How is androgen excess managed in women with polycystic ovary syndrome (PCOS)?

Updated: Mar 14, 2018
  • Author: Mohamed Yahya Abdel-Rahman, MD, MSc; Chief Editor: Richard Scott Lucidi, MD, FACOG  more...
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Answer

Women with PCOS should be comanaged with an obstetrician-gynecologist or reproductive endocrinologist, particularly if infertility is a factor. Those with ovarian tumors should be evaluated and treated by an obstetrician-gynecologist or a gynecologic oncologist.

Many women are familiar with different hair removal methods like shaving, waxing, and using depilatory creams. They are all easy, safe, and inexpensive; however, mild skin irritation either due to local trauma or chemical reaction may occur. [80] Women using these methods can be reassured that these methods do not exacerbate hair growth, but they will not lower the androgen levels if they are elevated. Combining one of these local measures with systemic treatment might help achieve rapid response and better patient satisfaction.


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