Q: Can you shed more light on using contraceptive for the treatment of hormonal imbalance associated with hirsutism? Thanks for your response

A: Hirsutism can be caused by any situation that increases the male sex hormones (androgens) or increases the response of hair follicles to androgens. Some conditions that can cause this include Poly Cystic Ovarian Syndrome (PCOS), some drugs, obesity etc It is more likely in people who have a family history of this and in people of Asian, Mediterranean and Middle Eastern origin. This can also be found in women with no risk factors and women where no specific cause can be found.

Specifically to your question, birth control pills (contraceptives) used over a period of 6 to 12 months may improve this condition by helping reduce the effects of androgens and reducing the production of more sex hormones. Anti-androgen drugs can also be used.

However, if specific causes are found eg obesity or PCOS, these should be addressed.

Permanent methods of getting rid of the facial and other unwanted hair like laser treatment (which does not destroy the hair follicles) and electrolysis (which destroys hair follicles but may leave small scars on face) are expensive with laser being more popular and more expensive.

Mild cases of hirsutism can be dealt with by shaving, waxing, plucking or using depilatory creams…much as you would take care of underarm hair.

So, seeing a gynaecologist is a good idea. He will carry out a detailed investigation and then confirm treatment options that would work best depending on findings eg whether the contraceptive pills are an option etc

Until this is done, shaving, plucking, waxing or using depilatory creams are great options. Laser treatment should be considered if cost is not a barrier.

Have a great evening, y’all 😀