Treatment of Hirsutism and Acne in Hyperandrogenism

    June 2006 in “ Baillière's best practice and research in clinical endocrinology and metabolism/Baillière's best practice & research. Clinical endocrinology & metabolism ”
    Paolo Moghetti, Vincenzo Toscano
    TLDR Medicines that lower androgen levels and hair removal treatments help manage excessive hair and acne in women with PCOS.
    The document discussed the treatment of hirsutism and acne in women with polycystic ovary syndrome (PCOS), highlighting that while drugs, particularly anti-androgens, can slow hair growth, they are not very effective on already terminalized hairs, necessitating cosmetic procedures like electrolysis and laser photothermolysis. Oral contraceptives were noted to have limited efficacy in treating hirsutism. Acne treatment varied based on severity and included topical and systemic retinoids, antibiotics, and androgen suppression. The document emphasized the importance of early and sustained intervention to prevent long-term complications such as scarring.
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