ABSTRACT
When true hirsutism, alone or with other patterns of hyperandrogenism, developps, it may correspond to an ovarian or adrenal tumor (43).
True hirsutism, but not facial hypertrichosis, responds well to antiandrogens (cyproterone acetate or spironolactone) (44). HRT has no or little effect. Facial hirsutism needs epilation (laser or any other method). Eflornithine (45), a potent inhibitor of polyamine metabolism, may also be used (Vanica1 cream). The 5a-reductase inhibitor finasteride was also shown to improve facial hirsutism when topically applied, with a decreased hair growth and thickness (46).
