Clinical recommendation	Evidence rating	References
Any patient with rapid onset of hirsutism, obvious signs of virilization, or a palpable abdominal or pelvic mass should undergo a thorough workup for a possible androgensecreting tumor.	C	1, 18–20
Women with mild hirsutism and normal menses do not require laboratory workup and can be treated empirically.	C	1, 19
First-line pharmacologic treatment of hirsutism in women not trying to conceive should include oral contraceptives.	C	1, 19