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5 mg orally at bedtime or 5 mg orally twice daily• Hirsutism reflects the interaction between circulating androgen concentrations, local androgen concentrations, and the sensitivity of the hair follicle to androgens.

Despite questions surrounding the causes of PCOS, advances have been made in both understanding and treating the condition.

Consider urine free cortisol level• NCAH is a genetic disorder most commonly seen in certain ethnic groups, including Ashkenazi Jews, Eskimos, and French-Canadians.

Exam including exam, skin exam, and abdominal and pelvic exam• This is due to decrease in ovarian estrogen secretion with continuous androgen production.

, If the condition does not respond to therapy or progresses, further testing is warranted.

Has your menstrual cycle changed, or have you stopped having your period? However, when given in more prolonged doses, they decrease FSH and LH production by the pituitary, which in turn decreases ovarian hormone production.

Possible side effects include nausea and headache.

Also searched were the Cochrane database, Essential Evidence Plus, and the reference sections of cited articles.

Androgen levels will be significantly above normal range• , , The antiandrogens spironolactone Aldactone , finasteride Propecia , flutamide, and cyproterone not available in the United States have been shown to be effective treatments for hirsutism.

leads to diagnosis at birth• Has the size of your breasts changed? What's likely causing my symptoms? : A dual antiandrogen and.