Testosterone, 17 Ks, 17 Beta E2 FSH-LH Variations and Hirsutism Modifications During Spironolactone Therapy

    January 1984 in “ PubMed
    P Spandri, Michele Gangemi, Giovanni Battista Nardelli, Giorgio Meneghetti, R Grandesso, D. De Salvia, Giovanni B. Ambrosio, O. Predebon
    TLDR Spironolactone treatment reduced hair growth and androgen levels in hirsute women, but the overall effectiveness was just adequate.
    In a study conducted 40 years ago, 9 hirsute women, 4 with Polycystic Ovary Syndrome (PCO) and 5 with idiopathic hirsutism, were treated with spironolactone for a year. The study also included 4 non-hirsute hypertensive cases as controls. The researchers observed hair growth, testosterone, 17 Ks, estradiol, and gonadotropins behaviors in all patients. The results showed that the peripheral response (the hair) to the therapy was just sufficient, corresponding to a good reduction of the androgenic hormones in the blood. However, there was also a reduction in LH gonadotropin secretion, which was statistically barely significant. The researchers concluded that while the therapeutic response of hair was good, the overall response was barely sufficient, making this therapy not more advisable than others.
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