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Hirsutism - Management
Methods of hair removal

  • Cosmetic treatment is not usually available on the NHS.
  • Cosmetic procedures can be applied in a domestic setting.
    • Shaving does not increase the rate of hair growth or thicken hair, contrary to popular belief. It is a useful technique and yields instant results. However, it does leave stubble that is unpleasant, unsightly, and sharp, and may irritate the skin.
    • Waxing and plucking are effective, but can be painful and may cause scarring, folliculitis, and hyperpigmentation. These techniques can also lead to resistance to electrolysis.
    • Bleaching can improve the appearance of dark hair in the short term, but may also lead to skin irritation.
    • Skin irritation is problematic as it is itchy, unsightly, and paradoxically can lead to increased hair growth.
  • Cosmetic procedures carried out in specialist clinics tend to have a longer effect, although they are not usually permanent.
    • Electrolysis uses a localized electric charge to destroy hair cells at the bulb. It is effective, but is time-consuming, painful, and may leave scars or pigmentation changes.
    • Lasers are used selectively in the process of photothermolysis, a more recent technique that generally yields better results than electrolysis. It only affects hair in the growing phase, so must be repeated over several months. Laser hair removal is most effective in women with pale skin and dark hair.

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