Hirsutism is a condition of unwanted, male-pattern hair growth in women. Hirsutism is defined as excessive terminal hair growth in androgen-dependent areas of the body in women, which grows in a typical male distribution pattern. Hirsutism is a common clinical problem in women, and the treatment depends on the cause. The condition is often associated with a loss of selfesteem. Hirsutism reflects the interaction between circulating androgen concentrations, local androgen concentrations, and the sensitivity of the hair follicle to androgens. Objective of study was to assess the characteristics and etiology of hirsutism . A cross sectional study was conducted on 50 females aged 16 years and above in the outpatient department of Dermatology. Age of onset of hirsutism was between 18 to 34 years. 20 % patients were married. 35 % subjects had family history of hirsutism.40% patients had menstrual irregularities .30 % patients were found to be obese . Usg findings showed 7 patients had normal Usg. 30 patients showed polycystic ovaries. 12 patients had Unilateral cysts. 1 patient had adrenal pathology. 15 patients showed not etiology of hirsutism. In 24 patients etiology was polycystic ovarian syndrome. Menopause was reason of hirsutism in 4 patients. Congenital adrenal hyperplasia was etiology in 3 patients. 4 patients showed Hypothyroidism was reason for hirsutism . Since hirsutism can adversely affect a woman’s life, the dermatologists should consult such patients with care. Although most causes of hirsutism are benign, treatment is important to improve the self-esteem of the patients.