However, patients should be counseled that medical therapy requires a minimum of 3-6 months to achieve a reduction in hirsutism. Usually, these medical therapies only affect hirsutism by diminishing new terminal hair growth and do little for hair already present. Virilization is extremely rare, and this term should not be used interchangeably with hirsutism. When cyclic interactions among hypothalamic, pituitary, and ovarian hormones become tonic, ovulation ceases, and the predictability of menstruation is lost. Interference with these cyclic interactions results in anovulation, irregular menstruation, or amenorrhea and is known as dysfunctional uterine bleeding.
Appropriate treatment is administration of low-dose glucocorticoids.
This dosage of prednisone will not completely suppress ACTH secretion. Management Surgery should be the last choice for management of women with dysfunctional uterine bleeding. Because the problem is self-limiting and can be controlled with medication, surgery is rarely indicated.