Hirsutism Non-pharmacological therapy: Difference between revisions
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Created page with "__NOTOC__ {{Hirsutism}} {{CMG}}; {{AE}}{{EG}} ==Overview== Pharmacologic medical therapies for hirsituism include oral contraceptives, antiandrogen therapy|androgen re..." |
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*There are various means of cosmetic treatment for hirsutism, they are including: | *There are various means of cosmetic treatment for hirsutism, they are including: | ||
====Permanent hair removal==== | ====Permanent hair removal==== | ||
*[[Electrolysis]] | *'''[[Electrolysis]]''' | ||
**The method consisted of introducing a tiny needle to each [[hair follicle]], emitting a high electrical pulse and destroy the [[hair follicle| | **The method consisted of introducing a tiny needle to each [[hair follicle]], emitting a high electrical pulse and destroy the [[hair follicle|hair bulb]]; stopping the hair growth. | ||
**The procedure is very effective, but painful. Therefore, topical [[Lidocaine|pain relievers]] may be used before the procedure.<ref name="pmid22171681">{{cite journal |vauthors=Blume-Peytavi U |title=An overview of unwanted female hair |journal=Br. J. Dermatol. |volume=165 Suppl 3 |issue= |pages=19–23 |year=2011 |pmid=22171681 |doi=10.1111/j.1365-2133.2011.10632.x |url=}}</ref><ref name="pmid22335316">{{cite journal |vauthors=Bode D, Seehusen DA, Baird D |title=Hirsutism in women |journal=Am Fam Physician |volume=85 |issue=4 |pages=373–80 |year=2012 |pmid=22335316 |doi= |url=}}</ref><ref name="pmid7673501">{{cite journal |vauthors=Richards RN, Meharg GE |title=Electrolysis: observations from 13 years and 140,000 hours of experience |journal=J. Am. Acad. Dermatol. |volume=33 |issue=4 |pages=662–6 |year=1995 |pmid=7673501 |doi= |url=}}</ref> | **The procedure is very effective, but painful. Therefore, topical [[Lidocaine|pain relievers]] may be used before the procedure.<ref name="pmid22171681">{{cite journal |vauthors=Blume-Peytavi U |title=An overview of unwanted female hair |journal=Br. J. Dermatol. |volume=165 Suppl 3 |issue= |pages=19–23 |year=2011 |pmid=22171681 |doi=10.1111/j.1365-2133.2011.10632.x |url=}}</ref><ref name="pmid22335316">{{cite journal |vauthors=Bode D, Seehusen DA, Baird D |title=Hirsutism in women |journal=Am Fam Physician |volume=85 |issue=4 |pages=373–80 |year=2012 |pmid=22335316 |doi= |url=}}</ref><ref name="pmid7673501">{{cite journal |vauthors=Richards RN, Meharg GE |title=Electrolysis: observations from 13 years and 140,000 hours of experience |journal=J. Am. Acad. Dermatol. |volume=33 |issue=4 |pages=662–6 |year=1995 |pmid=7673501 |doi= |url=}}</ref> | ||
*[[Laser therapy]] | *'''[[Thermolysis]]''' | ||
** | **This method is so much faster, but less effective. | ||
**The current used in this procedure is alternating high frequency, heating up the [[hair follicle|follicle]]. | |||
**The extreme heating of the [[hair follicle|follicle]] destroys the bulb and pauses the hair growth. | |||
*'''[[Laser therapy]]''' | |||
**Using [[Laser]] for damaging the [[hair follicle]] and pausing its growth through the skin | |||
**It may take several sessions of treatment to get rid of the hairs, completely. | |||
**The most prevalent side effects are skin irritation and [[inflammation]] after the sessions of [[laser]] therapy. | |||
**In patients with tanned or dark [[skin]], it may lead to [[skin]] burn and also [[hyperpigmentation]].<ref name="pmid11722446">{{cite journal |vauthors=Lanigan SW |title=Management of unwanted hair in females |journal=Clin. Exp. Dermatol. |volume=26 |issue=8 |pages=644–7 |year=2001 |pmid=11722446 |doi= |url=}}</ref> | |||
====Transient hair removal==== | |||
*'''Pluking''' | |||
** | |||
*'''Shaving''' | |||
*'''Waxing''' | |||
*'''Chemical depilators''' | |||
*'''Bleaching''' | |||
1. shaving, chemical depilatories, bleaching, plucking, | 1. shaving, chemical depilatories, bleaching, plucking, | ||
Revision as of 12:44, 10 October 2017
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Hirsutism Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2]
Overview
Pharmacologic medical therapies for hirsituism include oral contraceptives, androgen receptor blockers, 5-alpha reductase inhibitors, gonadotrophin-releasing hormone (GnRH agonist), adrenal suppressive glucocorticoids, insulin-sensitising agents, and biological modifiers of hair follicular growth. Treatment options are systemic therapy and topical therapy.
Non-pharmacological Therapy
Lifestyle Modification
- The main reason of hirsutism is polycystic ovary syndrome (PCOS). The main lifestyle modifications that can be suggested to PCOS patients are as followings:
- Loosing weight
- Exercise
- Diet
- Smoking cessation
- Smoking cessation can be encouraged, because of lowering probability of side effects from hirsutism pharmacological therapy, such as cardiovascular events resulting from oral contraceptive pills (OCPs).[1]
- The main effects that lifestyle modification may have are including:
- Lowering of free testosterone
- Reduction of androgen production by the ovaries
- Reduction of serum insulin
- Increase in sex hormone binding globulin (SHBG)
- Improvement in fertility
- Improvement in quality of life
- Raising self-esteem[2][3][4]
Cosmetic Measures
- There are various means of cosmetic treatment for hirsutism, they are including:
Permanent hair removal
- Electrolysis
- The method consisted of introducing a tiny needle to each hair follicle, emitting a high electrical pulse and destroy the hair bulb; stopping the hair growth.
- The procedure is very effective, but painful. Therefore, topical pain relievers may be used before the procedure.[3][4][5]
- Thermolysis
- Laser therapy
- Using Laser for damaging the hair follicle and pausing its growth through the skin
- It may take several sessions of treatment to get rid of the hairs, completely.
- The most prevalent side effects are skin irritation and inflammation after the sessions of laser therapy.
- In patients with tanned or dark skin, it may lead to skin burn and also hyperpigmentation.[6]
Transient hair removal
- Pluking
- Shaving
- Waxing
- Chemical depilators
- Bleaching
1. shaving, chemical depilatories, bleaching, plucking,
tweezing or threading, and waxing (Bode 2012;
Escobar-Morreale 2012; Lanigan 2001);
2. electrolysis in the form of galvanic electrolysis, thermolysis,
or a combination of both (Blume-Peytavi 2011; Bode 2012;
Escobar-Morreale 2012; Richards 1995); and
3. laser and photo epilation (Escobar-Morreale 2012;
Haedersdal 2011; Lanigan 2001; Sadighha 2009).
The review will not include treatment with laser and photoepilation
alone because they are covered in another Cochrane review
(Haedersdal 2006).
- Bleaching, shaving, depilating agents, plucking, waxing treatments.
- Electrosurgical methods include electrosurgical epilation and Laser therapy which can remove unwanted hair for some women specially for women with dark hair and light skin.[7]
Light-source-assisted hair reduction (photoepilation) is a common method in the treatment of unwanted hair and is more effective than shaving, waxing and electrolysis.[8]
| Skin/hair color | Choice of photoepilation device |
|---|---|
| Light skin/dark hair | Relatively short wavelength |
| Dark skin/dark hair | Relatively long wavelength or IPL(intense pulsed light) |
| Light/white hair | IPL + radiofrequency |
References
- ↑ Escobar-Morreale HF (2010). "Diagnosis and management of hirsutism". Ann. N. Y. Acad. Sci. 1205: 166–74. doi:10.1111/j.1749-6632.2010.05652.x. PMID 20840269.
- ↑ Koulouri O, Conway GS (2008). "A systematic review of commonly used medical treatments for hirsutism in women". Clin. Endocrinol. (Oxf). 68 (5): 800–5. doi:10.1111/j.1365-2265.2007.03105.x. PMID 17980017.
- ↑ 3.0 3.1 Blume-Peytavi U (2011). "An overview of unwanted female hair". Br. J. Dermatol. 165 Suppl 3: 19–23. doi:10.1111/j.1365-2133.2011.10632.x. PMID 22171681.
- ↑ 4.0 4.1 Bode D, Seehusen DA, Baird D (2012). "Hirsutism in women". Am Fam Physician. 85 (4): 373–80. PMID 22335316.
- ↑ Richards RN, Meharg GE (1995). "Electrolysis: observations from 13 years and 140,000 hours of experience". J. Am. Acad. Dermatol. 33 (4): 662–6. PMID 7673501.
- ↑ Lanigan SW (2001). "Management of unwanted hair in females". Clin. Exp. Dermatol. 26 (8): 644–7. PMID 11722446.
- ↑ Franks, Stephen (2012). "The investigation and management of hirsutism". Journal of Family Planning and Reproductive Health Care. 38 (3): 182–186. doi:10.1136/jfprhc-2011-100175. ISSN 1471-1893.
- ↑ Dierickx CC, Grossman MC, Farinelli WA, Anderson RR (1998). "Permanent hair removal by normal-mode ruby laser". Arch Dermatol. 134 (7): 837–42. PMID 9681347.
- ↑ Goh CL (2003). "Comparative study on a single treatment response to long pulse Nd:YAG lasers and intense pulse light therapy for hair removal on skin type IV to VI--is longer wavelengths lasers preferred over shorter wavelengths lights for assisted hair removal". J Dermatolog Treat. 14 (4): 243–7. doi:10.1080/09546630310004171. PMID 14660273.