The patient also presented with oily skin and acne, but showed no signs of virilization, such as temporal balding, deepening of the voice, or increased muscle mass. The patient had no fertility concerns. Reducing this androgenic bioactivity is the basis of effective treatment. The sources of androgenic hormones are the ovaries and the adrenal glands. Spironolactone is a potassium-sparing diuretic, so I check electrolytes one to two weeks after initiation.
Many women are very grateful to physicians who address their treatable cosmetic concerns seriously.