Hair removal for hirsutism: what to know

Hirsutism is excess terminal hair growth in a pattern influenced by androgens, often involving the face, chest or abdomen. Laser hair removal targets pigment in the hair follicle and is generally more useful when hairs contain pigment. Electrolysis treats individual follicles and can be considered for lighter hairs that do not respond well to light-based treatment. Neither approach treats an underlying hormone imbalance, so new growth may continue.

A clinician may review menstrual changes, acne, scalp hair thinning or medicines alongside the hair pattern. These clues can point to a condition needing treatment, such as polycystic ovary syndrome. Read more about [Hirsutism](/conditions/hirsutism/).

Arrange a skin and medical assessment before booking a course. Ask which device suits your skin tone and hair, whether shaving is preferred before sessions, and how to protect treated skin from heat and sun. Avoid waxing or plucking when your clinician needs the follicle present for light-based treatment. Laser and electrolysis require repeated appointments because follicles grow in cycles. A dermatologist may combine hair removal with [Laser Hair Removal](/treatments/laser-and-energy/laser-hair-removal/), [Electrolysis Hair Removal](/treatments/laser-and-energy/electrolysis-hair-removal/), or [Spironolactone Treatment](/treatments/medical-dermatology/spironolactone-therapy/) when appropriate.

Seek a medical assessment if coarse hair appears quickly, becomes widespread, or comes with a deeper voice, marked acne, irregular periods or scalp hair loss. These changes can signal a hormonal problem that needs evaluation. Contact the treating clinician for blistering, severe swelling, increasing pain, pus or a spreading colour change after a session.

Which method matches my hair and skin? Could a hormone condition be contributing? Should I pause any medicines or hair-removal methods? What aftercare and warning signs apply to my treatment area?