Sandbox:SMMM: Difference between revisions
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==Treatment== | |||
Shown below is an algorithm summarizing the treatment of <nowiki>hirsutism</nowiki> according the Endocrine Society Clinical Practice guidelines. | |||
{{familytree/start |summary=PE diagnosis Algorithm.}} | |||
{{family tree | | | | | | | | | | | A01 | | | |A01= Initial therapy for patient with hirsutism}} | |||
{{familytree | | |,|-|-|-|-|-|-|-|-|+|-|-|-|-|-|-|.| }} | |||
{{familytree | | B01 | | | | | | | B02 | | | | | B03 |B01=Mild hirsutism and no evidence of an endocrine disorder | |||
|B02=Moderate or patient-important hirsutism | |||
|B03=Severe hirsutism}} | |||
{{familytree |,|-|^|-|-|.| | | | | |!| | | | | | |!| }} | |||
{{familytree |C01 | | C02 | | | | C03 | | | | | C04 |C01=Direct hair removal methods|C02=Pharmacological therapy |C03=Pharmacological therapy | |||
(add direct hair removal if needed) |C04=Combined pharmacological therapy}} | |||
{{familytree | |!| | | |`|-|-|v|-|-|'| | | | | | |!|}} | |||
{{familytree | |!| | | | | | |!| | | | | | | | | |!|}} | |||
{{familytree |boxstyle=text-align: left; | D01 | | | | | D02 | | | | | | | | D03 |D01=• Photoepilation for women with auburn, brown, or black unwanted hair <br> | |||
• Electrolysis for women with white or blonde hair |D02=• Start oral contraceptives in women who are not seeking fertility <br> ** Use oral contraceptives containing the lowest effective dose of ethinyl estradiol and a low-risk progestin for women at higher risk for venous thromboembolism (e.g., obese or >39 years old) <br> • Start either oral contraceptives or anti-androgens in women who are not sexually active, have undergone permanent sterilization, or who are using long-acting reversible contraception |D03=Oral contraceptives and antiandrogens}} | |||
{{familytree | | | | | | | | |!| | | | | | | | | | |}} | |||
{{familytree | | | | | | | |E01| | | | | | | | | | |E01=Add an antiandrogen if hirsutism remains despite 6 months of monotherapy with an oral contraceptive | |||
}} | |||
Revision as of 16:14, 14 August 2020
S.Mojdeh Mirmomen
Treatment
Shown below is an algorithm summarizing the treatment of hirsutism according the Endocrine Society Clinical Practice guidelines.
| Initial therapy for patient with hirsutism | |||||||||||||||||||||||||||||||||||||||
| Mild hirsutism and no evidence of an endocrine disorder | Moderate or patient-important hirsutism | Severe hirsutism | |||||||||||||||||||||||||||||||||||||
| Direct hair removal methods | Pharmacological therapy | Pharmacological therapy (add direct hair removal if needed) | Combined pharmacological therapy | ||||||||||||||||||||||||||||||||||||
| • Photoepilation for women with auburn, brown, or black unwanted hair • Electrolysis for women with white or blonde hair | • Start oral contraceptives in women who are not seeking fertility ** Use oral contraceptives containing the lowest effective dose of ethinyl estradiol and a low-risk progestin for women at higher risk for venous thromboembolism (e.g., obese or >39 years old) • Start either oral contraceptives or anti-androgens in women who are not sexually active, have undergone permanent sterilization, or who are using long-acting reversible contraception | Oral contraceptives and antiandrogens | |||||||||||||||||||||||||||||||||||||
| Add an antiandrogen if hirsutism remains despite 6 months of monotherapy with an oral contraceptive | |||||||||||||||||||||||||||||||||||||||