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Hyperandrogenism: Acne and Hirsutism

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Handbook of Gynecology

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Abstract

Hyperandrogenism is a common pathology in women, with the main physical manifestations including hirsutism and acne. Etiologies include polycystic ovarian syndrome (PCOS), idiopathic hirsutism, classical and nonclassical congenital adrenal hyperplasia (CAH), ovarian and adrenal tumors, Cushing’s disease, and certain medications. The severity of the hirsutism will vary among patients, but treatment should be administered to those who desire it, even if their hirsutism is not severe. Treatment methods include weight reduction, hair removal, oral contraceptive pills, and antiandrogen medications including spironolactone, finasteride, cyproterone acetate, flutamide, and eflornithine. Treatments for acne include topical retinoids, topical antimicrobials (benzoyl peroxide), topical antibiotics (erythromycin, clindamycin, sulfacetamide, dapsone), or oral isotretinoin.

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Authors and Affiliations

  1. Reproductive Endocrinology and Infertility/Obstetrics and Gynecology, USU, National Institutes of Health and Walter Reed Natl. Military Medical Center, 10 CENTER DR Room 1-3140, MSC 1109, Bethesda, MD, 20892-1109, USA

    Micah Hill

  2. Oklahoma State University Department of Obstetrics and Gynecology, 717 South Houston Avenue, Suite 200, Tulsa, OK, 74127, USA

    M. Blake Evans

Authors
  1. M. Blake Evans
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  2. Micah Hill
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Correspondence to Micah Hill .

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Editors and Affiliations

  1. Department of Obstetrics and Gynecology and Family Medicine, University of Southern California Keck School of Medicine, Los Angeles, California, USA

    Donna Shoupe

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© 2016 Springer International Publishing Switzerland

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Evans, M.B., Hill, M. (2016). Hyperandrogenism: Acne and Hirsutism. In: Shoupe, D. (eds) Handbook of Gynecology. Springer, Cham. https://doi.org/10.1007/978-3-319-17002-2_40-2

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  • DOI: https://doi.org/10.1007/978-3-319-17002-2_40-2

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  • Publisher Name: Springer, Cham

  • Online ISBN: 978-3-319-17002-2

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Chapter history

  1. Latest

    Hyperandrogenism: Acne and Hirsutism
    Published:
    14 May 2016

    DOI: https://doi.org/10.1007/978-3-319-17002-2_40-2

  2. Original

    Hyperandrogenism: Acne and Hirsutism
    Published:
    05 February 2016

    DOI: https://doi.org/10.1007/978-3-319-17002-2_40-1

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