The Modern Management of Hirsutism

    September 2004 in “ Reviews in gynaecological practice ”
    Karl S. Oláh
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    TLDR Effective hirsutism management requires identifying the cause, combining new and traditional treatments, and setting realistic expectations for patients.
    The document discusses the significance of understanding the hair growth cycle and the time scale for treating hirsutism, a condition that can significantly affect women both physically and psychologically. It emphasizes that while it's crucial to identify the underlying cause of hyper-androgenism, most cases are idiopathic. The document suggests that treatment should target the root cause, highlighting the potential of newer treatments like metformin for polycystic ovarian syndrome. It also notes that combining these treatments with conventional depilatory methods can gradually reduce hair regrowth. The importance of a thorough medical approach, including history, examination, and targeted investigation, is underlined, along with the need for clear communication with patients about treatment goals and setting realistic expectations.
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