Excessive facial hair / Hirsutism
Hirsutism is a condition characterized by excessive hair growth in women, particularly on the face, chest, and back. It can be a source of distress and self-consciousness for those affected. In this article, we’ll explore what hirsutism is, its causes, diagnosis, and treatment options.
What is Hirsutism?
Hirsutism is a condition where women experience excessive hair growth on their face, chest, back, and other areas of the body, typically associated with male pattern hair growth. This occurs due to an imbalance of hormones, particularly an excess of androgens.
Reasons for Excessive Facial Hair Growth:
Excessive facial hair growth in hirsutism is often caused by:
Hormonal imbalances, particularly an excess of androgens (male hormones).
Genetics
Certain medical conditions, such as polycystic ovary syndrome (PCOS), Cushing’s syndrome, or congenital adrenal hyperplasia.
- Medications, such as anabolic steroids and certain antidepressants.
Diagnosis
Diagnosing hirsutism typically involves:
- Medical history and physical examination.
- Hormone level tests, including testosterone and other androgen levels.
- Pelvic ultrasound to rule out PCOS or other ovarian disorders.
- Blood tests to check for insulin resistance, thyroid function, and other hormonal imbalances.

Tests to diagnose underlying conditions that may contribute to hirsutism include:
- Hormone level tests.
- Pelvic ultrasound.
- Blood glucose and insulin level tests.
- Thyroid function tests.
Treatment Options:
Treatment options for hirsutism include:
- Hormonal therapies, such as birth control pills (OCP) or anti-androgen medications.
- Medications to reduce hair growth, such as spironolactone.
- Hair removal methods, such as waxing, threading, or tweezing.
- Permanent Laser hair reduction (LHR).
How Laser Works in Permanent Hair Reduction?
Laser hair reduction is a popular treatment option for hirsutism. The process involves using a laser to target and damage hair follicles, reducing hair growth over time. Here’s how it works:
- The laser emits a beam of light that targets the hair follicle.
- The light energy is absorbed by the pigment in the hair follicle, damaging it and reducing hair growth.
- Multiple sessions may be required to achieve optimal results.
- Laser hair reduction can provide long-term hair reduction, but may not completely eliminate hair growth.
Consult a dermatologist or healthcare professional for personalized advice and treatment.
