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Vol 80, No 5 (2009)
ARTICLES
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Evaluation and treatment of adolescent girls with hirsutism

Jonas Alisauskas, Żana Bumbuliene
Ginekol Pol 2009;80(5).

open access

Vol 80, No 5 (2009)
ARTICLES

Abstract

Summary Clinical manifestations of androgen excess which are skin and hair related (hirsutism, acne, alopecia) are common and distressing symptoms for an adolescent girls. During puberty and at the time of the first menstruation cycles, physiological hyperandrogenism can be observed. The causes of hirsutism can be various, including familial, idiopathic, and those, caused by excess androgen secretion by the ovary (PCOS, tumors), or by adrenal glands (congenital adrenal hyperplasia, tumor), or exogenous pharmacologic sources of androgens. The diagnosis and treatment of hirsutism remains quite problematic due to innumerous endocrinologic aspects and unsatisfactory treatment results. Androgen excess during puberty must be appropriately recognized, clinically evaluated and treated. Pharmacologic and cosmetic treatments may have beneficial effect. Oral contraceptives and antiadrogens combinations may be recommended as the treatment of choice in adolescents.

Abstract

Summary Clinical manifestations of androgen excess which are skin and hair related (hirsutism, acne, alopecia) are common and distressing symptoms for an adolescent girls. During puberty and at the time of the first menstruation cycles, physiological hyperandrogenism can be observed. The causes of hirsutism can be various, including familial, idiopathic, and those, caused by excess androgen secretion by the ovary (PCOS, tumors), or by adrenal glands (congenital adrenal hyperplasia, tumor), or exogenous pharmacologic sources of androgens. The diagnosis and treatment of hirsutism remains quite problematic due to innumerous endocrinologic aspects and unsatisfactory treatment results. Androgen excess during puberty must be appropriately recognized, clinically evaluated and treated. Pharmacologic and cosmetic treatments may have beneficial effect. Oral contraceptives and antiadrogens combinations may be recommended as the treatment of choice in adolescents.
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Keywords

hyperandrogenism, hirsutism, adolescence, puberty

About this article
Title

Evaluation and treatment of adolescent girls with hirsutism

Journal

Ginekologia Polska

Issue

Vol 80, No 5 (2009)

Bibliographic record

Ginekol Pol 2009;80(5).

Keywords

hyperandrogenism
hirsutism
adolescence
puberty

Authors

Jonas Alisauskas
Żana Bumbuliene

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