Hirsutism
- Treat underlying androgen disorder when present
- Combined oral contraceptive is common first pharmacotherapy
- Add spironolactone/antiandrogen after adequate contraception
- Hair-removal methods provide immediate cosmetic benefit
- Response takes months because hair-cycle timing
- Rapid virilization requires tumor/endocrine evaluation
Use at a glance
- Treat underlying androgen disorder when present
Treatment options
- Combined oral contraceptive is common first pharmacotherapy
- Add spironolactone/antiandrogen after adequate contraception
Practical pearls
- Hair-removal methods provide immediate cosmetic benefit
Other practical pearls
- Response takes months because hair-cycle timing
- Rapid virilization requires tumor/endocrine evaluation
Self-check
- What is a common first pharmacotherapy for hirsutism?
A combined oral contraceptive.
- What does rapid virilization require?
Tumor/endocrine evaluation.
Drugs used for this (2)
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