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Hirsutism - Management
When should I refer a woman with hirsutism?
- Refer the woman, if:
- Hair growth is of recent onset and rapid progression, there are signs of virilization, hirsutism is particularly severe, or an abdominal or pelvic mass is detected.
- There are clinical features suggestive of Cushing's syndrome (such as weight gain in the face [moon face], neck region, upper back, and torso; stretch marks; easy bruising; proximal muscle weakness).
- Serum total testosterone concentration is more than 5 nanomol/L.
- Hair growth worsens despite treatment.
- Treatment has not been effective after 6–12 months.
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