| The evaluation and treatment of hirsute women. | |
MedLine Citation:
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PMID: 19803884 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Hirsutism in women is defined as an excess of body hair in the androgen-sensitive skin regions. The different genetic backgrounds of various populations may affect the causes of hirsutism. In fact, the most important reason for investigation is to identify those women with androgen-secreting tumors, since they require different therapy. Hirsutism may have various causes, such as polycystic ovary syndrome, enzyme defects in adrenal steroid biosynthesis, Cushing's syndrome, acromegaly, ovarian or adrenal tumors, or it may be idiopathic. In most patients, hirsutism is associated with hyperandrogenemia and the most common cause of androgen excess is polycystic ovary syndrome. Androgen-secreting tumors should be suspected when the onset and progression of hirsutism is rapid and/or when it is associated with virilization. Patients should be informed about the type and duration of therapy. The selection of drug/drugs depends on the severity of the hirsutism, associated conditions such as menstrual irregularities, systemic disorders such as diabetes mellitus, hypertension and any contraindication to possible therapeutic agents. Diane(R) 35 is the most common drug used for the suppression of ovarian androgen production. Peripheral blockade of androgen actions, by using spironolactone, finasteride or flutamide on the skin, is also effective in the treatment of hirsutism. |
Authors:
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Kursad Unluhizarci; Yilmaz Sahin; Fahrettin Kelestimur |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Women's health (London, England) Volume: 1 ISSN: 1745-5065 ISO Abbreviation: - Publication Date: 2005 Nov |
Date Detail:
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Created Date: 2009-10-06 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101271249 Medline TA: Womens Health (Lond Engl) Country: England |
Other Details:
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Languages: eng Pagination: 429-35 Citation Subset: - |
Affiliation:
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Department of Endocrinology, Erciyes University Medical School, Kayseri, Turkey. kursad@ erciyes.edu.tr. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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