Treatments for Masculinisation
Treatments for Masculinisation
The list of treatments mentioned in various sources
for Masculinisation
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
Masculinisation: Is the Diagnosis Correct?
The first step in getting correct treatment is
to get a correct diagnosis.
Differential diagnosis list for Masculinisation may include:
Hidden causes of Masculinisation may be incorrectly diagnosed:
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Hirsutism:
Treatment
(In A Page: Pediatric Signs and Symptoms)
- PCOS and idiopathic
–Estrogen-predominant oral contraceptives decrease
plasma androgens
–Depo-Provera may also be used
–Spironolactone works by competing for androgen
receptors
–Cimetidine has a side effect of decreasing testosterone and increasing estrogen levels
–GnRH agonist to facilitate better function of the hypothalamic-pituitary axis
-
Drug-induced: Eliminate causative medication if possible and hirsutism may resolve spontaneously
-
Hyperprolactinemia: Bromocriptine (prolactin antagonist)
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Hirsutism:
Treatment
(Professional Guide to Diseases (Eighth Edition))
At the patient’s request, treatment for idiopathic hirsutism consists of eliminating excess hair by scissors, shaving, or depilatory creams, or removal of the entire hair shaft with tweezers or wax. However, removal with laser is the most effective method. Bleaching with hydrogen peroxide may also be satisfactory. Electrolysis can destroy hair bulbs permanently, but it works best when only a few hairs need to be removed. (A history of keloid formation contraindicates this procedure.) Hirsutism due to elevated androgen levels may require low-dose dexamethasone or prednisone, hormonal contraceptives, or androgen receptor–competitive inhibitors — such as spironolactone, cyproterone acetate, or cimetidine — however, these drugs vary in effectiveness.
Treatment for secondary hirsutism varies, depending on the nature of the underlying disorder.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Hirsutism:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
Help relieve the patient’s anxiety by explaining the cause of excessive hair growth and by encouraging her to talk about her self-image problems or fears. Involve the family in your discussions.
Tell the patient that hormonal treatment stops further hair growth but doesn’t always reverse hair growth that has already occurred. Treatment requires at least 6 to 24 months and may be lifelong.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Hirsutism:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Help relieve the patient’s anxiety by explaining the cause of excessive hair growth and by encouraging her to talk about her self-image problems or fears. Involve the family in your discussions.
Tell the patient that hormonal treatment stops further hair growth but doesn’t always reverse hair growth that has already occurred. Treatment requires a minimum of 6 to 24 months and may be lifelong.
At the patient’s request, provide information on hair removal methods, such as bleaching, tweezing, hot wax treatments, chemical depilatories, shaving, and electrolysis. Advise the patient that electrolysis should be done only by a licensed professional.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
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