Monitoring

  • Women should be evaluated every 3 months for treatment response and development of any adverse effects. Once stable, monitoring is every 6 months.

  • Combination therapy may be required to achieve results in ameliorating hyperandrogenism.

  • Long growth cycle of hair follicles mandates that treatments directed against hirsutism not be abandoned prematurely. Medical therapy against hirsutism should be given for at least 6 months before deciding on efficacy.[12][78]

  • Women undergoing hormonal infertility treatment (letrozole, clomiphene, gonadotropins, assisted reproductive technologies) will require frequent follow-up.

  • As a fertility treatment, metformin is given long term.

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