Treatment of androgenic disorders in women: acne, hirsutism, and alopecia
Geoffrey P. Redmond, MD
Wilma F. Bergfeld, MDAddress reprint requests to W.F.B., Department of Dermatology, The Cleveland Clinic Foundation, One Clinic Center, 9500 Euclid Avenue, Cleveland, Ohio 44195.
Androgen excess disorders—acne, alopecia, and hirsutism—can be treated effectively with endocrine therapy such as androgen receptor blockers or antagonists, or with androgen suppression. Spironolactone, estrogen, and dexamethasone are considered the most effective approaches to treatment. Whatever the modality, careful planning is key to success, with recognition that response rates vary from patient to patient. A treatment regimen generally continues for at least 2 years.