How to reduce facial hair if I suffer from hirsutism and androgenetic alopecia?

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Have you done any tests, or was any diagnosis made for you? From your history, it seems you have PCOS (polycystic ovarian syndrome), a treatable disease with proper medication and lifestyle modification. Diagnostic criteria for PCOS are clinical hyperandrogenism, biochemical hyperandrogenism (elevated total or free testosterone), oligomenorrhea (less than six to nine menses per year), oligo-ovulation and polycystic ovaries on ultrasound (more than or equal to 12 antral follicles in one ovary or ovarian volume more than or equal to 0.6 cubic inch) thyroid dysfunction, congenital adrenal hyperplasia, hyperprolactinemia, androgen-secreting tumors, and Cushing’s syndrome must be excluded before making a diagnosis of PCOS.

The triad of endocrine abnormalities consists of elevated luteinizing hormone with normal follicle-stimulating hormone, elevated free testosterone, a combination of increased testosterone production and reduced sex hormone binding globulin, and insulin resistance with compensatory hyperinsulinemia. Blood should be checked during the first week after menstruation. Characteristically serum concentration of testosterone is above 72 ng/dl, and serum LH is above 10 mIU/mL. A serum testosterone level above 138 ng/dL requires the exclusion of other causes of androgen hypersecretion, such as an androgen-secreting adrenal or ovarian tumor, Cushing's syndrome, or non-classical congenital adrenal hyperplasia. If the ultrasound reveals polycystic ovaries, the ovaries are usually enlarged with a smooth outer covering that is thicker than normal, and the surface is covered with many small cysts with increased stroma. Up to one-third of women may have the appearance of polycystic ovaries. Of these, an estimated one-third have the polycystic ovarian syndrome. Some criteria say polycystic ovaries need not be present to diagnose PCOS; conversely, their presence alone does not establish the diagnosis.

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Thank you.

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There is no 100 % guarantee for any drug. But many medications in the majority of patients decrease hirsutism and androgenetic alopecia. Lifestyle modification also helps.

Thank you.