Hirsutism and related acne

Medical therapies: 

• Antiandrogens
  [R] Spironolactone versus placebo or in combination with steroids for hirsutism and/or acne
  [R] Cyproterone acetate for hirsutism
• Benzodiazepines
• Cimetidine
• Dopamine agonists (bromocriptine)
• Gonadotrophin releasing hormones
  [P] Gonadotrophin-releasing hormone analogues for hirsutism
• Metformin
• Oral contraceptive pill
• Progestagens
• Pyridostinine
• Retinoids

Surgery:

• Wedge biopsy
• Ovarian drilling/diathermy

[P] = Protocol