in the treatment of acne in women, the use of antiandrogens and other
hormonal approaches is a valuable alternative to standard therapy. The
se treatments that are based on physiologically sound principles produ
ce gratifying results in selected women with acne, and are the primary
treatment for women with hirsutism. The drugs discussed in this artic
le include spironolactone, cyproterone acetate, flutamide, oral contra
ceptives, corticosteroids, finasteride, and gonadotropin-releasing hor
mone agonists. Patient selection, pretreatment evaluation, and case st
udies also are discussed with an emphasis on practical applications.