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SOGC clinical practice guidelines. Hirsutism: evaluation and treatment.
J Obstet Gynaecol Can. 2002 Jan; 24(1):62-73, 77-9.JO

Abstract

OBJECTIVES

To review the etiology, evaluation, and treatment of hirsutism.

EVALUATION

A thorough history and physical examination plus selected laboratory evaluations will confirm the diagnosis and direct treatment.

TREATMENT

Pharmacologic interventions can suppress ovarian or adrenal androgen production and block androgen receptors in the hair follicle. Hair removal methods and lifestyle modifications may improve or hasten the therapeutic response.

OUTCOMES

At least six to nine months of therapy are required to produce improvement in hirsutism.

EVIDENCE

The quality of evidence reported in this guideline has been determined using the criteria described by the Canadian Task Force on the Periodic Health Examination.

RECOMMENDATIONS

Hirsutism can be slowly but dramatically improved with a three-pronged approach to treatment: mechanical hair removal, suppression of androgen production, and androgen receptor blockade. Lifestyle changes including weight loss and exercise will lower serum androgen levels and improve self-esteem. The patient should be educated regarding associated health problems or long-term medical consequences of hyperandrogenism, including obesity, irregular menses, anovulation, infertility, pregnancy-induced hypertension, diabetes, hyperlipidemia, hypertension, and heart disease.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Guideline
Journal Article
Practice Guideline

Language

eng fre

PubMed ID

12196888

Citation

Claman, Paul, et al. "SOGC Clinical Practice Guidelines. Hirsutism: Evaluation and Treatment." Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstetrique Et Gynecologie Du Canada : JOGC, vol. 24, no. 1, 2002, pp. 62-73, 77-9.
Claman P, Graves GR, Kredentser JV, et al. SOGC clinical practice guidelines. Hirsutism: evaluation and treatment. J Obstet Gynaecol Can. 2002;24(1):62-73, 77-9.
Claman, P., Graves, G. R., Kredentser, J. V., Sagle, M. A., Tan, S., Tummon, I., & Fluker, M. (2002). SOGC clinical practice guidelines. Hirsutism: evaluation and treatment. Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstetrique Et Gynecologie Du Canada : JOGC, 24(1), 62-73, 77-9.
Claman P, et al. SOGC Clinical Practice Guidelines. Hirsutism: Evaluation and Treatment. J Obstet Gynaecol Can. 2002;24(1):62-73, 77-9. PubMed PMID: 12196888.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - SOGC clinical practice guidelines. Hirsutism: evaluation and treatment. AU - Claman,Paul, AU - Graves,Gillian R, AU - Kredentser,Jeremy V, AU - Sagle,Margaret A, AU - Tan,Sean, AU - Tummon,Ian, AU - Fluker,Margo, AU - ,, PY - 2002/8/28/pubmed PY - 2003/3/8/medline PY - 2002/8/28/entrez SP - 62-73, 77-9 JF - Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC JO - J Obstet Gynaecol Can VL - 24 IS - 1 N2 - OBJECTIVES: To review the etiology, evaluation, and treatment of hirsutism. EVALUATION: A thorough history and physical examination plus selected laboratory evaluations will confirm the diagnosis and direct treatment. TREATMENT: Pharmacologic interventions can suppress ovarian or adrenal androgen production and block androgen receptors in the hair follicle. Hair removal methods and lifestyle modifications may improve or hasten the therapeutic response. OUTCOMES: At least six to nine months of therapy are required to produce improvement in hirsutism. EVIDENCE: The quality of evidence reported in this guideline has been determined using the criteria described by the Canadian Task Force on the Periodic Health Examination. RECOMMENDATIONS: Hirsutism can be slowly but dramatically improved with a three-pronged approach to treatment: mechanical hair removal, suppression of androgen production, and androgen receptor blockade. Lifestyle changes including weight loss and exercise will lower serum androgen levels and improve self-esteem. The patient should be educated regarding associated health problems or long-term medical consequences of hyperandrogenism, including obesity, irregular menses, anovulation, infertility, pregnancy-induced hypertension, diabetes, hyperlipidemia, hypertension, and heart disease. SN - 1701-2163 UR - https://www.unboundmedicine.com/medline/citation/12196888/SOGC_clinical_practice_guidelines__Hirsutism:_evaluation_and_treatment_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1701-2163(16)30274-2 DB - PRIME DP - Unbound Medicine ER -