Treatment of Hirsutism with Flutamide and a Low-Dosage Oral Contraceptive in Polycystic Ovarian Disease Patients

    December 1994 in “ Fertility and sterility
    L Ciotta, Antonio Cianci, Elvira Marletta, Laura Pisana, Anna Maria Aglianò, Giuseppe Palumbo
    TLDR Flutamide combined with a low-dose birth control pill effectively reduces excessive hair growth in women with polycystic ovarian disease.
    The study evaluated the effectiveness of flutamide combined with a low-dosage oral contraceptive (OC) in treating hirsutism in 22 women with polycystic ovarian disease (PCOD) who were unresponsive to OC treatment alone. Over 8 months, the Ferriman-Gallwey score, which measures hair density, significantly improved from 25.4 ± 3.96 to 14.6 ± 1.92. Hormonal assays showed that while plasma levels of total testosterone (T) and estradiol (E2) remained unchanged, levels of luteinizing hormone (LH), follicle-stimulating hormone (FSH), androstenedione (A), and dihydrotestosterone (DHT) decreased significantly. Additionally, sex hormone-binding globulin levels increased markedly. The study concluded that flutamide, when used with a low-dosage OC, effectively reduced hirsutism in PCOD patients unresponsive to OC treatment alone.
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