Question 1

What is excessive hair growth?

Accepted Answer

Excessive hair growth encompasses two distinct presentations. Hirsutism describes the growth of coarse, dark terminal hair in women in a male-pattern distribution (face, chest, abdomen, back, inner thighs) driven by excess androgen activity. It affects approximately 5–10% of women of reproductive age and is most commonly caused by polycystic ovary syndrome (PCOS, ~72% of cases), idiopathic hirsutism, congenital adrenal hyperplasia, and — less commonly — androgen-secreting tumours or Cushing's syndrome.

Question 2

What do people commonly experience with excessive hair growth?

Accepted Answer

Many report feeling self-conscious about visible hair growth.

Question 3

What lifestyle changes can help with excessive hair growth?

Accepted Answer

Weight management in PCOS reduces insulin resistance and androgen levels, often improving hirsutism over time. Low-glycaemic index diet and regular exercise are the most evidence-supported lifestyle interventions for PCOS. Reducing refined carbohydrates and ultra-processed food supports insulin sensitivity. Managing stress reduces cortisol-driven adrenal androgen production.

Question 4

What integrative approaches support excessive hair growth?

Accepted Answer

Treatment of hirsutism targets both hair removal and androgen suppression. Combined oral contraceptive pills reduce ovarian androgen production and are first-line pharmacological treatment alongside physical hair removal (laser, IPL, electrolysis, waxing). Anti-androgens (spironolactone, cyproterone acetate) are used in moderate-to-severe hirsutism. Metformin reduces hyperinsulinaemia in PCOS-related hirsutism. Weight loss in overweight women with PCOS significantly reduces androgen levels. Physical hair removal methods provide cosmetic management but do not address the underlying hormonal cause.

Question 5

When should I seek professional support for excessive hair growth?

Accepted Answer

Seek doctor or endocrinology assessment for new or progressive hirsutism, particularly with menstrual irregularity, acne, or scalp hair loss — these suggest PCOS or adrenal pathology. Rapid onset severe hirsutism with virilisation (clitoral enlargement, voice deepening) requires urgent investigation to exclude androgen-secreting tumour.

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