Each of the nine body areas most sensitive to androgen is assigned a score from 0 (no hair) to 4 (frankly virile). These separate scores are summed to provide a total hormonal hirsutism score. Generalized hirsutism (score ≥8) is abnormal in the general United States population, whereas locally excessive hair growth (score <8) is a common normal variant. The normal score is lower in some Asian populations and higher in Mediterranean populations (see text) (5).

Reproduced from Hatch R, Rosenfield RL, Kim MH, Tredway D. Hirsutism: implications, etiology, and management. Am J Obstet Gynecol 1981; 140 (7):815–830.