Diagnosis and Therapy of Hyperandrogenism

    June 1997 in “ Baillière's clinical obstetrics and gynaecology ”
    Randall B. Barnes
    TLDR Most women with too much androgens have PCOS, which can be managed with birth control pills, medication for hair growth, and fertility treatments, and losing weight helps too.
    The document reviewed various treatments for hyperandrogenism, particularly focusing on hirsutism and polycystic ovary syndrome (PCOS). Studies compared the efficacy of different medications such as flutamide, spironolactone, and gonadotropin-releasing hormone agonists. Flutamide and spironolactone were found to be effective in reducing hirsutism. Weight loss was also noted to correct hormonal imbalances in obese, hyperandrogenic women. Additionally, laparoscopic ovarian electrocautery and laser vaporization improved pregnancy rates in clomiphene citrate-resistant PCOS patients. The document highlighted the importance of individualized treatment plans for managing hyperandrogenism.
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