Hirsuitism

Data gathering

  • Red flags – lactation, visual changes, acute onset
  • Others – acne, menstrual changes, subfertility
  • Examine
    • BMI
    • Hair, acne

 

CM

  • Investigations
    • Bloods – testosterone, LH, FSH, SHBG, HbA1c, lipids, TFTs
    • TVUSS
  • Treatment
    • Lifestyle – weight loss, exercise
    • Cosmetic – waxing, shaving
    • Medications
      • Dianette
      • Eflornithine cream
  • Follow-up  / Safety-net