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| *Effective measures for the secondary prevention of hirsutism include [[lifestyle]] modification and [[pharmacological]] prevention. | | *Effective measures for the secondary prevention of hirsutism include [[lifestyle]] modification and [[pharmacological]] prevention. |
| ===Lifestyle modification=== | | ===Lifestyle modification=== |
| *First-line non-pharmacological therapy to decrease future [[cardiovascular]] and [[metabolic diseases]] ([[diabetes mellitus]])
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| *They have to be considered more in obese women with [[polycystic ovary syndrome|polycystic ovary syndrome (PCOS)]]
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| *They are better to combine with:
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| **[[Behavioral therapy|Behavioral therapies]] ([[psychological]])
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| **[[Diet]]
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| **[[Exercise]]<ref name="pmid19463994">{{cite journal |vauthors=Karimzadeh MA, Javedani M |title=An assessment of lifestyle modification versus medical treatment with clomiphene citrate, metformin, and clomiphene citrate-metformin in patients with polycystic ovary syndrome |journal=Fertil. Steril. |volume=94 |issue=1 |pages=216–20 |year=2010 |pmid=19463994 |doi=10.1016/j.fertnstert.2009.02.078 |url=}}</ref><ref name="pmid23830153">{{cite journal |vauthors=Graff SK, Mário FM, Alves BC, Spritzer PM |title=Dietary glycemic index is associated with less favorable anthropometric and metabolic profiles in polycystic ovary syndrome women with different phenotypes |journal=Fertil. Steril. |volume=100 |issue=4 |pages=1081–8 |year=2013 |pmid=23830153 |doi=10.1016/j.fertnstert.2013.06.005 |url=}}</ref><ref name="pmid18927072">{{cite journal |vauthors=Nieuwenhuis-Ruifrok AE, Kuchenbecker WK, Hoek A, Middleton P, Norman RJ |title=Insulin sensitizing drugs for weight loss in women of reproductive age who are overweight or obese: systematic review and meta-analysis |journal=Hum. Reprod. Update |volume=15 |issue=1 |pages=57–68 |year=2009 |pmid=18927072 |doi=10.1093/humupd/dmn043 |url=}}</ref>
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| ===Pharmacological prevention===
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| *Although the [[lifestyle]] modification is really decrease the risk of future diseases, but sometimes it will be necessary to add a medicine to [[lifestyle]] modification.
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| *These drugs are generally used for:
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| ** [[Dyslipidemia]] with [[statins]]
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| ** [[Metabolic syndrome]], [[pre-diabetes]] or [[type 2 diabetes]] with [[insulin]] sensitizing agents
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| ** [[Hypertension]] with [[anti-hypertensive]] agents
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| ** [[Severe obesity]] with anti-[[obesity]] agents
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| *Studies suggest that [[obese]] women with [[PCOS]] may be less likely to develop hirsutism if they eat a low-calorie diet.<ref name="Franks2012">{{cite journal|last1=Franks|first1=Stephen|title=The investigation and management of hirsutism|journal=Journal of Family Planning and Reproductive Health Care|volume=38|issue=3|year=2012|pages=182–186|issn=1471-1893|doi=10.1136/jfprhc-2011-100175}}</ref>
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| ==References== | | ==References== |