What could be the underlying issue when a client presents with hirsutism but has normal hormone levels?

When a client presents with hirsutism but has normal hormone levels, familial hirsutism is often considered the underlying issue. Familial hirsutism refers to a genetic predisposition for excessive hair growth that is not necessarily linked to abnormal hormone levels. This condition can be inherited and often appears in families, where individuals may have thicker or darker body hair due to genetic factors rather than hormonal disorders.

In contrast, conditions like polycystic ovary syndrome and congenital adrenal hyperplasia typically involve abnormal hormone levels, which would not be the case here. Hormonal imbalance generally implies that there would be measurable deviations from normal hormone levels, which is not applicable in this scenario. Thus, familial hirsutism serves as a more fitting explanation for the presence of hirsutism despite normal hormone levels.