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1. Assessment of hirsutism

Assessment of hirsutism Assessment of hirsutism - Differential diagnosis of symptoms | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Assessment of hirsutism Last reviewed: February 2019 Last updated: November 2018 Summary Hirsutism is a condition seen in women that is associated with development of androgen-dependent terminal hair (coarse, pigmented) following a male-pattern distribution (face, chest, abdomen, back). Pathophysiology Hair in different (...) =bestpractice.com Hair response to androgens varies from person to person and includes increase in follicle size, fibre diameter, and the amount of time spent in anagen (the growth-cycle phase). Rosenfield RL. Clinical practice. Hirsutism. N Engl J Med. 2005 Dec 15;353(24):2578-88. http://www.ncbi.nlm.nih.gov/pubmed/16354894?tool=bestpractice.com Messenger AG. The control of hair growth: an overview. J Invest Dermatol. 1993 Jul;101(suppl 1):4S-9S. http://www.ncbi.nlm.nih.gov/pubmed/8326154?tool=bestpractice.com

2018 BMJ Best Practice

2. Assessment of hirsutism

Assessment of hirsutism Assessment of hirsutism - Differential diagnosis of symptoms | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Assessment of hirsutism Last reviewed: February 2019 Last updated: November 2018 Summary Hirsutism is a condition seen in women that is associated with development of androgen-dependent terminal hair (coarse, pigmented) following a male-pattern distribution (face, chest, abdomen, back). Pathophysiology Hair in different (...) =bestpractice.com Hair response to androgens varies from person to person and includes increase in follicle size, fibre diameter, and the amount of time spent in anagen (the growth-cycle phase). Rosenfield RL. Clinical practice. Hirsutism. N Engl J Med. 2005 Dec 15;353(24):2578-88. http://www.ncbi.nlm.nih.gov/pubmed/16354894?tool=bestpractice.com Messenger AG. The control of hair growth: an overview. J Invest Dermatol. 1993 Jul;101(suppl 1):4S-9S. http://www.ncbi.nlm.nih.gov/pubmed/8326154?tool=bestpractice.com

2018 BMJ Best Practice

4. Hirsutism: Evaluation and Treatment

Hirsutism: Evaluation and Treatment No. 350-Hirsutism: Evaluation and Treatment - Journal of Obstetrics and Gynaecology Canada Email/Username: Password: Remember me Search Terms Search within Search Volume 39, Issue 11, Pages 1054–1068 No. 350-Hirsutism: Evaluation and Treatment x Kimberly Liu Correspondence Corresponding Author: Dr. Kimberly Liu; University of Toronto, Department of Obstetrics and Gynecology, Toronto ON , MD ∗ , x Kimberly Liu Correspondence Corresponding Author: Dr. Kimberly (...) Liu; University of Toronto, Department of Obstetrics and Gynecology, Toronto ON Toronto, ON x Tarek Motan , MB, ChB Edmonton, AB x Paul Claman , MD Ottawa, ON No. 350, November 2017 DOI: To view the full text, please login as a subscribed user or . Click to view the full text on ScienceDirect. Figures Figure 1 Ferriman-Gallwey score for hirsutism. Figure 2 Steroidogenesis pathway. Figure 3 Acanthosis nigricans. Abstract Objectives To review the etiology, evaluation, and treatment of hirsutism

2017 Society of Obstetricians and Gynaecologists of Canada

5. Evaluation and Treatment of Hirsutism in Premenopausal Women Full Text available with Trip Pro

is present ( ). Hirsutism must be distinguished from hypertrichosis—generalized excessive hair growth that may be hereditary or result from certain medications ( e.g. , phenytoin, cyclosporine). Hypertrichosis is distributed in a generalized, nonsexual pattern ( i.e. , predominantly on forearms or lower legs) and is not caused by excess androgen (although hyperandrogenemia may aggravate it). Pathogenesis of hirsutism The growth of sexual hair is entirely dependent on the presence of androgen (...) Evaluation and Treatment of Hirsutism in Premenopausal Women We use cookies to enhance your experience on our website. By continuing to use our website, you are agreeing to our use of cookies. You can change your cookie settings at any time. Evaluation and Treatment of Hirsutism in Premenopausal Women: An Endocrine Society* Clinical Practice Guideline | The Journal of Clinical Endocrinology & Metabolism | Oxford Academic Search Account Menu Menu Navbar Search Filter Mobile Microsite Search Term

2018 The Endocrine Society

6. Evaluation and Treatment of Hirsutism in Premenopausal Women Full Text available with Trip Pro

Evaluation and Treatment of Hirsutism in Premenopausal Women 29522641 2018 07 03 2019 01 18 1538-3598 319 15 2018 Apr 17 JAMA JAMA Evaluation and Treatment of Hirsutism in Premenopausal Women. 1613-1614 10.1001/jama.2018.2611 Mimoto Mizuho S MS University of Chicago, Chicago, Illinois. Oyler Julie L JL University of Chicago, Chicago, Illinois. Davis Andrew M AM University of Chicago, Chicago, Illinois. eng P30 DK020595 DK NIDDK NIH HHS United States T32 DK007011 DK NIDDK NIH HHS United States (...) Journal Article United States JAMA 7501160 0098-7484 0 Androgen Antagonists 0 Contraceptives, Oral, Hormonal 3XMK78S47O Testosterone 68-96-2 17-alpha-Hydroxyprogesterone AIM IM 17-alpha-Hydroxyprogesterone blood Adult Androgen Antagonists therapeutic use Contraceptives, Oral, Hormonal therapeutic use Female Hair Removal Hirsutism diagnosis drug therapy therapy Humans Polycystic Ovary Syndrome Practice Guidelines as Topic Premenopause Testosterone blood 2018 3 10 6 0 2018 7 4 6 0 2018 3 10 6 0 ppublish

2018 JAMA

7. Correction: The effect of CAG repeats length on differences in hirsutism among healthy Israeli women of different ethnicities. Full Text available with Trip Pro

Correction: The effect of CAG repeats length on differences in hirsutism among healthy Israeli women of different ethnicities. [This corrects the article DOI: 10.1371/journal.pone.0195046.].

2018 PLoS ONE

8. Endocrine evaluation of hirsutism Full Text available with Trip Pro

Endocrine evaluation of hirsutism Hirsutism is defined as excessive terminal hair growth in a male pattern in females. It typically affects 5 to 10% of reproductive-age women. Excessive hair growth can often cause significant psychological and emotional distress. As a result, hirsutism is a common presenting complaint to healthcare professionals, including dermatologists, as women search for cosmetic and medical solutions to their problem. Hirsutism results from excess production of androgens (...) , often from ovarian or adrenal sources. It is typically associated with a metabolic syndrome like polycystic ovarian syndrome (PCOS), but can be idiopathic or medication-induced. This article provides an endocrine perspective for the evaluation and management of hirsutism.

2017 International journal of women's dermatology

9. Association of ethnicity, Fitzpatrick skin type, and hirsutism: A retrospective cross-sectional study of women with polycystic ovarian syndrome Full Text available with Trip Pro

Association of ethnicity, Fitzpatrick skin type, and hirsutism: A retrospective cross-sectional study of women with polycystic ovarian syndrome The complex interplay between ethnicity, Fitzpatrick skin type (FST), and hirsutism in patients with polycystic ovarian syndrome (PCOS) is poorly understood.In this cross-sectional, retrospective analysis, we examined the prevalence, severity, and distribution of hirsutism with clinician-rated site-specific and total modified Ferriman-Gallwey (mFG (...) ) visual scoring in a diverse cohort of American patients with PCOS.Independent analyses were conducted on the basis of patient-reported FST ratings and ethnicity.In this PCOS cohort, a correlation was found between hirsutism and ethnicity and the highest prevalence of hirsutism and total mFG scores was observed in Hispanic, Middle Eastern, African American, and South Asian patients. A positive correlation between hirsutism and FST was also observed with an increasing prevalence of hirsutism

2017 International journal of women's dermatology

10. The effect of CAG repeats length on differences in hirsutism among healthy Israeli women of different ethnicities. Full Text available with Trip Pro

The effect of CAG repeats length on differences in hirsutism among healthy Israeli women of different ethnicities. Variations in the degree of hirsutism among women of different ethnic backgrounds may stem from multiple etiologies. Shorter length of the polymorphic CAG repeats of the androgen receptor (AR) gene may be associated with increased activity of the receptor leading to hirsutism. We hypothesized that there are ethnic differences in the degree of hirsutism that is unrelated to androgen (...) levels among Israeli women, and that the CAG repeats length may contribute to these differences. Anti-androgenic therapies, such as spironolactone, could be suggested if a shorter CAG repeats length is found to affect the difference in the degree of hirsutism between the ethnic groups.Healthy Israeli Jewish women aged 18-45 years of Ashkenazi and non-Ashkenazi origin were invited to participate. Hirsutism was assessed using the simplified Ferriman-Gallwey (sFG) score, and serum total testosterone

2018 PLoS ONE

11. The Contribution of New Areas to the Total Hirsutism Scores in Basrah Hirsute Women Full Text available with Trip Pro

The Contribution of New Areas to the Total Hirsutism Scores in Basrah Hirsute Women Hirsutism is the presence of excessive growth of terminal hair in a female in the male-like pattern. It is the most common indicator of hyperandrogenism. The primary objective of this study was to evaluate the clinical impact of new androgens sensitive skin area to total body hirsutism score.This was cross-sectional study. Most of the patients in this study group (n = 300) were women of reproductive age group (...) (20-39 years) with a mean age of 26.6 ± 7.1 years. They were recruited in Faiha Specialized Diabetes, Endocrine, and Metabolism Center (FDEMC) during the period from August 2016 to the end of August 2017. All complained from hirsutism and were assessed by using modified Ferriman-Gallwey (m-FG) score system by a single examiner. Each patient underwent detailed clinical assessment in addition to transabdominal or transvaginal ultrasonography of the pelvis with endocrinological

2017 Diseases

12. Combination of Intense Pulse Light and Topical Eflornithine Therapy versus Intense Pulse Light Therapy alone in the Treatment of Idiopathic Facial Hirsutism: A Randomized Controlled Trial. (Abstract)

Combination of Intense Pulse Light and Topical Eflornithine Therapy versus Intense Pulse Light Therapy alone in the Treatment of Idiopathic Facial Hirsutism: A Randomized Controlled Trial. To compare the efficacy of combination of Intense Pulse Light and topical eflornithine therapy versus Intense Pulse Light therapy alone in the treatment of idiopathic facial hirsutism.A total of 78 patients were included in the study, and were divided into two groups, having 39 patients each. Patients (...) therapy is more efficacious than intense pulse light therapy alone in the treatment of idiopathic facial hirsutism.

2019 JPMA. The Journal of the Pakistan Medical Association Controlled trial quality: uncertain

13. The evaluation of the relationship between some related hormone levels and diet in obese or overweight patients with hirsutism: A randomized clinical trial. Full Text available with Trip Pro

The evaluation of the relationship between some related hormone levels and diet in obese or overweight patients with hirsutism: A randomized clinical trial. Hirsutism is a common disorder that has remarkable physical and mental effects on individuals. No appropriate diet has yet specified for individuals with hirsutism. The present study was carried out to examine the effect of high-fibre, low-caloric balanced diet on some related hormone levels in obese or overweight women with hirsutism who (...) had referred to clinics affiliated with Shiraz University of Medical Sciences.The present study was a clinical trial that was carried out on 47 obese or overweight women with hirsutism in 2014. The women were randomly assigned to an intervention group and a control group that, respectively, consumed a high-fiber, low-caloric balanced diet and a normal diet for 3 months. A demographic characteristics questionnaire and a researcher-designed diet questionnaire were filled out by the two groups before

2019 Journal of family medicine and primary care Controlled trial quality: uncertain

14. Long-pulsed Nd: YAG Laser and Intense Pulse Light-755 nm for Idiopathic Facial Hirsutism: A Comparative Study. Full Text available with Trip Pro

Long-pulsed Nd: YAG Laser and Intense Pulse Light-755 nm for Idiopathic Facial Hirsutism: A Comparative Study. Hirsutism means excessive terminal hair growth in a female in male pattern distribution. Perception of hirsutism is subjective. Permanent laser hair reduction is a slow process taking many sessions and tracking of improvement parameters is tedious. Hence, a lot of confusion still exists regarding the type of laser most beneficial for treatment.The aim of this study was to compare (...) the effectiveness and safety profile of long-pulsed Nd: YAG laser (1064 nm) and intense pulse light (IPL)-755 nm in management of idiopathic facial hirsutism.Open-labelled, randomly allocated experimental study.The study included 33 cases of idiopathic facial hirsutism. Patients were randomly divided into Group A, treated with long-pulsed Nd: YAG laser and Group B, treated with IPL-755 for a total of six sessions at 1 month interval.Chi-square test was used in Medcalc® version 9.0 and the test of significance

2019 Journal of cutaneous and aesthetic surgery Controlled trial quality: uncertain

15. Use of oral contraceptives for management of acne vulgaris and hirsutism in women of reproductive and late reproductive age Full Text available with Trip Pro

Use of oral contraceptives for management of acne vulgaris and hirsutism in women of reproductive and late reproductive age Hormonal contraception in both reproductive and late reproductive age, as well as contraceptive action, is used also for other indications like dysmenorrhoea, menstrual disorders, endometriosis, acne vulgaris, and hirsutism. Acne vulgaris and hirsutism are important signs related to hyperandrogenaemia and present a serious medical problem for the patients and a challenge (...) for medical doctors in terms of effective treatment. The application of hormonal contraception to treat acne vulgaris and hirsutism requires knowledge of the mechanism of antiandrogenic actions and the possible contraindications and complications. These data are presented in this review.

2018 PrzeglaÌœd menopauzalny = Menopause review

16. Evaluation of Topical Capislow Extract and Long Pulsed Nd-YAG Laser in the Treatment of Idiopathic Hirsutism Full Text available with Trip Pro

Evaluation of Topical Capislow Extract and Long Pulsed Nd-YAG Laser in the Treatment of Idiopathic Hirsutism Introduction: Hirsutism is a condition that affects 10% of women worldwide. In many cultures, hirsutism is regarded as loss of femininity and can be psychologically traumatizing to the suffering females. The aim of the present study was to evaluate how topical capislow would affect or enhance the efficacy of laser hair removal. Methods: A randomized, monoblinded, placebo controlled split

2018 Journal of lasers in medical sciences Controlled trial quality: uncertain

17. Prenatal Androgenization of Ewes as a Model of Hirsutism in Polycystic Ovary Syndrome. Full Text available with Trip Pro

Prenatal Androgenization of Ewes as a Model of Hirsutism in Polycystic Ovary Syndrome. The main clinical feature associated with hyperandrogenism in polycystic ovary syndrome (PCOS) in humans is hirsutism, where hair increases its length, pigmentation, and particularly its diameter. Currently, it is not known whether PCOS animal models also exhibit changes in the hair. Therefore, the aim of this study was to explore the wool characteristics in sheep prenatally androgenized (PA (...) , to our knowledge, that changes in wool fiber diameter observed in PA ewes replicate, at the translational level, the increase in hair diameter in hirsute women with PCOS.

2018 Endocrinology

18. An ovarian Leydig cell tumor of ultrasound negative in a postmenopausal woman with hirsutism and hyperandrogenism: A case report. Full Text available with Trip Pro

An ovarian Leydig cell tumor of ultrasound negative in a postmenopausal woman with hirsutism and hyperandrogenism: A case report. The incidence of severe hyperandrogenism associated with masculinity in women is very low. While rare and difficult to diagnose, androgen secreting tumors should be suspected in women with hyperandrogenism and hirsutism, especially in the postmenopausal population. Herein we present one case of ovarian Leydig cell tumor (LCT) with markedly elevated serum testosterone (...) of tumors. Any woman who has hirsutism or frank evidence of markedly increased testosterone should exclude this kind of possibility of androgen producing tumors. It is possible to determine the origin of androgen hypersecretion with the severity of symptoms, the extent of androgen excess, and the relevant imaging studies. Since LCT are rare ovarian sex-cord stromal tumors, it can be beneficial for diagnosis with careful research of patient history of the defeminization followed by virilization, and a CT

2018 Medicine

19. Combined Oral Contraception and Bicalutamide in Polycystic Ovary Syndrome and Severe Hirsutism - a Double-blind RTC. Full Text available with Trip Pro

Combined Oral Contraception and Bicalutamide in Polycystic Ovary Syndrome and Severe Hirsutism - a Double-blind RTC. Hirsutism often occurs in women with polycystic ovary syndrome (PCOS). The efficacy of oral contraceptive pill (OCP) plus antiandrogens in the treatment of its severe expression is controversial due to the lack of randomized, double-blind, long-term studies.The primary outcome was the reduction of hirsutism in PCOS women objectively measured by videodermoscopy on the androgen (...) ' posttreatment.Seventy women with classic PCOS (severe hirsutism, oligoanovulation, and ovarian polycystic ovarian morphology).Patients received OCP + BC (50 mg/d) or OCP + P for 12 months.The repeated measures analysis of variance showed that both treatments were effective in reducing hirsutism: The OCP + BC group had a higher reduction compared with the OCP + P group. No adverse effects were described during treatment except an increase in total cholesterol and low-density lipoprotein in the OCP + BC group.The

2017 Journal of Clinical Endocrinology and Metabolism Controlled trial quality: predicted high

20. Can laser treatment improve quality of life of hirsute women? Full Text available with Trip Pro

Can laser treatment improve quality of life of hirsute women? Hirsutism can have negative impacts on psychosocial aspects of women's lives and reduce their quality of life (QOL). The aim of this study was to assess the QOL of these women during laser treatment.Eighty-eight women with unwanted facial hair underwent laser therapy. Each patient completed a questionnaire consisting of a modified Dermatology Life Quality Index (DLQI) and visual analog scale (VAS) before the first, third, and fifth (...) and number of involved areas. There were no significant differences with regard to response to treatment and mean of DLQI score according to the level of education, marital status, and employment status.Hair removal with laser therapy can improve the QOL in hirsute women. Also, socioeconomic status does not affect the satisfaction rate of laser therapy for hair removal.

2017 International journal of women's health

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