The investigation and management of hirsutism

Franks, Stephen

doi:10.1136/jfprhc-2011-100175

Cited by 24 publications

(18 citation statements)

References 33 publications

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“…Comment It is this author's opinion (shared by some invesigators 29,30 but not by others 25,28 ) that serum androgens are not often indicated in the diagnosis of PCOS or the setting of typical hirsutism. If there is marked hyperandrogenism or true virilization (and/or rapid onset/progression), then serum androgens (fasting 17-OH progesterone, plus or minus ACTH stimulation, testosterone (total and free), dehydroepiandrosterone sulfate, androstenedione, and imaging of ovaries and adrenal glands may be indicated, but this is in the extreme and rare setting and warrants referral.…”

Section: Clues On History That Corroborate Polycystic Ovarian Syndromementioning

confidence: 89%

Disorders of Menstruation in Adolescent Girls

Jamieson

2015

Pediatric Clinics of North America

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Section: Clues On History That Corroborate Polycystic Ovarian Syndromementioning

confidence: 89%

Disorders of Menstruation in Adolescent Girls

Jamieson

2015

Pediatric Clinics of North America

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“…Potential side effects of mechanical methods may include skin irritation, allergic response, scarring, and folliculitis. There are also topical creams, such as eflornithine 13.9%, 43 which acts at the level of the hair follicle and is most effective if used in conjunction with mechanical hair removal methods. Side effects may include burning and folliculitis.…”

Section: Treatment Optionsmentioning

confidence: 99%

“…Overall, laser treatment is most effective in patients with light skin and dark hair. 43 Significant side effects (e.g. hyperpigmentation, hypopigmentation, and scarring) have been observed in patients with darker skin, but newer laser techniques have been shown to improve outcomes across skin types.…”

Section: Treatment Optionsmentioning

confidence: 99%

Diagnosis and Management of Polycystic Ovary Syndrome in Adolescent Girls

Lanzo¹,

Monge²,

Trent³

2015

Pediatr Ann

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Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder in adolescent girls having both reproductive and metabolic implications. Patients with PCOS typically present to their pediatrician for evaluation of menstrual irregularity and/or signs of hyperandrogenism, such as hirsutism and acne. The diagnosis of PCOS is made by clinical symptoms and laboratory evaluation. Because of the long-term health consequences that can accompany the disorder, pediatricians should consider PCOS in their initial evaluation of menstrual irregularity. Lifestyle modification is the cornerstone of treatment for girls with PCOS, however hormonal medication such as oral contraceptive pills and insulin sensitizing agents are useful and effective adjuncts to therapy. The goals of treatment for girls with PCOS are to improve clinical manifestations of the disorder, health-related quality of life, and long-term health outcomes.

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“…Whether a different cutoff score should be used to define hirsutism in the young pubertal girl, at a stage when sexual hair is still developing, is unclear. Even if not associated with androgen excess, hirsutism can be devastating for an adolescent girl and often warrants cosmetic treatment [38,39] . Upper lip scores of 3-4 were found in <3% of Black and White US adolescents, though scores of 1-2 rose in prevalence from 7.3% at <2 years after menarche to 28.2% at >2 years after menarche [40,41] .…”

Section: Introductionmentioning

confidence: 99%

The Diagnosis of Polycystic Ovary Syndrome during Adolescence

et al. 2015

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dress a series of questions regarding the diagnosis of PCOS during adolescence including the following: clinical and biochemical evidence of hyperandrogenism, criteria for oligoanovulation and polycystic ovary morphology, diagnostic criteria to exclude other causes of hyperandrogenism and amenorrhea, role of insulin resistance, and intervention. Results and Conclusion: Features of PCOS overlap normal pubertal development. Hence, caution should be taken before diagnosing PCOS without longitudinal evaluation. However, treatment may be indicated even in the absence of a definitive diagnosis. While obesity, insulin resistance, and hyperinsulinemia are common findings in adolescents with hyperandrogenism, these features should not be used to diagnose PCOS among adolescent girls. © 2015 S. Karger AG, Basel Key WordsHyperandrogenism · Ovarian hyperandrogenism · Ovary · Polycystic ovary syndrome · Puberty Abstract Background/Aims: The diagnostic criteria for polycystic ovary syndrome (PCOS) in adolescence are controversial, primarily because the diagnostic pathological features used in adult women may be normal pubertal physiological events. Hence, international pediatric and adolescent specialty societies have defined criteria that have sufficient evidence to be used for the diagnosis of PCOS in adolescents. Methods: The literature has been reviewed and evidence graded to ad-

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The investigation and management of hirsutism

Abstract: Excess male-pattern body hair in women is a very common and psychologically damaging condition.

Cited by 24 publications

References 33 publications

Disorders of Menstruation in Adolescent Girls

Disorders of Menstruation in Adolescent Girls

Diagnosis and Management of Polycystic Ovary Syndrome in Adolescent Girls

The Diagnosis of Polycystic Ovary Syndrome during Adolescence

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