Evaluation of Topical Spironolactone 5% Gel Versus Eflornithine 13.9 % Cream in Treatment of Idiopathic Hirsutism: A Clinical Trial | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 163, Volume 100, Issue 1, July 2025, Page 3680-3686 PDF (385.35 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2025.447693 | ||||
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| Abstract | ||||
| Background: Hirsutism is defined as excessive growth of terminal hair (THs) in androgen-dependent regions. It is essential to consider a woman’s menopausal status when evaluating the cause of hirsutism. Topical eflornithine has been shown to improve hair reduction. Spironolactone acts by competing for androgen receptors in hair follicles. Objectives: The current study aimed to evaluate the efficacy of topical spironolactone 5% gel versus those of topical eflornithine 13.9% cream in the management of idiopathic hirsutism. Patients and methods: This randomized controlled trial included 58 patients with idiopathic hirsutism who were divided into two groups, Group 1 included 29 hirsute females treated with topical spironolactone gel 5% applied twice daily for 6 months and Group 2 included 29 hirsute females treated with topical eflornithine 13.9% cream applied twice daily for 6 months. Patients underwent scoring according to the Ferriman-Gallwey (F-G) scale for hirsutism before the start of treatment, during follow-up and at the end of the study. Results: Regarding F-G score before treatment, the mean scores were comparable between both groups (Group 1: 11.52, Group 2: 10.59), while after treatment, the mean scores significantly decreased in both groups (Group 1: 7.48, Group 2: 7.62). In addition, group 1 showed a significantly lower score after treatment compared with group 2. Group 1 had a higher mean percent improvement in the Ferriman-Gallwey scores and higher satisfaction scores compared to Group 2. Conclusion: It could be concluded that both topical spironolactone 5% gel and eflornithine 13.9% cream are effective options for managing idiopathic hirsutism and show a significant decrease in Ferriman-Gallwey scores after treatment, with group 1 reporting higher satisfaction scores and higher mean percent improvement. | ||||
| Keywords | ||||
| Topical Spironolactone; Eflornithine; Idiopathic Hirsutism | ||||
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