Final answer:
In treating hirsutism associated with polycystic ovary syndrome (PCOS), medications like metformin and anti-androgens, as well as birth control pills, can be used to manage hormonal imbalances. If pharmacological treatments fail, laser hair removal or electrolysis could be considered. A healthcare provider should be consulted to create an effective treatment plan.
Step-by-step explanation:
Treating Hirsutism in PCOS
For a patient with polycystic ovary syndrome (PCOS) who has not seen improvement in hirsutism after six months of initial treatments, more advanced medical interventions may be considered. A common strategy is to manage the underlying hormonal imbalance that leads to high levels of androgens, which are associated with hirsutism. Medications such as metformin may improve insulin functioning and lower testosterone levels, potentially reducing symptoms. Anti-androgens like spironolactone and flutamide can directly inhibit the action of male hormones on the skin and hair follicles, leading to a reduction in unwanted hair growth.
Birth control pills containing synthetic progesterone (sometimes in combination with estrogen) can also help regulate the menstrual cycle and decrease androgen production, improving the symptoms of hirsutism. For patients attempting to conceive, a different approach might involve fertility medications to stimulate ovulation. If these pharmacological treatments are ineffective, alternative methods such as laser hair removal or electrolysis for hair removal can be options. It's essential to consult a healthcare provider to determine the most appropriate treatment plan based on individual needs and overall health.