Women with PCOS and Hirsutism, management is :: (A) Ethinyl estradiol, (B) Ethinyl estradiol + Cyproterone Acetate, (C) Levonorgestrel, (D) Ethinyl estradiol + Levonorgestrel
Answer is B. Drugs used for Hirusitism: 1.Ovarian Suppression agents a.Oral Contraceptives b.Cyproterone acetate. c.GnRH agonist and antagonist. 2.Adrenal suppresion agents a.Glucocoicoids. 3.Androgen receptor blocking agents a.Spironolactone b.Flutamide. c.Cyproterone acetate. 5. 5 alpha reductase inhibitor a.Finasteride. Shaw's textbook of Gynecology 16th edition page no 152