Menopause and facial hair

During menopause, lower oestrogen can make the relative effect of existing androgens more noticeable. Hair on the chin, upper lip, or jaw may grow thicker, while scalp hair may become finer. This pattern can occur as part of [Menopause](/conditions/menopause/), but facial hair is not specific to it. Polycystic ovary syndrome, medicines, adrenal or ovarian conditions, and other hormone changes can also contribute.

Notice the timing and pace of change, and whether it appears with acne, scalp hair loss, voice deepening, increased muscle, or changes in periods. These associated features help a clinician decide whether hormone testing is useful.

Shaving, trimming, threading, waxing, and depilatory products are options; patch-test products and follow their instructions because irritated facial skin can burn or become inflamed. Laser treatment and electrolysis require a qualified practitioner and may need repeated sessions. Discuss medicines that slow hair growth with a clinician, particularly if you have other medical conditions or take regular medicines.

Choose the method that fits your skin, hair colour, budget, and comfort. Hair removal changes the visible hair, not the hormone signal causing growth, so new growth can occur.

Arrange a review if facial hair appears suddenly, grows rapidly, or comes with severe acne, scalp hair loss, voice change, or irregular bleeding. Seek urgent care for sudden facial weakness, swelling, or breathing difficulty. A clinician can assess the pattern and check for causes beyond normal menopausal change.

Does my hair pattern fit menopause, or should we check another hormone cause? Which removal method suits my skin? Could any medicine be contributing, and what changes should I report?