Principles of management of women with hirsutism – a dermatologist’s perspective

Dominik Mikiel; Barbara Olszewska; Adriana Polańska; Zygmunt Adamski; Ryszard Żaba; Aleksandra Dańczak-Pazdrowska

doi:10.5114/dr.2020.101670

eISSN: 2084-9893
ISSN: 0033-2526

Dermatology Review/Przegląd Dermatologiczny

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5/2020
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abstract:

Review paper

Principles of management of women with hirsutism – a dermatologist’s perspective

Dominik Mikiel

¹

,

Barbara Olszewska

²

,

Adriana Polańska

³

,

Zygmunt Adamski

²

,

Ryszard Żaba

³

,

Aleksandra Dańczak-Pazdrowska

²

Department of Skin Diseases, Provincial Hospital, Poznan, Poland

Department of Dermatology, Poznan University of Medical Sciences, Poznan, Poland

Department of Dermatology and Venerology, Poznan University of Medical Sciences, Poznan, Poland

Dermatol Rev/Przegl Dermatol 2020, 107, 424-440

DOI: https://doi.org/10.5114/dr.2020.101670

Online publish date: 2020/12/29

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Hirsutism is a common clinical diagnosis defined by the presence of excess growth of terminal hair in androgen-sensitive areas. It affects 5–15% of women, often having a significant impact on their daily functioning. Hirsutism is mainly caused by ovarian or adrenal hyperandrogenism, although it can be idiopathic, drug induced or caused by other endocrinopathies. Severity of the disease can be assessed using a modified Ferriman-Gallwey visual scoring scale. Therapeutic options include hair removal using lasers or electrolysis, combined oral contracetion, antiandrogens and topical eflornithine. This article presents a clinical scheme for diagnosis and management of hirsutism from a dermatological perspective.

keywords:

Principles of management of women with hirsutism – a dermatologist’s perspective

Dominik Mikiel 1 , Barbara Olszewska 2 , Adriana Polańska 3 , Zygmunt Adamski 2 , Ryszard Żaba 3 , Aleksandra Dańczak-Pazdrowska 2

hirsutism, polycystic ovary syndrome, Ferriman-Gallwey score, laser therapy

Dominik Mikiel

¹

,

Barbara Olszewska

²

,

Adriana Polańska

³

,

Zygmunt Adamski

²

,

Ryszard Żaba

³

,

Aleksandra Dańczak-Pazdrowska

²