Which specialist treats hirsutism?

Hirsutism means coarse, dark hair growth in a male-pattern distribution, such as the face, chest, or abdomen. A dermatologist assesses the hair pattern and skin, while the wider team asks about menstrual regularity, fertility, medicines, weight changes, acne, and scalp hair thinning. The combination of findings guides whether hormone testing or another referral is useful.

Start with a dermatologist, GP, gynaecologist, or endocrinologist, especially if unwanted facial hair is new or changing quickly. Treatment can combine hair-removal methods such as electrolysis or laser hair removal with medicines such as spironolactone when clinically suitable. Tell the clinician about pregnancy, plans for pregnancy, and all medicines before starting treatment.

Seek prompt medical review if excessive body hair develops rapidly or comes with deepening voice, increased muscle bulk, severe acne, irregular periods, or a sudden change in scalp hair. These features can signal a hormonal problem that deserves timely assessment rather than cosmetic treatment alone.

Ask whether your pattern meets the definition of hirsutism, whether hormone tests are needed, which removal method suits your skin and hair, how medicines affect pregnancy, and when to reassess new growth.