INS and Hirsutism: Symptom oriented pharmacological intervention such as oral contraceptive to regulate menstrual cycles and decrease hirsutism, spironolactone that block androgen receptors, finasteride to block production of active form of testosterone and insulin sensitizers such as metformin, thiazilidinediones (TZD’s) and D-chiro Inositol are in use for improving insulin sensitivity and lipid levels accompanied by weight loss [1, 5, 6].