May also be associated with male pattern balding, deepening of the voice, and enlargement of the clitoris. Late-Onset Adrenal Hyperplasia May be associated with irregular periods, severe hirsutism, and defeminization. Evaluation and Treatment Initial evaluation consists of a complete history and physical exam. Often, this is enough to establish a diagnosis. The diagnosis is confirmed with further laboratory testing and possible radiological studies.
Treatment depends on the cause.
If a tumor or metabolic disorder is found, these disease processes are treated. If these causes are ruled out, treatment depends on the patient s desire. Options for treatment include medical therapy and cosmetic-based hair removal. Medical therapy is successful in preventing new hair growth but does not affect existing hair. Existing hair must be managed by cosmetic therapy.