Cost-Effective Therapy in Patients with Idiopathic Hirsutism

    June 2004 in “ Expert review of pharmacoeconomics & outcomes research ”
    Franco Lumachi, E. Zulian, Carla Scaroni
    TLDR Cheap treatments for excessive hair growth in women can improve symptoms by 35-40% after one year.
    The document reviews the condition of idiopathic hirsutism, which is characterized by excessive hair growth in women with normal androgen levels and ovarian function, affecting over 20% of hirsute women. Various medical therapies for this condition include oral contraceptives, androgen receptor blockers like cyproterone acetate, spironolactone, and flutamide, 5α-reductase inhibitors such as finasteride, and gonadotrophin-releasing hormone analogs. After one year of treatment with these drugs, there is an expected improvement in hirsutism symptoms and a reduction in the Ferriman–Gallwey score by 35–40%. The review also discusses the causes of hirsutism and evaluates the cost-effectiveness of each therapy for patients with idiopathic hirsutism.
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