1. Hirsutism - Causes And Treatments There are many causes of hirsutism and it can cause severe anxiety and social stress. sarahpr@hotmail.com. hirsutism Causes and treatments. http://hirsutism.homestead.com/

Cushing's Syndrome Hyperprolactinaemia sarahpr@hotmail.com Hirsutism - Causes and treatments PATHOPHYSIOLOGY The extent of normal hair growth varies between individuals, families and races, being more extensive in the Mediterranean and some Asian subcontinent populations. These variations in body hair in the normal population, and the more extensive hair growth seen in patients complaining of hisutpear to represent a continuum from no visable hair to extensive cover with thick dark hair. It is therefore impossible to draw an absolute dividing line between 'normal' and 'abnormal' degrees of facial and body hair in the female. Soft vellous hair is normally present all over the body and this type of hair on the face and elsewhere is 'normal' and is not sex-hormone dependant. Any excess in the latter regions is thus usually a mark of increased ovarian or adrenal androgen production. It has been traditional to divide patients with hirsutism into those with no elevation of serum androgen levels and no other clinical features (usually labelled 'idiopathic hirsutism') and those with an identifiable endocrine imbalance (most commonly polycystic ovary sydnrome (PCOS) or rarely other causes). However in recent years it has become apparent that most patients with 'idiopathic hirsutism' have some radiological or biochemical evidence of PCOS on more detailed investigation. Famialial or idiopathic hirsutism does occur, but usually involves a distribution of hair growth which is not typically androgenic. Similarly, non-androgen-dependant hair growth occurs with drugs such as phenytoin, diazoxide, minoxidil and cyclosporin. Iatrogenic hirsutism also occurs after treatment with androgens, or more weakly androgenic drugs such as progestagens or danazol.

2. Hirsutism (excessive Hairiness In Females). DermNet NZ hirsutism information for patients. NZ DermNet is an online dermatology resource for patients, GPs and dermatologists Patient Information hirsutism. hirsutism. hirsutism (or hirsutes) is the term used for increased hair cultural factors and race. hirsutism is very common. hirsutism is nearly always http://www.dermnetnz.org/dna.hirsutism/info.html

@import url("/common/screen.css"); DermNet NZ Ad Authoritative facts about the skin from the New Zealand Dermatological Society Home For patients For doctors ... Site map Search: Home Hair nails sweat Hirsutism Hirsutism (or hirsutes) is the term used for increased hair growth in women. It refers to a male pattern of hair, i.e. in the moustache and beard areas (chin), or occurring more thickly than usual on the limbs. There may be hairs on the chest or an extension of pubic hair on to the abdomen and thighs. What is considered normal for a woman, and what is considered hirsute, depends on cultural factors and race. Hirsutism is very common. Hirsutism is nearly always genetic in origin. Female and male relatives may also have more hair than the average so hirsutism is normal in that family. Unfortunately in our society, to be hirsute is thought unattractive. The only reason that fashion models appear to have little hair, is that they spend a lot of time and energy removing it. Although some women with hirsutism have increased amounts of male hormone (eg. testosterone), most have normal levels. The problem in these women is that the hairs are more sensitive than normal to small amounts of hormone. The hairs grow more quickly and thicker in response to it. The increased hair growth is usually first noted in late teenage years and tends to gradually get more severe as the woman gets older. Blood tests may be arranged to make sure that the hirsutism is not due to excessive male hormone levels, which could be due to a tumour on the pituitary gland or adrenal gland. Other blood tests should include prolactin levels and cortisol. An ultrasound examination of the ovaries may be necessary as one common cause of hirsutism is polycystic ovaries.

3. Pathophysiology And Treatment Of Hirsutism / Tips From Other Journals - American American Family Physician An article on this disorder. http://www.aafp.org/afp/970600ap/tips17.html

Advanced Search American Family Physician Articles Departments Patient Information Editorials ... Abstracts The following is part of " Tips From Other Journals " from the June 1997 edition of American Family Physician Pathophysiology and Treatment of Hirsutism Most cases of hirsutism result from a combination of mildly increased androgen production and increased skin sensitivity to androgens. Cases that are not androgen-dependent (e.g., those caused by medications or familial hypertrichosis) are best diagnosed by physical examination. Rittmaster reviews the pathophysiology and treatment of hirsutism. Patients with nonandrogen-dependent hirsutism tend to have long, fine hairs diffusely located on the face and trunk, whereas patients with androgen-dependent hirsutism have male-pattern hair growth. Clinical distinction between androgen-dependent and nonandrogen-dependent hirsutism is important for proper management; nonandrogenic hirsutism can only be managed by mechanical hair removal, but androgen-dependent hirsutism may respond well to a combination of mechanical removal and medical therapy. Oral contraceptives are the initial treatment for hirsutism caused by ovarian hyperandrogenism. Approximately 10 percent of cases improve and 50 percent stabilize with the use of oral contraceptives alone. An alternative strategy is to use analogs of gonadotropin-releasing hormones that suppress luteinizing and follicle-stimulating hormones. Besides the cost and the discomfort of parenteral administration of these agents, treatment with these agents necessitates estrogen-progesterone supplementation. A simpler antiandrogen is spironolactone. A dosage of 50 mg twice daily is reported to provide improvement of hirsutism in 70 percent of patients within six months. The addition of oral contraceptives prevents the side effect of menstrual irregularity and enhances the antihirsutism effect. Other antiandrogens include cyproterone (which may be used alone or in combination with oral contraceptives) and finasteride.

4. Hirsutism - Excess Hair hirsutism is excess facial and body hair in women. Causes and treatment are discussed. Up. hirsutism and hyperandrogenism in women. What is hirsutism? http://www.advancedfertility.com/hirsute.htm

IVF Pregnancy Rates IVF Pricing Options In Vitro Fertilization Egg Donation ... Become a Patient Hirsutism and hyperandrogenism in women What is hirsutism? Excess facial and body hair growth in women. What is hyperandrogenism? Increased levels of male hormone production in women. Diagnostic classification of hyperandrogenism These are the causes of hyperandrogenism and hirsutism in women: Chronic anovulation - i.e. polycystic ovarian syndrome Idiopathic hirsutism - excess hair growth with normal menstrual cycles and normal androgen (male hormone) levels Late onset congenital adrenal hyperplasia - an inherited disorder of hormone metabolism that causes increased hair growth in women after puberty Ovarian tumors - a rare cause of hirsutism Adrenal causes - even more rare Pregnancy related - rare, but interesting, e.g. luteoma of pregnancy Drugs - some drugs can cause excess hair growth in women Evaluation of hirsute women Women with hirsutism have an increased production rate of testosterone and androstenedione. The most commonly seen clinical problem is the typical story of irregular menstrual cycles ( anovulation ), onset of hirsutism in the teens or early 20s, and gradually worsening excess hair growth. These are the findings associated with a condition known as

5. EMedicine - Hirsutism : Article By George T Griffing, MD hirsutism Although hirsutism is broadly defined as excessive hairiness, the common clinical use of the term is in reference to women with excess growth of terminal hair in a male pattern. In In http://www.emedicine.com/med/topic1017.htm

(advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Patient Education Advanced Search Consumer Health Link to this site Back to: eMedicine Specialties Medicine, Ob/Gyn, Psychiatry, and Surgery Endocrinology Hirsutism Last Updated: October 22, 2003 Rate this Article Email to a Colleague Synonyms and related keywords: androgen excess, virilization, masculinization, excessive hairiness, excess body hair, endocrine disorders, congenital adrenal hyperplasia, CAH, polycystic ovary syndrome, PCOS, androgen-secreting tumor, hyperandrogenism, Cushing syndrome, Cushing's syndrome, Ferriman and Gallway scale AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: George T Griffing, MD , Director, Division of General Internal Medicine, Professor, Department of Internal Medicine, St Louis University George T Griffing, MD, is a member of the following medical societies: American Association for the Advancement of Science American College of Medical Practice Executives American College of Physician Executives American College of Physicians ... Central Society for Clinical Research , and Endocrine Society Editor(s): Stanley Wallach, MD

6. EMedicine - Hirsutism : Article By Herbert P Goodheart, MD hirsutism hirsutism is defined as the excessive growth of thick dark hair in locations where hair growth in women usually is minimal or absent. Such male-pattern growth of terminal body hair Although the terms hirsutism and hypertrichosis often are used interchangeably, hypertrichosis actually What is considered hirsutism in one culture may be considered typical in http://www.emedicine.com/derm/topic472.htm

(advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Patient Education Advanced Search Consumer Health Link to this site Back to: eMedicine Specialties Dermatology Diseases Of The Adnexa Hirsutism Last Updated: November 7, 2001 Rate this Article Email to a Colleague Synonyms and related keywords: hypertrichosis, hirsuties AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: Herbert P Goodheart, MD , Assistant Clinical Professor, Department of Internal Medicine, Division of Dermatology, Albert Einstein College of Medicine of Yeshiva University Editor(s): Leonard Sperling, MD , Chair, Professor, Department of Dermatology, Uniformed Services University of the Health Sciences; Richard Vinson, MD , Chief, Department of Dermatology, William Beaumont Medical Center; Lester Libow, MD , Chief of Dermatopathology, Departments of Dermatology and Pathology, Brooke Army Medical Center; Catherine Quirk, MD

7. Evaluation Of Excessive Hair Growth (Hirsutism) Woman s Diagnostic Cyber Article about evaluation of excessive hair growth (hirsutism) and androgen testosterone excess. http://www.wdxcyber.com/ninfer07.htm

Home About us Articles Books ... Quizzes Evaluation of Excessive Hair Growth (Hirsutism) Frederick R. Jelovsek MD Excessive hair growth (hirsutism) in women is usually an undesirable symptom. It can often be associated with infertility or irregular menstruation due to anovulation, but many times it occurs with no menstrual or ovulatory disturbance. Excessive hair growth can make a women take on masculine features but it is different than a medical term called virilization . That term is used to include hirsutism, but also to include the development of further masculine features such as receding hairline, deepening of the voice development of male-type pubic hair and enlargement of the clitoris. Almost always, virilization in a female is caused by very high levels of male hormones such as testosterone, whereas hirsutism may be associated more with milder levels of "male-hormone" elevation or even normal levels. This week we look at the educational bulletin published by the American College of Obstetricians and Gynecologists (ACOG) entitled Evaluation and Treatment of Hirsute Women . No 203, Mar 1995

8. Hirsutism -- ECureMe.com UPDATED SARS INFORMATION Check health symptoms, make a self diagnosis, ask a doctor or veterinarian online, view an encyclopedia of diseases treatments, buy discount medical supplies. more about hirsutism. Virilization. hirsutism is when malepatterned hair growth occurs in women The cause of both hirsutism and Virilization is excess androgens (male hormones http://www.ecureme.com/emyhealth/data/Hirsutism.asp

DisplayAd("468","60"); Select a Health Topic ADD/ADHD Allergy Alternative Medicine Arthritis Asthma Beyond Dieting Body Aches and Pains Breast Cancer Cancer Awareness Cardio Health Children's Health Colon Cancer Contraception COPD/Emphysema Dental Health Diabetes Elder Care Emergency Room Epilepsy Erectile Dysfunction Eye Care Fertility Fitness Gastrointestinal Health Glands and Hormones Gynecologic Health Hair Loss Headache Healthcare Today Healthy Aging HIV and AIDS Infectious Diseases Kidney Health Leukemia Liver Health Lung Cancer Lymphoma Multiple Sclerosis Men's Health Mental Health Nutrition Osteoporosis Parkinson's Disease Sexual Health Skin Health Sleep Disorders Special Events Stroke Surgeries and Procedures Teen Health Thyroid Health Urologic Health Vascular Disease Women's Health Workplace Health June 2, 2004 Resource Links Physician Search Your Questions, E-mail Doctor ... Hospital Directory Hirsutism more about Hirsutism Virilization Hirsutism is when male-patterned hair growth occurs in women. This includes hair growth on the face, chin, abdomen, and chest. Virilization is when frontal balding occurs, muscles increase in size, and the clitoris becomes enlarged and/or thickened.

9. Ovarian Cysts Articles describing ovarian cysts, polycystic ovary syndrome, ovarian cancer, infertility, miscarriage, glycemic index, hirsutism, PCOS drugs, and related research. Free email newsletter and archive. http://www.ovarian-cysts-pcos.com

Polycystic Ovary Syndrome (PCOS) Ovarian Cysts Polycystic Ovary Syndrome (PCOS) There are natural health solutions for ovarian cysts and polycystic ovaries that can help you to Regulate your periods Enhance your fertility Diminish risk of miscarriage Relieve depression Lose excess fat and gain toned muscle Enjoy increased energy on a consistent basis Clear up acne Decrease unwanted hair growth Normalize skin tone and texture Minimize heart disease and diabetes risk Lessen the need for expensive medications Reduce need for ovarian surgery or hysterectomy. Hello, my name is Nancy Dunne, N.D. I’m a licensed primary care physician in the state of Montana. My specialty is the use of natural medicine to improve the health of my patients. Over the past few years, PCOS and ovarian cysts have become especially relevant to me. My 20-year-old daughter's menstrual difficulties and persistent acne have been diagnosed as aspects of PCOS. This disturbing discovery galvanized me to do research in order to create a safe, effective treatment plan for her. The success we’ve had with her treatment has been so exciting, and my research has so fascinated me, that I’m now reaching out to other women. I want to share my experiences treating PCOS and its accompanying difficulties by using natural therapies. Most chronic health problems, including PCOS and ovarian cysts, result from complex combinations of inherited genetic susceptibility and controllable environmental factors including biochemical, nutritional, behavioral and psychological factors.

10. Evaluation And Treatment Of Women With Hirsutism - June 15, 2003 - American Fami Evaluation and Treatment of Women with hirsutism. hirsutism is a common disorder, often resulting from conditions that are not lifethreatening. http://www.aafp.org/afp/20030615/2565.html

Advanced Search PRACTICAL THERAPEUTICS Evaluation and Treatment of Women with Hirsutism MELISSA H. HUNTER, M.D., and PETER J. CAREK, M.D. Medical University of South Carolina, Charleston, South Carolina A PDF version of this document is available. Download PDF now (8 pages /95 KB). More information on using PDF files. H irsutism is a common disorder affecting up to 8 percent of women. It often results from conditions that are not life-threatening, such as chronic anovulation. Hirsutism is defined as the presence of excessive terminal hair in androgen-dependent areas of a woman's body. The disorder is a sign of increased androgen action on hair follicles, from increased circulating levels of androgens (endogenous or exogenous) or increased sensitivity of hair follicles to normal levels of circulating androgens. Hirsutism is a sign of increased androgen action on hair follicles, from increased circulating levels of androgens or increased sensitivity of hair follicles to normal levels of circulating androgens. Infrequently, hirsutism may signal more serious pathology, and clinical evaluation should differentiate benign causes from tumors or other conditions that require specific treatment. Most women who seek treatment for hirsutism do so for cosmetic reasons, because excess body hair outside of cultural norms can be very distressing. Hair growth varies widely among women, and distinguishing normal variations of hair growth from hypertrichosis and true hirsutism is important.

11. Women's Health: What Is Cyproterone Acetate? Brief description of its use in the treatment of hirsutism. http://www.2womenshealth.co.uk/08-15.htm

Chapter 8:Hirsutism (excessive body hair growth) and virilism (masculinisation). Q 8. 15 What is cyproterone acetate? Cyproterone acetate is an anti-androgen; it competes at the receptor sites (Q2.8) with androgens and reduces their effects. Dianette (Schering) is a special combined oral contraceptive pill that contains 2mg cyproterone acetate. Higher dose cyproterone acetate may be considered. It is prescribed in a ‘reverse-sequential dose regimen’ when there is an inadequate response to previous medication. Usually, progestogens are taken in the latter half of cyclical oestrogen therapy, in HRT for example (Q 28.9). Cyproterone acetate is stored in the fat tissues and when it is administered late in the cycle there is a tendency for the period to be delayed. Cyproterone acetate 50mg or 100mg is, therefore, given on the first 10 days of each course of the pill. When cyproterone acetate is given in combination with the pill, it is likely to reduce hair growth, lighten the hair colour, and decrease the hair thickness in hirsute areas. Your doctor may request blood tests from time to time to check hormone levels and to ensure that your chemistry is not being affected adversely. Medical treatments for hirsutism are not rapidly effective, overnight remedies. New hair follicles are developing all the time and each lasts for about three years. In one study of hirsute patients, 10-20% of patients were improving after six months and 90% were happy after 36 months. These treatments only work whilst they are being taken. They do not cure the underlying abnormality so that when treatment is discontinued the hirsutism may recur.

12. Diabetes & Glandular Disease Offering treatment for hormonal and metabolic disorders such as type I and II diabetes, gestational diabetes, thyroid disease, osteoporosis, lipid disorders, pituitary/adrenal gland problems, menstrual disorders and hirsutism. http://www.dgdclinic.com/

Do you know what your blood sugar reading is? Clinical Practice Diabetes Education Clinical Research Physician Profiles ... Nurse Practitioner s F-A-Q's What's New? What Every Diabetes Patient Should Know! Clinical Pharmacology Unit ... Helpful Links Diabetes Clinic of San Antonio, P.A. Sherwyn L. Schwartz, M.D., P.A. Jerome S. Fischer, M. D. Mark S. Kipnes, M.D. W. Fernando Trigoso, M.D. ... Nurse Practitioners and diabetes, gestational diabetes, thyroid disease, osteoporosis, lipid disorders (high The clinic was founded in Ju ly , type , and gestational diabetics along with insulin adjustment and out-patient insulin pump training. DGD continues to be a leader in progressive use of the most current, state-of-the-art technologies and cutting-edge treatments. Because of this, the clinic has become internationally renowned for its care of patients with diabetes mellitus, as well as other endocrine disorders, and has remained one of the largest endocrinology clinics in South Texas. Clinical Practice Diabetes Education Clinical Research Physician Profiles ... información en español Questions / problems with this site? E-mail webmaster@dgdclinic.com

13. Postgraduate Medicine: Hirsutism In Women hirsutism in Women. Effective therapy that is safe for longterm use. Drug-induced hirsutism. Many drugs can induce hirsutism, both generalized and localized. http://www.postgradmed.com/issues/2000/06_00/bergfeld.htm

Hirsutism in Women Effective therapy that is safe for long-term use Wilma F. Bergfeld, MD VOL 107 / NO 7 / JUNE 2000 / POSTGRADUATE MEDICINE CME learning objectives To understand how hyperandrogenism can induce hirsutism To review appropriate laboratory evaluation in a woman with hirsutism To learn the safest and most effective therapeutic combinations for long-term management of hirsutism This is the third of four articles on troublesome skin problems This page is best viewed with a browser that supports tables Preview : How to manage hirsutism in a woman depends on several factors, including the underlying cause, contraceptive needs, and the patient's preference. To many patients, appearance is the most important consideration. However, the increased risks conveyed by long-term androgen excess are more significant. In this article, Dr Bergfeld describes, with illustrations, the clinical presentation of hirsutism and how to evaluate patients for androgen excess. In addition, she summarizes the various therapeutic approaches that are available, their advantages and limitations, and combinations that have shown the best success. Bergfeld WF. Hirsutism in women: effective therapy that is safe for long-term use. Postgrad Med 107(7):93-104

14. Connecticut Children's Medical Center: Endocrinology Offers care for infants, children, and adolescents with a wide range of endocrine and metabolic disorders, including diabetes, hypoglycemia, hyperlipidemia, growth disorders, precocious and delayed puberty, pituitary, adrenal, and thyroid abnormalities, ambiguous genitalia, disorders of calcium and bone metabolism, menstrual irregularities, and hirsutism.Š http://www.ccmckids.org/departments/endocrinology.htm

Staff Office Locations The division offers care for infants, children, and adolescents with a wide range of endocrine and metabolic disorders, including diabetes, hypoglycemia, hyperlipidemia, growth disorders, precocious and delayed puberty, pituitary, adrenal, and thyroid abnormalities, ambiguous genitalia, disorders of calcium and bone metabolism, menstrual irregularities, and hirsutism. The division has a comprehensive program for the care and education of children with diabetes - the Connecticut Program for Children with Diabetes (CPCD) - that utilizes a multidisciplinary team approach. Office Locations Location: 2L Telephone: 860.545.9370 Appointments: 860.545.9600 Fax: 860.545.9371 After hours: 860.545.9370 Home About Us Children Departments ... Website Information

15. Hirsutism hirsutism. DESCRIPTION Presence of excessive body and facial terminal hair, in a male pattern All hirsutism is from relative excess of androgen or increased androgen binding http://www.5mcc.com/Assets/SUMMARY/TP1022.html

Hirsutism DESCRIPTION: Presence of excessive body and facial terminal hair, in a male pattern, especially in women; may be present in normal adults as an ethnic characteristic or may develop as a result of androgen excess due to tumor or drugs Often accompanied by menstrual irregularities Extreme androgenic effects (deep voice, clitorimegaly, balding) is known as virilization System(s) affected: Endocrine/Metabolic, Reproductive Genetics: Multifactorial Incidence/Prevalence in USA: 8% of adult women Predominant age: Postpubertal females Predominant sex: Postpubertal females CAUSES: All hirsutism is from relative excess of androgen or increased androgen binding. This can be produced by the ovaries, the adrenals, or caused indirectly by other hormone imbalances. A specific etiology is often not found. Synonyms: Excessive hair ICD-9-CM: 704.1 Hirsutism SEE ALSO: Fertility problems Acne vulgaris Obesity Polycystic ovarian disease ... Hypothyroidism, adult REFERENCES: Franks S. Polycystic ovarian disease. NEJM 1995;333(13):853-868 Kalve E, Klein JF. Evaluation of women with hirsutism. Am Fam Phys 1996;54)1):117-124

16. Hirsutism / Hypertrichosis - Everywhere Hair! Hair and hair disease information with answers to common questions, treatment details, book reviews, web links, and more! What is hirsutism? hirsutism is the medical term for excess body or facial hair in women distribution on a female body. hirsutism is considered a disease by many medical authorities http://www.keratin.com/ah/ah001.shtml

everywhere hair ! Home Forums Privacy Advertising ... Home On this page... Hair, hair - everywhere hair! Hirsutism hypertrichosis and hyperandrogenism Acknowledgments Hair, hair - everywhere hair! Historically, hair removal products, equipment and services have been primarily targeted towards females. Not all societies have a hairless model of feminine beauty but many, including the United States, have long held the standard that "hairy body parts" are masculine and unappealing on a female body. Hirsutism hypertrichosis and hyperandrogenism What is hirsutism ? Hirsutism is the medical term for excess body or facial hair in women. It can easily be described as a male hair growth pattern or distribution on a female body. Hirsutism is considered a disease by many medical authorities and can be the result of a serious underlying disorder that can be easily be ruled out with a medical history and some simple blood tests. Hirsutism is usually caused by an increased production of a group of hormones called androgens ("male hormones") or an increased sensitivity of the skin to these hormones. Androgen disorders affect between 5% to 10% of all women. Women with hirsutism have an increased production rate of testosterone and androstenedione.

17. Hirsutism / Hypertrichosis Index keratin.com, hair loss, baldness, alopecia, disease, and treatment information. hirsutism / hypertrichosis index. hirsutism / Hypertrichosis everywhere hair !. http://www.keratin.com/ah/ahindex.shtml

hirsutism / hypertrichosis index Home Forums Privacy Advertising ... Home Index Pages Hirsutism / Hypertrichosis - everywhere hair ! . An overview of the differences between hirsutism, hyperandrogenism and hypertrichosis. Hirsutism / Hypertrichosis - hypertrichosis and hirsutism definitions . Defining the difference between hirsutism and congenital and acquired hypertrichosis. Hirsutism / Hypertrichosis - drug induced hypertrichosis . Certain drugs may cause excess hair growth. Hirsutism / Hypertrichosis - chemical induced hypertrichosis . Some chemicals may promote excess hair growth. Hirsutism / Hypertrichosis - injury induced hypertrichosis . Minor injuries and abrasions can promote localized hair growth. Hirsutism / Hypertrichosis - pressure induced hypertrichosis . Pressure applied to an area of skin for a long time may encourage excess hair growth. Hirsutism / Hypertrichosis - allergy, infection, and vaccination induced hypertrichosis

18. Dianette Features information about the use of this drug in the treatment of hirsutism and polycystic ovarian syndrome. http://www.dundee.ac.uk/medicine/tayendoweb/images/dianette.htm

A B O U T Y O U R M E D I C I N E DIANETTE® (CO-CYPRINDIOL) IN HIRSUTISM in women (DIANETTE® (CO-CYPRINDIOL) IN POLYCYSTIC OVARIAN DISEASE) How does it work? How do I take it? What side effects can be expected? ... Storing your medicine Available as tablets containing Cyproterone Acetate 2 mg + Ethinyloestradiol 35 microgram supplied under the trade name Dianette How does it work? Cyproterone Acetate is an anti-androgen and blocks the normal activity of the small amount of male type hormone called androgen which every women normally produces and is necessary for axillary and pubic hair formation and maintenance. Cyproterone can be highly effective in many women with excess sexual sited hair (called hirsutism). Only a small dose is present in Dianette combined with the female type hormone ethinyloestradiol (an oestrogen). This may be sufficient for women with mild hirsutism - much higher doses are used in severe cases (see Cyproterone Acetate). Cyproterone Acetate is also a potent progestational hormone (a second type of female sex hormone) and as such it inhibits the production of oestrogen. The addition of ethinyloestradiol compensates for the lack of oestrogen and the problems (hot flushes, menopausal-type symptoms) that would otherwise result. In relation to its component medicines, Dianette resembles the oral contraceptive and, indeed, acts as an oral contraceptive.

19. Hirsutism / Hypertrichosis - Birth Control Pill Hirsutism keratin.com, hair loss, baldness, alopecia, disease, and treatment information. birth control pill hirsutism. Birth control pill hirsutism. http://www.keratin.com/ah/ah008.shtml

birth control pill hirsutism Home Forums Privacy Advertising ... Home On this page... Birth control pill hirsutism Brief list of birth control pills for hirsutism avoidance Birth control pill hirsutism references Birth control pill hirsutism New birth control pill formulations contain progestins with less androgenic activity. For example norgestimate or desogestrel are non-androgenic progestins used in modern birth control pill formulations. Those that find birth control pills promote excess hair growth or hair loss usually find switching to another formulation helps. Excess hair growth is usually reversible, but some dermatologists suggest that once androgenetic alopecia is activated it is difficult to stop or reverse even when the original trigger factor is removed. Of course estrogens and progestins as in birth control pills or hormone replacement therapy are used to treat excess hair growth. Some people get confused with this as estrogens are antiandrogens and as such is should help reduce the effects of androgenic hair loss. Whether estrogens promote hair growth or are used to limit growth depends on the type of hair follicles involved. Estrogens help reduce androgen production but androgens have different effects on different types of hair follicles. Androgens promote hair loss in sensitive scalp hair follicles but promote hair growth in facial (beard, mustache), chest, axilla and to some degree arm and leg areas where hair follicles are also receptive to androgens.

20. Error Page The possible causes, guidelines for doctors for diagnosing, and treatment tailored to individual needs are some of the items discussed. http://www.medscape.com/jobson/MedTrib/obgyn/1997/v04.n09/DoctorsMustRecognize'b

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