New Guidelines on Hirsutism

The Endocrine Society has released clinical practice guidelines for evaluation and treatment of hirsutism in premenopausal women

Key recommendations

  • Testing for elevated androgen levels is suggested for women with moderate/severe hirsutism or sudden-onset, rapidly progressive, or abnormality-associated hirsutism.
  • Pharmacological therapy or direct hair removal methods are suggested for women with patient-important hirsutism despite cosmetic measures.
  • For pharmacological therapy, oral contraceptives are suggested for the majority of women, with added antiandrogen after 6 months if the response is suboptimal.
  • Antiandrogen monotherapy is recommended unless adequate contraception is used.
  • Insulin-lowering drugs are not suggested.
  • Laser/photoepilation is suggested for women who choose hair removal therapy.

The first update since 2008.Guidelines

 

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