Physical measures to treat hirsutism

Physical measures have a major role in managing hirsutism. They include simple measures such as waxing, plucking, shaving and depilatory creams, and more intensive methods such as epilation by intense pulsed light therapy (IPL), laser therapy or electrolysis. Their effect is more immediate than drug therapy.

Physical measures are suitable:

• when drug therapy is contraindicated (eg when planning a pregnancy)
• for individuals reluctant to use drug therapy
• as an adjunct to drug therapy.

Contrary to common belief, shaving does not accelerate hair growth.

Epilation by IPL, laser or electrolysis can be time consuming and expensive. IPL and laser epilation are most suitable for individuals with fair skin and dark hair; results can last 6 to 9 months. Antiandrogen therapy during and after laser epilation helps prevent regrowth. Electrolysis, performed by a skilled operator, may have a more permanent benefit than IPL or laser treatment; it destroys hair follicles, but some regrowth occurs.

Bleaching may make hirsutism less obvious in individuals with fair skin.