Hyperandrogenism: Acne and Hirsutism

    January 2023
    M. Blake Evans, Micah J. Hill
    TLDR Hyperandrogenism in women often causes acne and excess hair, treatable with personalized plans including weight loss, hair removal, and medications.
    Hyperandrogenism in women commonly manifests as hirsutism and acne, with causes including polycystic ovarian syndrome (PCOS), idiopathic hirsutism, congenital adrenal hyperplasia (CAH), tumors, Cushing’s disease, and certain medications. Treatment for hirsutism, regardless of severity, can involve weight reduction, hair removal, oral contraceptives, and antiandrogens like spironolactone and finasteride. Acne treatments include topical retinoids, antimicrobials, antibiotics, and oral isotretinoin. The document emphasizes the importance of personalized treatment plans for those affected.
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