Hirsutism in Premenopausal Women
Publication Date: March 7, 2018
Last Updated: March 31, 2022
Diagnosis
Endocrine Society (ES) suggests testing for elevated androgen levels in all women with an abnormal hirsutism score. (2-L)
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Treatment
For most women with patient-important hirsutism despite cosmetic measures, ES suggests starting with pharmacological therapy. (2-VL)
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For women who then desire additional cosmetic benefit, ES suggests adding direct hair removal methods. However, for women with mild hirsutism and no evidence of an endocrine disorder, ES suggests either approach. (2-VL)
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For hirsute women with obesity, including those with polycystic ovary syndrome, ES also recommends lifestyle changes. (1-L)
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Title
Evaluation and Treatment of Hirsutism in Premenopausal Women