  ). Many women present with an elevated serum dehydroepiandrosterone sulfate (DHEA-S) level. Levels greater than 700 μg/dL are indicative of adrenal gland dysfunction, particularly congenital adrenal hyperplasia due to 21-hydroxylase deficiency .  However, PCOS and idiopathic hirsutism make up 90% of cases.