What is the role of spironolactone (aldosterone antagonist) in the treatment of hirsutism?

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Spironolactone for Hirsutism

Spironolactone is an effective treatment for hirsutism, with 100 mg daily demonstrating superior efficacy to other antiandrogens and producing significant clinical improvement within 2-6 months of treatment. 1, 2

Mechanism of Action

Spironolactone works through multiple pathways to reduce hirsutism 1, 3:

  • Decreases testosterone production at the ovarian level 4
  • Competitively inhibits testosterone and dihydrotestosterone binding to androgen receptors in the skin 1, 3
  • May inhibit 5α-reductase and increase steroid hormone-binding globulin 1

Evidence for Efficacy

Clinical Outcomes

  • Subjective improvement in hair growth occurs in approximately 77% of patients compared to 22% with placebo (RR 3.60) 1
  • Significant reduction in Ferriman-Gallwey scores (mean difference -7.20 points) compared to placebo 2
  • Clinical improvement becomes noticeable within 2 months, with maximal effect at 6 months and sustained benefit at 12 months 4
  • 54% reduction in hirsutism scores after one year of treatment 5

Comparative Effectiveness

  • Spironolactone 100 mg/day is superior to finasteride 5 mg/day and low-dose cyproterone acetate 12.5 mg/day up to 12 months after treatment ends 2
  • Equally effective in women with polycystic ovary syndrome and idiopathic hirsutism 4

Dosing Recommendations

Starting Dose

Begin with 50 mg twice daily (100 mg/day total) on days 4-21 of the menstrual cycle 6, 7:

  • Lower doses (50 mg daily) are effective but may take longer to show results 7
  • Higher doses (200 mg daily) are more effective but carry significantly higher risk of menstrual irregularities 6, 4

Dose Titration

  • If 100 mg twice daily causes intolerable side effects, reduce to 50 mg twice daily 6
  • At 100 mg twice daily, 68% of patients require dose reduction due to side effects, primarily metrorrhagia 6
  • At 50 mg twice daily, side effects are minimal and well-tolerated 6, 7

Side Effect Management

Menstrual Irregularities

Metrorrhagia with shortened cycles (14 days) occurs in 56% of women taking 100 mg twice daily 6:

  • Concomitant use of combined oral contraceptives (COCs) is recommended to regulate menses and reduce menstrual irregularities 3
  • Menstrual irregularities are less common in women using COCs 1
  • Consider adding cyclical estrogen/progesterone therapy to continuous spironolactone 6

Other Common Side Effects

  • Diuresis (limited to first few days of treatment) 4
  • Breast tenderness and enlargement 1
  • Fatigue and headache 1
  • Dizziness 1

Contraception Requirements

Spironolactone is pregnancy category C and can cause feminization of male fetuses 3:

  • Women of reproductive age must use effective contraception 1, 3
  • COCs serve dual purpose: contraception and menstrual regulation 3

Safety Monitoring

Potassium Monitoring

Potassium monitoring is NOT routinely required in young, healthy women 3:

  • Monitor potassium only in patients with risk factors: older age, hypertension, diabetes, chronic kidney disease, or concurrent use of ACE inhibitors, ARBs, or NSAIDs 1
  • When monitoring is indicated: check within 3 days, at 1 week, monthly for 3 months, then every 3 months 8

Concomitant Use with Drospirenone-Containing COCs

Spironolactone can be safely combined with drospirenone-containing COCs without increased risk of hyperkalemia 3:

  • No significant elevations in serum potassium were found in studies 3
  • No additional side effects requiring treatment discontinuation 1, 3

Treatment Timeline

  • Initial improvement: 2-3 months 4
  • Maximal effect: 6 months 4
  • Sustained benefit: Maintained at 12 months and beyond 2, 4
  • Treatment duration: Minimum 6-12 months recommended for full assessment 2, 5

Combination Therapy Approach

The combination of spironolactone with a COC is the most effective medical approach 1:

  • COCs decrease free testosterone by 40-50% on average 3
  • Spironolactone blocks peripheral androgen action 4
  • Combined therapy addresses both hormonal production and peripheral effects 1

Mechanical Hair Removal

Concomitant mechanical hair removal (plucking, shaving, waxing, electrolysis, laser) is usually necessary 1:

  • Medical management alone rarely eliminates all unwanted hair 1
  • Multiple electrolysis or laser treatments may be needed 1

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Acne Treatment with Birth Control and Spironolactone

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Research

Side-effects of spironolactone therapy in the hirsute woman.

The Journal of clinical endocrinology and metabolism, 1988

Research

Low-dose spironolactone in the treatment of female hirsutism.

International journal of fertility, 1987

Guideline

Spironolactone Safety Considerations in Patients with Pre-existing Sexual Dysfunction

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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