Treatment of Hirsutism

Treatment of HirsutismTreatment of Hirsutism

Hirsutism is a medical condition characterized by the excessive growth of coarse, dark hair in areas where hair growth is typically seen in males, but not females. These areas include the face, chest, back, and abdomen. It is often considered a cosmetic concern, as it can cause emotional distress and self-consciousness in those affected.

The excessive hair growth in hirsutism is typically a result of an increased sensitivity of hair follicles to the male hormone testosterone, which is present in both males and females but is usually at higher levels in males. This increased sensitivity can lead to the development of male-pattern hair growth in females.

Causes of Hirsutism

There are various causes of hirsutism. Some are explained below:

Polycystic Ovary Syndrome (PCOS)

PCOS is a hormonal disorder in women that can lead to irregular menstrual cycles, ovarian cysts, and increased levels of androgens (male hormones) such as testosterone that leads to a variety of symptoms, including excessive facial hair growth (hirsutism).


Elevated levels of androgens, whether due to conditions like PCOS or other underlying disorders, can lead to hirsutism.

Cushing’s Syndrome

This condition involves high levels of cortisol, a hormone produced by the adrenal glands. It can lead to various symptoms, including hirsutism.

Congenital Adrenal Hyperplasia (CAH)

CAH is a group of genetic disorders that affect the adrenal glands’ ability to produce hormones, including cortisol and androgens.

Causes of Hirsutism – Medications

Certain medications, such as anabolic steroids, corticosteroids can lead to increased androgen levels and subsequently hirsutism.

Treatment Of  Hirsutism

Treatment options for Hirsutism depend on the underlying cause and the severity of the condition. They may include:

by Lifestyle Modifications

Lifestyle modifications can play a supportive role in managing hirsutism, especially when it is related to conditions like Polycystic Ovary Syndrome (PCOS). While lifestyle changes alone may not completely eliminate hirsutism, they can help improve hormonal balance, reduce symptoms, and enhance overall well-being.

These are some lifestyle modifications that may be beneficial:

Healthy Diet

  • Choose a balanced diet rich in whole grains, lean proteins, fruits, vegetables, and healthy fats.
  • Aim to control your carbohydrate intake to help manage insulin levels, particularly if you have insulin resistance or PCOS.
  • Limit your intake of processed foods, sugary snacks, and foods with a high glycemic index.

Weight Management

  • If you are overweight or obese, losing weight through a combination of a healthy diet and regular exercise can help improve hormonal balance and reduce hirsutism associated with PCOS.
  • Weight loss can lead to decreased insulin resistance and lower androgen levels.

Physical Activity

  • Engage in regular physical activity to help improve insulin sensitivity and overall hormonal balance.
  • Aim for at least 150 minutes of moderately intense aerobic activity per week, along with strength training.

Stress Management

  • Chronic stress can contribute to hormonal imbalances. Practice stress-reduction techniques such as meditation, deep breathing, yoga, or mindfulness to help manage stress levels.

Caffeine and Alcohol

  • Limit the consumption of caffeine and alcohol, as excessive intake can potentially affect hormonal balance.

Dietary Supplements

  • Some supplements, such as inositol and omega-3 fatty acids, have been studied for their potential benefits in managing hormonal imbalances associated with hirsutism.

By  Medications

Hormonal contraceptives (birth control pills), anti-androgen medications, and topical treatments (e.g., eflornithine cream) can help reduce hair growth and improve the appearance of hirsutism.

By Laser Hair Removal

A professional treatment that uses concentrated light energy to target hair follicles.

Requires multiple sessions for optimal results.

Can lead to long-term hair reduction, but it’s often more effective on individuals with fair skin and dark hair.

By Electrolysis

An electric current is used in this procedure to damage hair follicles.

Offers permanent hair removal results over time.

Typically requires multiple sessions and can be time-consuming.

By Cosmetic Measures


  • Shaving is a quick and inexpensive method.
  • Use a clean, sharp razor and shaving cream or gel to prevent irritation.
  • To avoid ingrown hairs, shave in the direction of hair growth.
  • Note that shaving only removes hair at the surface, and regrowth can be noticeable relatively quickly.


  • Waxing draws hair out from the root, resulting in longer-lasting results than shaving.
  • Hot wax or cold wax strips can be used, but hot wax is often more effective.
  • Waxing may cause temporary redness or irritation.
  • It’s important to follow instructions carefully to avoid skin damage or burns.


  • Threading involves using a twisted thread to pluck hairs from the follicle.
  • It’s precise and can remove even very fine hairs.
  • Threading can be done at salons or by trained professionals.

Depilatory Creams

  • Depilatory creams contain chemicals that dissolve the hair shaft, allowing it to be wiped away.
  • Results can last longer than shaving, but it’s a temporary solution.
  • Always do a patch test before using on your face to check for sensitivity or allergic reactions.

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