Management of women with hirsutism in Kosovo

Introduction
Hirsutism is excessive hair growth in women, typically in male-pattern areas like the face, chest, and back. It is important to address this condition and effective treatment is necessary for those affected.

Aim
To determine the etiology of hirsutism, its treatment based on the etiology, and after treatment improvement.

Material and methods
This prospective study, included 135 women with hirsutism, of reproductive age, who were checked for hair growth in androgen-sensitive areas, menstrual cycle disorders, or infertility. The Ferriman-Gallwey test was done to evaluate hirsutism and the RIA method was used for the hormone serum level determination.

Results
Oral contraceptives were prescribed to 33.3% of women, dexamethasone to 30.4% (alone or in combination with other medications), and metformin to 28.1% of cases. For face hair removal laser was used by 21.4% of women, tweezers by 20.7%, depilatory cream by 16%, while other methods were less represented.

Conclusions
Treating hirsutism requires a multifaceted approach that takes into account the underlying cause, the severity of the condition, and the patient’s preferences. While medical and physical treatments can provide relief, a holistic approach that includes lifestyle changes and mental health support is crucial. Early intervention and regular monitoring can prevent progression and provide significant relief. Ongoing research continues to offer hope for more effective, tailored therapies in the future.