Adrenal disorders

Adrenal tumor

Congenital or delayed-onset adrenal hyperplasia

Cushing syndrome

Androgenic medications

Anabolic steroids

Ectopic hormone production

Lung cancer and carcinoid tumors (ectopic ACTH secretion)

Familial hirsutism

May be secondary to a familial increased end-organ response to normal plasma androgen levels

Ovarian disorders

Ovarian hyperthecosis

Ovarian tumors

Polycystic ovary syndrome

Pituitary disorders

Acromegaly

Cushing disease

Medications that cause hyperprolactinemia

Prolactin-secreting pituitary adenoma