A pregnant woman presents to the OPD after giving birth to a healthy baby and asks for the best contraceptive method. Which of the following would be most effective in managing symptoms of hirsutism?

Question

Question

This question was previously asked in

AIIMS NORCET 7 Prelims Memory Based Paper 2024

Answer 1

Correct Answer: Combined Oral Contraceptive Pill

Rationale:

Combined Oral Contraceptive Pill (COCP) is considered the most effective contraceptive method for managing symptoms of hirsutism. Hirsutism is characterized by excessive, unwanted hair growth in women in areas where hair is normally minimal or absent, such as the face, chest, and back.
COCP works by regulating hormonal imbalances that contribute to hirsutism. It reduces the levels of androgens, the male hormones responsible for hair growth.
The estrogen component in COCP increases the levels of sex hormone-binding globulin (SHBG), which binds to androgens in the blood, reducing their free and active forms.
The progestin component also works to suppress ovarian androgen production, further helping in the management of hirsutism symptoms.

Explanation of Other Options:

Depo-Provera

Rationale: Depo-Provera is an injectable form of contraception that contains the hormone progestin. While it is effective in preventing pregnancy, it does not specifically address the hormonal imbalances that cause hirsutism and is not considered a first-line treatment for this condition.

Condom

Rationale: Condoms are a barrier method of contraception that prevents sperm from entering the uterus. They do not have any effect on hormone levels and therefore do not help in managing hirsutism symptoms.

IUD (Intrauterine Device)

Rationale: IUDs, including both hormonal and non-hormonal types, are effective methods of contraception but do not specifically target the hormonal causes of hirsutism. Hormonal IUDs release progestin, which can help with menstrual regulation but are not effective in treating hirsutism.

Conclusion:

Among the given options, the Combined Oral Contraceptive Pill is the most effective method for managing symptoms of hirsutism. It works by addressing the hormonal imbalances that cause excessive hair growth in women, making it a preferred choice for individuals dealing with this condition.