Excessive hair growth (hirsutism) (2024)

Hirsutism is where women have thick, dark hair on their face, neck, chest, tummy, lower back, buttocks or thighs. See a GP if it's a problem for you. It might be caused by a medical condition that can be treated.

Causes of hirsutism

Hirsutism is linked to hormones called androgens. It can happen if the level of these hormones increases or if your body becomes more sensitive to them.

The most common cause is polycystic ovary syndrome (PCOS). This is a condition affecting the ovaries that can also cause symptoms such as acne and irregular periods.

Sometimes there's no obvious cause.

Rarely, hirsutism can be caused by:

Information:

If you have lighter, finer hair on your face or body, it's probably not hirsutism. Most women get more of this type of hair as they get older, particularly after the menopause.

Non-urgent advice: See a GP if:

  • you're a woman and you have thick, dark hair on your face, neck, chest, tummy, lower back, buttocks or thighs

The GP will check what's causing the hair growth.

You may have a blood test to measure your hormone levels. A change in your hormone levels is a common cause of hirsutism.

Treatments for hirsutism

If you have hirsutism, your GP may suggest:

  • losing weight if you're overweight – this can help control hormone levels
  • things you can do at home to remove or lighten the hair – such as shaving, waxing, plucking, hair removal creams or bleaching
  • a prescription cream to slow hair growth on your face (eflornithine cream)
  • taking a contraceptive pill if you've not been through the menopause yet – this can help control hormone levels

If these have not helped after 6 months, your GP may refer you to a specialist. They may recommend other medicines to control your hormone levels.

Longer-lasting hair removal

There are treatments that can get rid of unwanted hair for longer than the things you can do at home. But they're not usually permanent.

They're also not usually available on the NHS and can be expensive.

The 2 main treatments are:

  • electrolysis – where an electric current is used to stop your hair growing
  • laser hair removal

Make sure you research these treatments before trying them. They both have risks and the results are not the same for everyone.

Page last reviewed: 15 March 2022
Next review due: 15 March 2025

Excessive hair growth (hirsutism) (2024)

FAQs

Excessive hair growth (hirsutism)? ›

Hirsutism is excess hair most often noticeable around the mouth and chin. With hirsutism, extra hair growth often arises from excess male hormones (androgens), primarily testosterone. Self-care methods and effective treatment options are available for women who wish to treat hirsutism.

How do I stop my hirsutism from growing? ›

things you can do at home to remove or lighten the hair – such as shaving, waxing, plucking, hair removal creams or bleaching. a prescription cream to slow hair growth on your face (eflornithine cream) taking a contraceptive pill if you've not been through the menopause yet – this can help control hormone levels.

Can hirsutism be cured permanently? ›

Treating the underlying cause of hirsutism can improve your symptoms. Long-term medication may slow hair growth, but it usually will not get rid of existing hair on the face and body. Some cosmetic techniques, laser hair removal and waxing, can reduce unwanted hair.

Why does hirsutism hair grow so fast? ›

Hirsutism is excess hair growth on the body or face. It's caused by excess hormones called androgens. For women, the hair may grow in places where men often have a lot of hair, but women often don't. This includes the upper lip, chin, chest, and back.

What is the root cause of hirsutism? ›

Hirsutism is most often due to hyperproduction of androgens, of ovarian or adrenal origin. Hyperandrogenism of tumor origin, which is very severe, must be distinguished from non-tumor hyperandrogenism, which is often minimal or moderate.

How do females get rid of excess androgens? ›

Options include:
  • Oral contraceptives. Birth control pills or other hormonal contraceptives, which contain estrogen and progestin, treat hirsutism caused by androgen production. ...
  • Anti-androgens. These types of drugs block androgens from attaching to their receptors in your body. ...
  • Topical cream.

What makes hirsutism worse? ›

Ancestry. Women of Mediterranean, Middle Eastern and South Asian ancestry are more likely to have more body hair with no identifiable cause than are other women. Obesity. Being obese causes increased androgen production, which can worsen hirsutism.

What happens if hirsutism is left untreated? ›

If left untreated, higher levels of androgens can lead to the development of virilization which can cause: Balding. Deepening voice. Increase in muscle mass.

Will taking estrogen stop facial hair? ›

Your facial hair may thin a bit and grow slower but it will rarely go away entirely without electrolysis or laser treatments. If you have had any scalp balding, hormone therapy will usually stop it, however the extent to which it will grow back is variable. Some people may notice minor changes in shoe size or height.

What vitamins stop facial hair growth? ›

Dietary supplementation with magnesium and zinc are also thought to help prevent growth of excess facial hair. In one of the clinical studies for patients with hirsutism, participants were given a combination of magnesium, zinc, calcium, and vitamin D supplements over the course of 12 weeks.

Does hirsutism get worse with age? ›

Androgen production in women may decrease because of ovarian aging or decreased production by the adrenal glands over time. The prevalence of hirsutism and acne decreases with age.

How to tell if your androgen levels are high? ›

High levels of androgens in a female can cause:
  1. Acne.
  2. Changes in female body shape.
  3. Decrease in breast size.
  4. Increase in body hair in a male pattern, such as on the face, chin, and abdomen (called hirsutism)
  5. Lack of menstrual periods (amenorrhea)
  6. Oily skin.
Apr 19, 2022

Why am I getting Hairier in my 30s as a female? ›

The most common cause of excess body hair in people assigned female at birth is polycystic ovary syndrome (PCOS), which is a hormonal disorder causing the body to produce too many androgens. The condition accounts for more than 70% of hirsutism cases. Doctors do not fully understand the causes of PCOS.

Why do I have hirsutism but not PCOS? ›

But some women with hirsutism don't have PCOS or any other cause that can be found. Their hormone levels are normal, and so are their menstrual cycles. These women may have been born with hair follicles that are more sensitive to androgens. Hirsutism may also occur in some women who have diabetes or who are obese.

How do you fix hirsutism naturally? ›

Tips for Managing Hirsutism Naturally
  1. Eat a diet to shed weight and set you up for long-term health. ...
  2. Just as important as what you eat is what you should avoid: foods high in sugar, fat and sodium. ...
  3. Exercise. ...
  4. Reduce stress levels. ...
  5. Consider the DASH (Dietary Approaches to Stop Hypertension).
Jun 26, 2018

How rare is hirsutism? ›

How common is hirsutism? Hirsutism affects 5% to 10% of women and people AFAB who are around child-bearing age. It affects over 40% of women and AFAB at some point during their lives.

How to permanently stop facial hair growth? ›

Electrolysis can permanently remove unwanted hair. Once your hair is gone, you won't need maintenance treatments. It works on all hair types, including light-colored hairs, which lasers cannot remove.

What hormone stops hirsutism? ›

The most popular treatment for hirsutism are oral contraceptive (OC) medications, which suppress circulating luteinizing hormone (LH) and follicle-stimulating hormone (FSH), leading to a decrease in ovarian androgen production.

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