School of Medicine


MDSG topics

Hirsutism and related acne


                                                                                                                                            Key
                                                                                                                                            [R] = Review
                                                                                                                                            [P] = Protocol

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
  • Insulin-sensitising drugs
    [R] Insulin-sensitising drugs versus the combined oral contraceptive pill for hirsutism, acne and risk of diabetes, cardiovascular disease, and endometrial cancer in polycystic ovary syndrome 
  • Oral contraceptive pill
    [R] Insulin-sensitising drugs versus the combined oral contraceptive pill for hirsutism, acne and risk of diabetes, cardiovascular disease, and endometrial cancer in polycystic ovary syndrome 
  • Progestagens
  • Pyridostinine
  • Retinoids

Surgery:

  • Wedge biopsy
  • Ovarian drilling/diathermy