A 28-year-old woman with PCOS presents to the GP for management of hirsutism. She has no desire for pregnancy. She has been using the combined oral co...

Question

A 28-year-old woman with PCOS presents to the GP for management of hirsutism. She has no desire for pregnancy. She has been using the combined oral contraceptive pill for 6 months with some improvement but remains distressed by facial hair growth. Which is the single most appropriate additional treatment?

Accepted Answer

Topical eflornithine cream applied to affected areas

Answer

Spironolactone 100 mg daily (with reliable contraception)

Answer

Metformin 500 mg three times daily

Answer

Dexamethasone 0.5 mg at night

Answer

Finasteride 5 mg daily

uk-drcog MCQ (SBA): Hirsutism in PCOS