The Evaluation and Treatment of Hirsute Women

The document from 2005 discusses hirsutism in women, which is characterized by excessive body hair growth in areas sensitive to androgens. It highlights that the condition can have various causes, including polycystic ovary syndrome (the most common), adrenal enzyme defects, Cushing's syndrome, acromegaly, and tumors, or it may be idiopathic. The primary reason for investigating hirsutism is to detect androgen-secreting tumors, which necessitate a different treatment approach. Rapid onset or progression of hirsutism, especially if accompanied by virilization, may indicate such tumors. Treatment options vary based on the hirsutism's severity and any accompanying conditions, with Diane® 35 being the most commonly used drug to suppress ovarian androgen production. Additionally, drugs like spironolactone, finasteride, or flutamide can be effective in blocking androgen effects on the skin. Patients should be informed about the therapy type and duration, considering any systemic disorders or contraindications to the therapeutic agents.