Q. Is there any surgery to eradicate hirsutism?
Hello doctor,
I am a 21-year-old female. I have been suffering from hirsutism (due to PCOS) for about six years. I have undergone treatments like LASER (for about a year) and even consumed antiandrogens and contraceptive pills. But, nothing really worked out. It is horrible now. The growth of the hair is very thick and grows very soon. I wax once a week. I even used few creams, but again nothing gave out the results. The doctors I consulted told me to lose some weight, and trust me I am doing that. Please help me out. I want to know if there is any surgery to eradicate hirsutism. I heard laparoscopy might help. Please do write back to me. Your reply is awaited sincerely.
Hello,
Welcome to icliniq.com.
Before I can answer, I would like to see some lab reports.
- Serum testosterone.
- DHEAS (most sensitive to adrenals, if > 800 ug/dl suggests adrenal tumor).
- 17-hydroxyprogesterone.
- Serum prolactin.
- Urinary 17-ketosteroid.
- FSH and LH during the first three days of a menstrual bleed.
If you have them, please send those reports.
Hello doctor,
Thank you for your valuable reply.
For now, I have few reports which I have shared with you. Please find the attachments.
Hi,
Welcome to icliniq.com.
The approach, in your case, has to be integrated. As you already know, weight reduction is a very important step. You can take a low-calorie diet chart and do regular exercises. Your diabetes needs to be controlled. I usually prescribe the following medications to my patients with PCOS (polycystic ovarian syndrome) and hirsutism. I suggest the following:
- Tablet Cyproterone and Ethinylestradiol 2 mg/ 25 mcg tablet once daily for 28 days (includes 21+ seven inert tablets).
- Tablet Spironolactone 100 mg PO OD from the fifth to 25th day of the menstrual cycle.
- Tablet Simvastatin 20 mg PO OD.
- Ointment Eflornithine 13 % (Eflora) apply on the face twice a day.
Electrolysis of hair is another option besides laser treatment. You need to continue with treatment for a prolonged period under regular follow-ups with your doctor.
You can share my opinion with your treating doctor and take medications with consent.
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