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ESHIR1852a
Disclaimer
is pocket guide attempts to define principles of practice that should produce high-quality patient
care. It focuses on the needs of primary care practice, but also is applicable to providers at all levels.
is pocket guide should not be considered exclusive of other methods of care reasonably directed at
obtaining the same results. e ultimate judgment concerning the propriety of any course of conduct
must be made by the clinician aer consideration of each individual patient situation.Neither IGC,
the medical associations, nor the authors endorse any product or service associated with the distributor
of this clinical reference tool.
Source
Martin KA, Anderson RR, Chang RJ, Ehrmann DA, Lobo RA, Murad MH, Pugeat MM,
Rosenfield RL. Evaluation and Treatment of Hirsutism in Premenopausal Women: An Endocrine
Society Clinical Practice Guideline. J Clin Endocrinol Metab, 2018 Mar 7. doi: 10.1210/jc.2018-
00241. [Epub ahead of print]
Abbreviations
CPA, cyproterone acetate; DSP, drospirenone; EE, ethinyl estradiol; GnRH, gonadotropin-
releasing hormone; IPL, intense pulsed light; NCCAH, nonclassical congenital adrenal
hyperplasia; OC, oral contraceptive; PCOS, polycystic ovary syndrome; PH, paradoxical
hypertrichosis; SHBG, sex hormone-binding globulin; VTE, venous thromboembolism
Grading System
Strength of
Recommendation
1 = strong 2 = conditional UGPS = ungraded good
practice statement
Quality of
Evidence
⊕⊕⊕⊕
= high
⊕⊕⊕
= moderate
⊕⊕
= low
⊕
= very low
