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Hirsutism – Information for GPs

Intense Pulse Light (IPL), Laser or Electrolysis for Hair removal for the treatment of Hirsutism or other Hair removal requests

Referral criteria / commissioning position

Requests for IPL, Laser or Electrolysis for Hirsutism or other hair removal requests are not routinely commissioned; all cases require prior approval via the Individual Funding Request (IFR) panel

Investigations prior to referral

None

Information to include in referral letter

  • Details of how the patient demonstrates clinical exceptionality
  • Impact on activities of daily living
  • Treatments and interventions tried including the results
  • Drug history (prescribed and non-prescribed)
  • Relevant past medical / surgical history
  • Current regular medication
  • BMI

References

1 Radmanesh M, Azar-Beig M, Abtahian A, Naderi AH. Burning, paradoxical hypertrichosis, leukotrichia and folliculitis are four major complications of intense pulsed light hair removal therapy Journal of Dermatological Treatment, 2008, vol./is. 19/6 (360-3) http://informahealthcare.com/doi/abs/10.1080/09546630802132627 2) Rasheed AI. Uncommonly reported side effects of hair removal by long pulsed-alexandrite laser. Journal of Cosmetic Dermatology, December 2009, vol./is. 8/4(267-74) http://onlinelibrary.wiley.com/doi/10.1111/j.1473-2165.2009.00465.x/abstract 3) Azziz R. The evaluation and management of hirsutism. Obstet Gynecol 2003; 101: 995–1007. http://www.ncbi.nlm.nih.gov/pubmed/12738163 4) Haedersdal M, Gotzsche PC. Laser and photoepilation for unwanted hair growth. Cochrane Database Syst Rev 2006;(4):CD004684 http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004684.pub2/full

5) NHS Modernisation Agency. ‘Action on plastic surgery. Referrals and guidelines in plastic surgery. Information for Commissioners of Plastic Surgery Services’. http://www.bapras.org.uk/downloaddoc.asp?id=425 6) NICE Clinical Knowledge Summary http://cks.nice.org.uk/hirsutism (Jan 2010) 7) Koulouri O, Conway G. S. Management of hirsutism. BMJ 2009;338:b847 http://www.bmj.com/content/338/bmj.b847 8) NHS Choices – Treatment for Piloidal Sinus http://www.nhs.uk/Conditions/Pilonidal-sinus/Pages/Treatment.aspx

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