How to treat hirsutism: what to know

Hirsutism is coarse hair growth in androgen-sensitive areas, including the chin, upper lip, chest, or abdomen. Treatment goals differ: some people want immediate grooming, while others want to reduce future growth or investigate irregular periods and acne. Family traits, medicines, follicle sensitivity, and hormone conditions can produce similar-looking hair, so the same plan does not fit everyone.

Shaving, trimming, threading, and waxing can manage visible hair when the skin tolerates them. [Laser Hair Removal](/treatments/laser-and-energy/laser-hair-removal/) and [Electrolysis Hair Removal](/treatments/laser-and-energy/electrolysis-hair-removal/) are procedure-based options with different requirements. If androgen-related growth is suspected, a clinician may consider [Spironolactone Treatment](/treatments/medical-dermatology/spironolactone-therapy/), taking pregnancy plans, other medicines, and health conditions into account. Do not start hormone medicine without medical guidance.

Arrange care when coarse hair is new, increasing, or paired with irregular cycles, persistent acne, scalp hair loss, voice deepening, or increased muscle bulk. Rapid progression warrants prompt assessment because it can signal a significant change that needs investigation. Severe pelvic pain, fainting, or rapidly worsening symptoms require urgent attention.

What is the most likely contributor in my case? Should I have hormone testing? Which procedure or medicine fits my goals, skin, hair, and pregnancy plans?