From Our 2012 Archives
Expert FAQ: Dealing With Excess Body Hair
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Body Hair Can Sometimes Be Unsightly, Sometimes Unhealthy
By Charlene Laino
Reviewed by Laura J. Martin, MD
March 21, 2012 (San Diego) -- Many women and men struggle with excess body hair on the face or other areas of the body. But beyond being sometimes just unsightly, it can also sometimes be unhealthy.
"If you notice a dramatic change in body hair growth or hair growth in an unusual pattern, you should not ignore it," says Sandy S. Tsao, MD, instructor at Harvard Medical School and a dermatologist at Massachusetts General Hospital in Boston.
"It could signal an underlying medical condition," she says. "And there are a number of safe and effective treatment options."
At the meeting of the American Academy of Dermatology here, Tsao discussed how to get rid of unwanted body hair.
How do you know if excess body hair is a sign of another medical condition?
Consult your doctor. I recommend that any woman with new excess hair growth, especially in a typical male pattern, discuss it with her doctor as it might be a sign of an underlying illness.
For example, there could be an increase in the level of androgens, or male hormones. Hair growth accompanied by other symptoms -- especially severe acne flares, increased muscle mass, or changes in voice -- could also be the sign of an underlying medical condition.
Your doctor may recommend that you be screened for polycystic ovary syndrome (PCOS), a condition caused by an imbalance of sex hormones that may result in irregular periods, obesity, infertility, and sometimes multiple cysts on your ovaries.
Other causes include adrenal gland tumors, insulin resistance, and Cushing's disease, a hormonal disorder caused by high levels of cortisol in the blood.
Can medications cause growth of excess body hair?
Yes. They include but are not limited to minoxidil, phenytoin, cyclosporine, androgens, danazol (Danocrine), anabolic steroids, methyldopa (Aldomet), and progestins (which are sometimes contained in oral contraceptives).
How can I get rid of excess body hair?
Depending on the underlying cause of the excessive hair growth, your doctor may prescribe hormonal treatments. But whether used in conjunction with hormonal treatments or alone, there are a number of non-hormonal options:
Traditionally, this treatment works best for patients with fair skin and dark, thick hair. But there now are lasers specifically designed for darker skin.
If you have darker skin, a word of caution, however: Melanin in the surrounding skin can absorb the laser and cause dark spots or a loss of pigment appearing as white spots on the skin.
On average, six to eight treatments permanently get rid of 80% of excess hair.
An advantage is that it, too, can offer permanent hair removal. But it has a number of drawbacks. Each follicle is treated individually, making it a tedious and time-consuming procedure. The procedure must be repeated on a weekly basis, and the process could take a few years for permanent hair removal.
And since each hair follicle must be treated repeatedly, it can result in an exaggerated pore size or dilated pores that are permanent.
They can require a lot of treatment time, so they work best for smaller areas such as the underarms. If used improperly, the device can burn or blister the skin, or even cause blindness. If you have dark skin tones, they can cause your skin to become either darker or lighter.
How do the costs of the various procedures compare?
Though no formal studies have been conducted, laser hair removal would likely overall be less expensive. It offers permanent reduction, while temporary treatments will carry a continued cost over time. And it requires fewer treatments overall compared with electrolysis, the only other method of permanent hair removal.
For laser hair removal, the average cost to treat a small region (upper lip, chin) is $150 to $250 per treatment; a medium region (underarms, bikini) between $300 and $450 per treatment; and large regions (back, legs) approximately $1,000 per treatment.
SOURCES: American Academy of Dermatology Annual Meeting, San Diego, March 16-20, 2012. Sandy S. Tsao, MD, instructor, Harvard Medical School; dermatologist, Massachusetts General Hospital, Boston.
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