RT Journal Article SR Electronic T1 Fifteen-minute consultation: Approach to the adolescent presenting with hirsutism JF Archives of disease in childhood - Education & practice edition JO Arch Dis Child Educ Pract Ed FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health SP edpract-2022-324465 DO 10.1136/archdischild-2022-324465 A1 Alexandra Selina Cross A1 Manar Moustafa A1 Charlotte Jane Elder YR 2023 UL http://ep.bmj.com/content/early/2023/01/19/archdischild-2022-324465.abstract AB Hirsutism, unwanted terminal hair growth in androgen-dependent areas, is a common presentation to general paediatricians, dermatologists and endocrinologists. Polycystic ovarian syndrome is the most common cause but can be challenging to diagnose in young people due to the significant overlap of features with the healthy adolescent population. There are other rare, but important, causes to consider such as non-classic congenital adrenal hyperplasia and androgen-secreting tumours. Hirsutism carries a significant psychological burden for those living with it. This 15 min consultation piece describes the causes of hirsutism, introduces a novel assessment tool and suggests an approach to investigations and management, including signposting to psychological support.