Much unwanted hair growth occurs as a result of hormonal imbalances, which are correctable. Ironically, many women actually uncover a potential underlying hormonal problem during a visit with an Electrologist (a person who performs electrolysis). And while hormone therapy will not make the hairs you already have disappear, it can stop the growth of new hairs. Be sure to ask your doctor about common side effects of each of the following therapies before you say “yes” to hormone therapy.

• Oral contraceptives (OCs): The most common form of hormone therapy used to treat Hirsutism, OCs tend to improve what are called “androgen-related side effects,” such as acne and unwanted facial hair. That said, too much progestin, which is synthetic progesterone, can also cause these kinds of side effects. If your acne and/or unwanted facial hair predates your use of OCs, you may notice a marked improvement; however, if these “symptoms” occur after you’ve started an oral contraceptive program, you may be on the wrong pill, and should consult with your doctor about alternatives.
• Spironolactone: This is a diuretic that appears to counteract the effects of androgen hormones in the skin. Frequently called an antiandrogen drug, spironolactone is not recommended if you’re at risk for osteoporosis.
• Corticosteroids: These will prevent your adrenal gland from making androgens, but they’re not recommended as a first-line hormone therapy for Hirsutism.
• GnRH analogs: GnRH (gonadotropin releasing hormone) analogs are normally used in fertility treatment and—because they come with many menopausal-type side effects—should be reserved for more severe cases of Hirsutism where OCs are not appropriate.
• Natural progesterone therapy: If birth control is not an issue, this may be an appropriate means of correcting an underlying hormonal imbalance. For more information, see Natural Progesterone: The Natural Way to Alleviate Symptoms of Menopause, PMS, and Other Hormone-Related Problems by Anna Rushton, Shirley A. Bond and John Lee.

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