Importance of Hair Growth in Hirsutism: Diagnosis and Treatment

    AANCHHAL, Rahul Mehra, Amit Barwal, Surya P. Gautam
    TLDR Diagnose and treat hirsutism with oral contraceptives and laser hair removal for best results.
    This review explored the pathogenesis, causes, and treatment of hirsutism, emphasizing its significant impact on patients' quality of life. It highlighted the importance of diagnosing elevated androgen levels in women with moderate to severe hirsutism, especially if it is sudden or associated with other abnormalities. The review recommended a treatment duration of 6-9 months for improvement, suggesting oral contraceptives as the primary pharmacological therapy, with the addition of antiandrogens if needed. It advised against androgen antagonist monotherapy without contraception and discouraged insulin-lowering drugs. For hair removal, laser/photo epilation was suggested.
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