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Abstract

Hirsutism is thought to affect 1 in 10 premenopausal women. The most common cause remains polycystic ovarian syndrome, however, other rare but serious diagnoses must be excluded. Regardless of the cause, hirsutism can have a significant effect on self-esteem and quality of life for those affected and GPs need to know how this condition can be managed.

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References

Akdoğan

Tamer

M. N.

Cüre

M. C.

Köroğlu

B. K.

Delibas

(2007) Effect of spearmint (Mentha spicata Labiatae) teas on androgen levels in women with hirsutism. Phytotherapy Research 21(5): 444–447. doi: 10.1002/ptr.2074.

Azziz

Carmina

Sawaya

M. E.

(2000) Idiopathic hirsutism. Endocrine Reviews 21(4): 347–362. doi: 10.121/ev.21.4.347.

Barbieri, R. L. (2013). Treatment of hirsutism. Retrieved from www.uptodate.com/contents/treatment-of-hirsutism.

Bidet

Bellane-Chantelot

Galand Portier

M. B.

Golmard

Tardy

Morel

Kutten

(2010) Fertility in women with nonclassical congential adrenal hyperplasia due to 21-hydroxylase deficiency. Journal of Clinical Endocrinology& Metabolism 95(3): 1182–1190. doi: 10.1210c.2009-1383.

British Institute and Association of Electrolysis. www.electrolysis.co.uk.

Carmina

Rosato

Janni

Rizzo

Longo

R. A.

(2006) Extensive clinical experience: Relative prevalence of different androgen excess disorders in 950 women referred because of clinical hyperandrogenism. Journal of Clinical Endocrinology & Metabolism 91(1): 2–6. doi: 10.1210/jc2005-1457.

Cibula

Hill

Fanta

Sindelka

Zivny

(2001) Does obesity diminish the positive effect of the oral contraceptive treatment on hyperandrogenism in women with PCOS. Human Reproduction 16(5): 940–944. doi: 10.1093/humrep/16.5.940.

Claman, P. (2002). SOGC clinical practice guidelines. Hirsutism: Evaluation and treatment. Retrieved from www.sogc.org/wp-content/uploads/2013/01/110E-CPG-January2002.pdf.

Cosma

Swiglo

Flynn

Kurtz

LaBella

Mullan

Montori

(2008) Insulin sensitizers for the treatment of hirsutism: A systematic review and meta-analyses of randomized controlled trials. Journal Clinical Endocrinology & Metabolism 93(4): 1135–1142. doi: 10.1210/jc.2007-2429.

10.

Grant

(2010) Spearmint herbal tea has significant anti-androgen effects in polycystic ovarian syndrome. A randomised control trial. Phytotherapy Research 24(2): 186–188. doi: 10.11002/ptr.2900.

11.

Kopera

Wehr

Obermayer-Pietsch

(2010) Endocrinology of hirsutism. International Journal of Trichology 2(1): 30–35. doi: 10.4103/0974-7753.66910.

12.

Koulouri

Conway

(2009) Management of hirsutism. British Medical Journal 27(338): b847–b847. doi: 10.1136/bmj.b847.

13.

Kumar, R., St John, J., & Devendra, D. (2009). Hirsutism. British Medical Journal, 28(339), b3090. doi: 10.1136/bmj.b3090.

14.

McClamrock, H. D. (2012). Causes of gestational hyperandrogenism. Retrieved from www.uptodate.com/contents/causes-of-gestational-hyperandrogenism.

15.

NICE. (2010). Clinical knowledge summary. Hirsutism. Retrieved from http://cks.nice.org.uk/hirsutism.

16.

NICE. (2013). ESU0M6: Polycystic ovarian syndrome: Metformin in women not planning pregnancy. Retrieved from http://publications.nice.org.uk/esuom6-polycystic-ovary-syndrome-metformin-in-women-not-planning-pregnancy-esuom6.

17.

Oner

Muderris

(2013) Efficacy of omega 3 in the treatment of polycystic ovary syndrome. Journal of Obstetrics and Gynaecology 33: 289–291. doi: 10.3109/01443615.2012.751365.

18.

Pasquali

Antenucci

Casimirri

Venturoli

Paradisi

Fabbri

Barbara

(1989) Clinical and hormonal characteristics of obese amenorrheic hyperandrogenic women before and after weight loss. The Journal of Clinical Endocrinology and Metabolism 68: 173–179. doi: 10.1210/jcem-68-1-173.

19.

RCGP. Clinical example 3.17: People with metabolic problems. Retrieved from www.rcgp.org.uk/gp-training-and-exams/∼/media/Files/GP-training-and-exams/Curriculum-2012/RCGP-Curriculum-3-17-Metabolic-Problems.ashx.

20.

RCGP. Clinical example 3.21: Care of people with skin problems. Retrieved from www.rcgp.org.uk/gp-training-and-exams/∼/media/Files/GP-training-and-exams/Curriculum-2012/RCGP-Curriculum-3-17-Metabolic-Problems.ashx.

21.

Rosenfeld

(2005) Hirsutism. The New England Journal of Medicine 353: 2578–2588. doi: 10.1056/NEJMcp033496.

22.

Sharma

Shankar

Tegta

Gupta

Verma

G. K.

(2012) Clinico-investigative profile of patients of hirsutism in a tertiary level institution. International Journal of Trichology 4(2): 69–74.

23.

Speiser, P. W., Dupont, B., Rubinstein, P., Piazza, A., Kastelan, A., & New, M. I. (1985). High frequency of nonclassical steroid 21-hydroxylase deficiency. American Journal of Human Genetics, 37, 650–667..

24.

Swiglo

B. A.

Cosma

Flynn

D. N.

Kurtz

D. M.

LaBella

M. L.

Mullan

R. J.

Montori

V. M.

(2008) Antiandrogens for the treatment of hirsutism: A systematic review and metaanalyses of randomised controlled trials. The Journal Clinical Endocrinology & Metabolism 93(4): 1153–1160. doi: 10.1210/jc.2007-2430.

25.

Swingler

Awala

Gordon

(2009) Review: Hirsutism in young women. The Obstetrician & Gynaecologist 11: 101–107. doi: 10.1576/toag.11.2.101.27483.

26.

The Endocrine Society. (2008) Evaluation and treatment of hirsutism in premenopausal women. The Journal of Clinical Endocrinology & Metabolism 93(4): 1105–1120.

27.

The Rotterdam ESHERE/ASRM- sponsored PCOS Consensus Workshop Group. (2004) Revised 2003 consensus on diagnostic criteria and long-term risks related to polycystic ovary syndrome (PCOS). Human Reproduction 19(1): 41–47.

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