Hirsutism Questions & Answers

Updated: Apr 13, 2018
  • Author: George T Griffing, MD; Chief Editor: Michel E Rivlin, MD  more...
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Questions & Answers

Overview

What is hirsutism?

What is the workup for hirsutism?

How is hirsutism treated?

What is the pathophysiology of hirsutism?

How common is hirsutism in the US?

What is the international prevalence of hirsutism?

What is the mortality and morbidity of hirsutism?

What is the epidemiology of hirsutism by race?

Is hirsutism more common in men or women?

What is the age of onset of hirsutism?

What is the prognosis of hirsutism?

What education should be provided to patients with hirsutism?

Presentation

What is the clinical history of patients with hirsutism?

What are the indications of hyperandrogenism in hirsutism?

How are vellus hair and terminal hair differentiated in the evaluation of hirsutism?

What is the method of quantitation in the evaluation of hirsutism?

What are other physical findings in the evaluation of hirsutism?

What is the role of gonadoblastoma in the development of hirsutism?

What causes hirsutism?

What is the role of adrenal tumors in hirsutism?

What is the relationship between Cushing syndrome and hirsutism?

What is the role of congenital adrenal hyperplasia (CAH) in the development of hirsutism?

What is the role of ovarian tumors in the development of hirsutism?

What is the role of lipoid cell tumors in the development of hirsutism?

What is the relationship between polycystic ovary syndrome (PCOS) and hirsutism?

What are the diagnostic criteria for idiopathic hirsutism?

DDX

What are the differential diagnoses for Hirsutism?

Workup

What is the role of lab studies in the workup of hirsutism?

Which lab studies are indicated in the workup of hirsutism?

Which imaging studies are indicated in the workup of hirsutism?

Treatment

What is the medical treatment for hirsutism?

Which systemic therapies are indicated in the treatment of hirsutism?

What is the role of glucocorticoids in the treatment of hirsutism?

What is the role of oral contraceptives (OCs) in the treatment of hirsutism?

What is the role of spironolactone in the treatment of hirsutism?

What is the role of finasteride in the treatment of hirsutism?

What is the role of flutamide in the treatment of hirsutism?

What is the role of cyproterone acetate in the treatment of hirsutism?

What is the role of insulin sensitizers in the treatment of hirsutism?

What is the role of sibutramine in the treatment of hirsutism?

What are the cosmetic measures for the treatment of hirsutism?

Guidelines

What are the Endocrine Society treatment guidelines for hirsutism?

Medications

What is the most effective strategy for treating hirsutism?

Which medications in the drug class 5 alpha-reductase inhibitors are used in the treatment of Hirsutism?

Which medications in the drug class Aldosterone Antagonists, Selective are used in the treatment of Hirsutism?

Which medications in the drug class Glucocorticoids are used in the treatment of Hirsutism?

Which medications in the drug class Oral contraceptives are used in the treatment of Hirsutism?