Hormonal approach in Hirsutism

Hinsutism is a clinical sign that primarily indicate androgen excess and open\ud caused hy relatively benign junctional conditions. Hirsutism requires a careful\ud and systematic clinical evaluation coztoleal with a rational approach to treatment.\ud Initiate therapy only in patients who give informed consent after a complete\ud explanation of the potential benejits and risks of a particular treatment and\ud alternative approaches. The goals ofthe correct management of hirsutism are to\ud ameliorate the hirsutism and reproductive complaints, to prevent anchor treat the\ud possible associated metabolic derangements and to treat the underlying cause\ud Management of hirsutistn is based upon a dual approach which may be\ud used either individualhf or in combination: pharmacological therapies that target\ud androgen production and action and/or direct methods to reduce and remove\ud hair including cosmetic approaches, electrolysisgand photoepilation [laser and\ud intense pulsed light (lPL)]. Instead the cosmetic method that ojten caused\ud discomfort and may reverse to their pretreatment level, the use of hormonal\ud treatment is really promising. In most cases, hinsutism is a chronic disorder\ud benefiting from long-term follow-up. The use of evidence-based strategies to\ud improve the hirsutism and to treat the underlying disorder is essential for the\ud proper management ofwomen with hirsutism