Urinary cortisol and cortisol metabolites in women with idiopathic hirsutism.

Urinary unconjugated cortisol, total 17-oxogenic steroids and cortisol metabolites (THF, allo-THF, THE, cortol and cortolone) were measured in 90 normal women and in 90 women with idiopathic hirsutism of comparable age group. After carrying out Student's "t"-test, the mean steroid excretion values in hirsute women were significantly higher than those from normal females. The results indicate that, due to stress, these hirsute women do have altered adrenocortical function, as assessed by the estimation of these corticosteroids of which urinary unconjugated cortisol was found to be the most sensitive index.