Hirsutism - part 2
In the first part of the article about hirsutism, we already understood what are the possible causes of hirsutism, someone realized that they have an excess of hair cover, someone calmed down. But there are situations when there are manifestations, but the cause could not be found, on average from 15 to 20%, then this phenomenon is called idiopathic hirsutism.
What examinations should be carried out?
1. Hormonal examination, taking into account the patient's complaints! I am not a supporter of passing the "hormonal mirror" (examination for all existing hormones). In fact, there is no need for this. The scope of the examination is determined exclusively by the doctor.
2. OMT ultrasound, CT scan or MRI of the adrenal glands (in case of suspicion of volume formations in the adrenal glands).
3. Mandatory additional consultation of an endocrinologist.
4. The following examinations are very individual and exclusively based on indications.
Now about the treatment:
Remember that you need to treat not the symptoms of the disease, but the cause! Fortunately, we have many tools in our arsenal:
- COCs with antiandrogenic activity (cyproterone acetate, drospirenone, chlormadinone acetate, dienogest...).
- Direct antiandrogens (Flutamide, finasteride, verospiron).
But it is worth remembering that some drugs are quite toxic, especially with long-term use and in the race for beauty can harm your health.
- The next point is cosmetology services (various types of epilation - the main thing is to seek help from a licensed cosmetologist (LeoDerm).
And one more thing - remember that against the background of treatment, hair will not start to fall out. The therapy is aimed at the work of the hair follicle. That is, when the excess hair cover is removed and against the background of antiandrogen therapy, it simply will not grow in the places of removal in the future.
Author: Obstetrician-gynecologist Furdas Nataliya
If you experience symptoms of an illness, please consult a doctor.