Clinical Practice Guideline

Hirsutism Guideline Resources

April 01, 2018

Full Guideline: Evaluation and Treatment of Hirsutism in Premenopausal Women: An Endocrine Society Clinical Practice Guideline
JCEM April 2018

Kathryn A. Martin (Chair), R. Rox Anderson, R. Jeffrey Chang, David A. Ehrmann, Rogerio A. Lobo, M. Hassan Murad, Michel M. Pugeat, Robert L. Rosenfield

Differences between the 2008 and 2018 guidelines:

  • Modified recommendations for both the evaluation and management of hirsutism.
  • Broadened suggestions for biochemical testing.
  • A new recommendation for lifestyle changes for obese women with polycystic ovary syndrome.
  • A stronger recommendation against the use of flutamide.
  • Reconfirmed that all oral contraceptives appear to be equally effective for hirsutism.
  • More detail on the uses, efficacy, and safety of photoepilation.

Hirsutism: Evaluation and Management | ENDO 2018

Essential Points

  • Suggests testing for elevated androgen levels in all women with an abnormal hirsutism score.
  • Suggests against testing for elevated androgen levels in eumenorrheic women with unwanted local hair growth (i.e., in the absence of an abnormal hirsutism score).
  • Recommends against antiandrogen monotherapy unless adequate contraception is used.
  • Suggests against using insulin-lowering drugs.

Summary of Recommendations

+1.0 Diagnosis of hirsutism

+2.0 Treatment of hirsutism in premenopausal women

+3.0 Pharmacological Treatments

+4.0 Direct Hair Removal Methods

CME

Certified Medical Minute

Watch this expert CME/CE-certified presentation highlighting expert recommendations on the variety of continuous glucose monitoring devices for optimizing management of individual patients with type 1 and type 2 diabetes

Comparison of Available and Emerging CGM Technology

Watch this expert CME/CE-certified presentation highlighting expert recommendations on the variety of continuous glucose monitoring devices for optimizing management of individual patients with type 1 and type 2 diabetes

Meetings

Submit Your ENDO 2021 Abstract

We have extended our abstract submission deadline to Monday, November 2. With over 150 topical areas for abstract submissions, don’t miss this chance to share your science and expand the reach of your work. Please use these extra few days to finalize your abstract and complete your submission.

We have extended our abstract submission deadline to Monday, November 2. With over 150 topical areas for abstract submissions, don’t miss this chance to share your science and expand the reach of your work. Please use these extra few days to finalize your abstract and complete your submission.

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