I have been dealing with hirsutism for 6 years. What is my best treatment option? (Photo)

I suffer from PCOS and hirisutism. Age group 18-25. I grow excessive and dark hair on the back of my thigh, chest, stomach and face. I get sugar hair removal on my face every 8 days and on my body every 6 weeks. The hair on my face seems to be growing at a faster pace. Is there any medication I can take? Hormone tablets? Is Laser Hair removal the best option? Between treatments how will I conceal the hair if treatments are every 6 or more weeks? Does hydroqunione cream increase hair growth?

Doctor Answers 3

PCOS and Laser Hair Removal

Thank you for your pictures.  I would recommend medical treatment and control of your PCOS.  Your hair growth can be treated best by laser hair removal.

Hirsuitism and Laser Hair Removal

Since you have the diagnosis of PCOS you need to first have this treated by your dermatologist or endocrinologist with medications such as OC's or Spirinolactone.  Then, once your hormones are under better control you can initiate laser hair treatment and bleaching creams for the hyperpigmentation.  Please consult a board certified dermatologist for the best treatment.

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 78 reviews


     Polycystic Ovarian Syndrome can be genetic and/or lifestyle induced or exacerbated.  It can be frustrating especially with hair growth, acne, infertility issues and body habitus changes.  With the hair growth, particularly dark hair, the definitive treatment is hair laser.  It appears you have some baseline pigment in your skin, you should make sure the laser you decide on is optimal for you skin type.  You will love the permanency of the results versus the sugar hair removal every 8 days.  You can gently shave those area in-between treatments or continue with the sugar treatments until the hair is gone.  Once the hair is gone you many need to deal with some of the existing discoloration from the hair growth and treatment, but at least you should be preventing new hair follicle discoloration occurring.  I would recommend seeing a dermatologist or endocrinologist for a hormone evaluation.  We have our patients go on a strict paleo diet as blood sugars and blood insulin levels tend to be high with PCOS.  Dietary changes always help with PCOS and for many of our patients that have lifestyle induced PCOS it may actually reverse and "cure" the condition.  An easy way to start with diet is to eliminate gluten and dairy from your diet.  Best wishes is treating this.

Jody Comstock, MD
Tucson Dermatologic Surgeon
5.0 out of 5 stars 3 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.