Which specialist consultations are needed for the management of androgen excess?

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 mild hirsutism can be treated safely and effectively by most primary care providers after serious etiologies have been excluded. Those with more significant symptoms or life-threatening disease should be referred to specialists. Women with emotional distress regardless of the degree of symptoms often benefit from referral for psychological support.

Women with significant acne or hirsutism that does not respond to standard therapy are often best treated in conjunction with a dermatologist and sometimes a medical or reproductive endocrinologist. Women with signs of virilization should be evaluated by a medical endocrinologist. Likewise, women with significant adrenal disease require the expertise of a medical endocrinologist and possibly a surgeon specializing in adrenal tumors.

Women with PCOS are 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.


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