This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: PCOD, hirsutism and galactorrhea, Subject name: Gynaecology & Obstetrics
Treatment of Hirsutism in PCOD, Drug used is : 
Select and explain. 
A. Menopausal Gonadotropin, B. GnRH, C. Spironolactone, D. Hcg
C: Spironolactone
Answer: C: Spironolactone 
Explanation: In PCOD with Hirustism,drugs given are; a.oral contraceptive b.anti androgens Antiandrogens in PCOD Used are spironolactone, cyproterone acetate, Flutamide and Finasteride Spironolactone in a dose of 100-200 mg daily, blocks the androgen receptors, reduces it production and increases its metabolism and thus prevents hirsutism in 60%cases. It is best given with combined oral pills to avoid irregular menstruation and possible feminisation of male fetus during therapy Maintainance dose after 6-12 months is 50mg of spironolactone with oral pills Ref : SHAW'S TEXTBOOKOF GYNECOLOGY; 15th edition; Pg no:117