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References

DOI: 10.1210/jc.2018-00241

• For most women with patient-important hirsutism despite cosmetic measures, we suggest starting with pharmacological therapy (2 |OOO).
• For the majority of women with hirsutism who are not seeking fertility, we suggest OCs as initial therapy for treating patient-important hirsutism. (2 |OO)
• For all pharmacologic therapies for hirsutism, we suggest a trial of at least 6 months before making changes in dose, switching to a new medication, or adding medication. (2 |OOO)
• For women who then desire additional cosmetic benefit, we suggest adding direct hair removal methods.
• Due to the long hair growth cycle, it takes ≥6 months to detect the effects of hormonal therapy and ≥9 months for these effects to become maximal.