All About Unwanted Hair
Much of this information was gathered from Dr. Sara Rosenthal's recent book Women and Unwanted Hair, as well as Sheila Godfrey's Principles and Practice of Electrical Epilation. While this information is no substitute for consulting a physician, we are dedicated to helping everyone learn about unwanted hair. This page discusses different aspects of unwanted hair and targets females. Many men also deal with unwanted hair, we are by no means ignoring their issues. For more information, please contact your physician.
Hair That Is "Not Supposed to Be There"
Excessive hair growth can be identified by many different terms. You have probably run across the term Hirsutism, perhaps Hypertrichosis, and even superfluous hair. In many resources these terms are used interchangeably but there are important distinctions.
Excessive hair (key word here is excessive) on the face, especially around the chin, upper lip, breasts or chests, or basically hair on a woman that matches a male hair pattern on a female body is known as hirsutism. Men can have hirsutism when their hair is truly excessive in hormonally dependent areas. A diabetic woman with a full male pattern beard would be said to have hirsutism.
Hypertrichosis is basically excessive hair on men or women that tends to be in places that are outside the pattern areas described above. Someone who has a cast on their leg who grows unusually large patches of hair under the cast could be said to have Hypertrichosis (hyper=excessive/accelerated trich=hair).
Superfluous hair or garden variety “unwanted hair” is considered such whenever it appears on areas of the body that are considered to be either culturally unacceptable, or unattractive. It isn't an abnormal amount or location when considering the makeup of the whole population; it is just undesirable for a woman to have a noticeable light mustache. The color of the unwanted hair is also key; the darker it is, the more visible—which makes it more of a problem for dark haired women than for fair haired women. If you are dark haired, for example, the fine hair on the upper lip or around the hairline may feel abnormal but it’s not; it’s merely visible. And even though excessive hair growth on the face or male-patterned hair growth on the body is considered “abnormal” in women, it’s actually very, very common.
Hormonal Treatment for Unwanted Hair
Hormonal therapies can be very successful if abnormal hair growth is triggered by an endocrine disorder. Hormonal therapies aim to slow or even stop the growth of new hair. However, it will not remove hair that has already reached the terminal stage. Usually, the best results are seen with a combined program of electrology and hormonal therapy (if necessary). Below is more information on common therapies for excessive hair growth:
Oral contraceptives (OCs)
The common birth control pill is a very common therapy for excessive hair growth and can minimize hair growth when correctly formulated for your specific and unique system.
Spironolactone
Commonly used the treat High Blood pressure, Spironolactone acts as an anti-androgen, which reduces hair growth by inhibiting androgen production and blocking androgen receptors in the hair follicle.
Corticosteroids
This therapy is usually indicated when the excessive hair growth originates in the Adrenal glands. Low-dose corticosteroids suppress adrenal androgen production.
GnRH analogs
Administered via injection, GnRH (gonadotropin-releasing hormone) analogs suppress androgen production by the ovaries and adrenal glands.
Natural progesterone therapy
Natural progesterone works to block 5-alpha reductase, which is an enzyme that trigger hair follicle activity when testosterone is present.
Removing Unwanted Hair
While some methods can be very successful, others may lead to more hair growth. It’s important to understand the pros and cons of each method before choosing what is right for you. Here is more information on common methods for removing excessive hair growth:
Tweezing
Tweezing is the most common DIY hair removal for the face. However, for most women, frequent tweezing can stimulate more growth and more robust hairs, making the problem worse over time.
“Tweezer-like” Products
The common rotary mechanical devices, known as epilators, basically tweeze multiple hairs at once. While they are successful at removing the hair, they share the same disadvantages as tweezing.
Shaving
Shaving is another popular method for temporary hair removal. Shaving removes hair only at the surface level and must be done frequently. Contrary to popular belief, shaving will not make your hair grow back thicker or darker.
Waxing
Waxing involves applying a sticky wax to the area and pulling the hair out from the root. Like tweezing, waxing can stimulate additional hair growth and is many times responsible for distorted hair follicles and ingrown hairs.
Sugaring
Sugaring is similar to waxing but uses a natural paste made of sugar, lemon, and water. While it can be less irritating than wax, it can still stimulate more hair growth.
Threading
This is an ancient method of hair removal common in India and the Middle East where a cotton thread is used to pull the hair out. It has the same disadvantages as tweezing.
Hair Removal Creams
Chemical depilatories work to dissolve the hair at or slightly below the surface of the skin. They are temporary and can be very irritating to the skin, containing strong chemicals.
Bleaching
Bleaching can be an effective way to hide unwanted hair by removing the pigment. Bleach can be very irritating to the skin and frequent use can make some hairs more noticeable.
Home Electrolysis Kits
Commonly found in many stores or on the internet, home electrolysis systems are usually unsuccessful and can many times cause more issues such as scarring or even more hair growth.
Laser
Laser hair removal is widely popular and can be very successful. However, it is not permanent. Laser hair removal is considered permanent hair reduction. Laser is not effective on light or white hairs.
Electrolysis
Electrolysis is the only permanent method of hair removal. It is successful on any and all areas of the body, and on all colors and textures of hair. Electrolysis is safe for all skin types and skin colors.