Q. Is there any surgery to eradicate hirsutism?

Answered by
Dr. Sunil Sekhri
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Apr 30, 2018

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.

Dr. Sunil Sekhri

Family Physician General Practitioner
#

Hello,

Welcome to icliniq.com.

Before I can answer, I would like to see some lab reports.

  1. Serum testosterone.
  2. DHEAS (most sensitive to adrenals, if > 800 ug/dl suggests adrenal tumor).
  3. 17-hydroxyprogesterone.
  4. Serum prolactin.
  5. Urinary 17-ketosteroid.
  6. FSH and LH during first three days of menstrual bleed.

If you have them, please send those reports.

Revert with more information to a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician


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Hello doctor,

Thank you for your valuable reply. For now, I have few reports which I have shared with you. Please find the attachments.

Dr. Sunil Sekhri

Family Physician General Practitioner
#

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 following medications to my patients with PCOS (polycystic ovarian syndrome) and hirsutism.

  1. Tablet Cyproterone and Ethinylestradiol 2 mg/ 25 mcg tablet once daily for 28 days (includes 21+ 7 inert tablets).
  2. Tablet Spironolactone 100 mg PO OD from fifth to 25th day of menstrual cycle.
  3. Tablet Simvastatin 20 mg PO OD.
  4. 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 up with your doctor.

You can share my opinion with your treating doctor and take medications with consent.

For more information consult a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician


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