Original Contribution: Hyperandrogenism does not predispose patients to photoepilatory treatment failure: a single‐center review

Background: Hirsutism can represent a severe cosmetic disturbance, sometimes with psychological implications. Various lasers and broadband light sources have been developed for treatment of hirsutism. The objective of this study was to know the efficacy of IPL in hirsutism patientsMethods: Forty patients were included in the study. Treatment parameters in respect of pulse duration and fluence were determined according to manufacturer’s recommendation. Hair removal efficiency was calculated as a percentage of the number of hairs present at each visit compared with baseline count.Results: Most of the patients were of the skin type 4 and type 5. More number of patients had hair growth over the chin and sides. Among 40 patients, 70% of patients had good response and 15% of patients had an excellent response. Minimal side effects only noted.Conclusions: IPL is safe and efficient modality for treatment of hirsutism.

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“…There was no difference in hair reduction between PCOD patients and non PCOD patients in this study which is also supported by Taylor et al 15 …”

Section: Efficacy In Pcod and Nonpcod Groupssupporting

confidence: 89%

Intense pulsed light for the treatment of hirsutism

Subha¹,

Suganthy²,

Tharini³

2018

Int J Res Dermatol

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“…But it is so higher in Iraqi ladies where the facial hirsutism affects 26.8% of them [13]. The response to IPL treatment for facial hirsutism varies from 10 to 88.66% among various researchers [1,6,11,12,[14][15][16][17][18][19][20][21]. The current study showed that 62.9% had good and 25.8% excellent hair reduction rate.…”

Section: Discussionmentioning

confidence: 69%

“…Khodaeyani et al found no statistically significant difference between the IPL response and body site [19]. Taylor et al study showed that there was no statistical difference between the IPL treatment response and patients with a history of PCOD [16]. The current study showed that IPL treatment was not statistically significant difference with the age of the patient, facial anatomical location, and skin type, while the study found a highly significant difference in relation to the patient with a history of PCOD and patient satisfaction.…”

Section: Discussionmentioning

confidence: 97%

The Efficiency of Intense Pulse Light in the Treatment of Hirsute Ladies

Alhayani¹,

Alkubaisi²

2020

amj

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Background: Hirsutism results in severe cosmetic and psychological problems. Many types of lasers and intense lights have been developed for the treatment of hirsute ladies. Intense pulse light (IPL) is one of the most useful broadband light for hirsutism. Objectives: To evaluate the efficiency of IPL in ladies with hirsutism. Materials and methods: This prospective study was conducted at the private dermatological clinic in Hit city, Anbar province, Iraq from May 2018 to May 2019. A hirsute ladies subjected to 6 sessions of IPL were enrolled in the study. The age of the females, Fitzpatrick skin type, site, history of polycystic ovary disease, patient satisfaction, and hair reduction rate were recorded and analyzed.Results: The mean age of the enrolled 62 patients was 32.02 years ± 7.939 (range 18-51 years). The highest age group affected was 18-40 years (n = 55, 88.7%). Most of the patients were of skin type 3 (n = 36, 58.1%). The most common site was "upper lip, chin, and sides of the face" in 23 patients (37.2%). Thirty-five (56.5%) ladies were with polycystic ovary disease. Good and Excellent hair reduction rates to IPL treatment were 62.9 and 25.8% respectively. The satisfied and very satisfied feeling of the treated ladies was 71 and 25.8% respectively. No statistically significant difference between treatment response and age of the patient, skin type, and site (P-Value> 0.05). While there was a high statistically significant difference (P-Value = 0.000) between hair reduction in relation to patients' satisfaction and history of polycystic ovarian disease. Most patients complained from transient erythema after treatment for 1-2 hours. Conclusion: IPL is a safe and efficient mode for facial hair removal in hirsute ladies.

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“…de 88 mujeres con hirsutismo facial sometidas a Láser Alexandrita, en sesiones cada 4-6 semanas, mostró una reducción de la severidad del hirsutismo luego de 6 meses de tratamiento, una disminución del tiempo de remoción del vello de 112 a 21 minutos semanales, así como una disminución de los síntomas ansiosos y depresivos 33 . Si bien no existen estudios disponibles, se ha postulado que el uso de depilación láser junto con agentes hormonales puede optimizar la depilación prolongada por láser previniendo la transformación a pelo terminal en pacientes con SOP, siendo necesarios más estudios que avalen estos resultados 34 .…”

Section: Manifestaciones Dermatológicasunclassified

Actualización del Síndrome de Ovario Poliquístico y su importancia en Dermatología

Molina

Carvajal

Fernández

2015

Rev. chil. dermatol

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IntroducciónEl Síndrome de Ovario Poliquístico (SOP) es uno de los trastornos endocrinos más frecuentes que afectan a las mujeres en edad reproductiva, cuya prevalencia ha sido estimada entre 8%-18%1 . Las mujeres con SOP tienen asociada una amplia gama de trastornos reproductivos y metabólicos, como diabetes mellitus tipo II, obesidad, dislipidemia, resistencia a la insulina, hipertensión arterial y enfermedad cardiovascular 2 . En la actualidad, constituye la primera causa de infertilidad asociada a anovulación en países desarrollados 3 . Las pacientes con SOP tienen un riesgo aumentado de trastornos psiquiátricos y mayor deterioro de su calidad de vida 4 . DiagnósticoLos criterios del Instituto Nacional de Salud de Estados Unidos del año 1990 definieron el SOP por la presencia de oligo o anovulación y signos clínicos o bioquímicos de hiperandrogenismo 5 . Posteriormente, el año 2003, los criterios de Rotterdam ampliaron la definición a la presencia de 2 de 3 de las siguientes características: oligo o anovulación, signos clínicos o bioquímicos de hiperandrogenismo y ovarios poliquísticos en la ecografía. Es importante enfatizar que ambas definiciones requieren la exclusión de otras causas de anovulación e hiperandrogenismo, como hiperplasia suprarrenal congénita, síndrome de Cushing y tumores secretores de andrógenos 6 . La Asociación Americana de Endocrinología recomienda tomar niveles de testosterona total y testosterona libre, dehidroepiandrostenediona sulfato, prolactina, LH, FSH y 17 hidroxiprogesterona durante los primeros 7 días del ciclo menstrual 7 . Hasta dos tercios de las mujeres con SOP tendrán elevados los niveles de testosterona, que están asociados con mayor morbilidad metabólica y reproductiva 8 . Se recomienda evaluar intolerancia a la glucosa y dislipidemia en todas las pacientes con SOP, especialmente en las pacientes obesas 7,6 . Otros análisis incluyen hormona tiroestimulante, T4L, hormona transportadora de esteroides sexuales (SHBG) y ecografía abdominal. Resumen

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Original Contribution: Hyperandrogenism does not predispose patients to photoepilatory treatment failure: a single‐center review

Cited by 5 publications

References 14 publications

Intense pulsed light for the treatment of hirsutism

Intense pulsed light for the treatment of hirsutism

The Efficiency of Intense Pulse Light in the Treatment of Hirsute Ladies

Actualización del Síndrome de Ovario Poliquístico y su importancia en Dermatología

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