2008Contemporary EndocrinologyRequires access

Recommended Treatment Modalities for Hyperandrogenism

Michel Pugeat, Nisrin Kaddar, Véronique Raverot

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Abstract

SummaryImprovement in androgenic symptoms generally requires ovarian androgen suppression. Insulin sensitizers may also be effective. Androgen suppression (e.g., oral contraceptives or metformin) alone produces modest decreases in the degree of hirsutism; concomitant antiandrogen therapy improves effectiveness considerably. The use of androgen receptor (AR) competitive inhibitors such as spironolactone, flutamide, or cyproterone acetate is recommended for the treatment of dermatologic hyperandrogenic symptoms, principally hirsutism.

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SummaryImprovement in androgenic symptoms generally requires ovarian androgen suppression. Insulin sensitizers may also be effective. Androgen suppression (e.g., oral contraceptives or metformin) alone produces modest decreases in the degree of hirsutism; concomitant antiandrogen therapy improves effectiveness considerably. The use of androgen receptor (AR) competitive inhibitors such as spironolactone, flutamide, or cyproterone acetate is recommended for the treatment of dermatologic hyperandrogenic symptoms, principally hirsutism.

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Available abstract

SummaryImprovement in androgenic symptoms generally requires ovarian androgen suppression. Insulin sensitizers may also be effective. Androgen suppression (e.g., oral contraceptives or metformin) alone produces modest decreases in the degree of hirsutism; concomitant antiandrogen therapy improves effectiveness considerably. The use of androgen receptor (AR) competitive inhibitors such as spironolactone, flutamide, or cyproterone acetate is recommended for the treatment of dermatologic hyperandrogenic symptoms, principally hirsutism.

Key concepts: Cyproterone acetate, Flutamide, hirsutism, Hyperandrogenism, Antiandrogen, Medicine, Spironolactone, Cyproterone

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