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Why Am I So Hairy?

Learn why some women have hair in places they shouldn’t.

By
Sanaz Majd, MD
4-minute read

What Can Cause My Hairiness?

Certain medical conditions can cause excess hair growth, so it’s important to make sure you don’t suffer from one of them. The most common health condition associated with hirsutism in women is a disorder called Polycystic Ovarian Syndrome (PCOS). PCOS affects up to ten percent of women and typically causes irregular periods, acne, and excess weight gain in the mid-section. Women with PCOS have elevated testosterone levels--the typical “male” hormone that causes hair growth and acne. They are also at greater risk of getting diabetes. So it’s important to get tested for this condition if you’re feeling hairy.

There’s another less common genetic disorder that can cause hairiness, called Congenital Adrenal Hyperplasia (CAH), which is a defect in the adrenal gland, the gland that produces the body’s own natural steroids such as some derivatives of testosterone. 

Additionally, tumors of the ovary can potentially cause hirsutism. However, this is very rare and accounts for less than one percent of those with excess hair. 

When visiting your doctor about this problem, it’s also important to discuss any medications (over the counter, herbal, or prescription) you may be taking, since many medications—such as anabolic steroids, hormones, and some anti-seizure drugs-- can cause excess hair growth. Luckily, if medications are the cause, the hair growth is usually reversible once you stop taking them.

What Can I Do About My Excess Hair Growth?

If you’ve got some hair on your body that you don’t want, you do have some options. No one type of treatment will completely eliminate hair growth, but it may help to reduce the amount of hair. And deciding on a specific treatment plan also depends on the underlying reason that is causing your hairiness.

Hormonal contraception, such as the pill, is the most common first line of defense. The pill normally contains two different types of hormones, progesterone and estrogen. It’s important when discussing your treatment plan with your doctor that you select a pill with a progesterone component with less “testosterone-like” activity, since testosterone may stimulate more hair growth. In general, the pills containing a progesterone component called levonorgestrel should be avoided. Ones containing the progesterone derivative called drospirenone may be more preferable since they act as “anti-testosterones” and will help combat the excess hair growth.

There is also a medication called spironolactone, a drug that was originally prescribed to lower blood pressure, which has been shown to also decrease hair growth.   If you tend to have lower blood pressures, however, this may not be the right method of hair control for you.

Also, a special cream, with the brand name Vaniqa, may be prescribed for those with unwanted hair growth. This is not a hair removal cream, but does work to inhibit growth of hair—but just very gradually. 

Of course, you can also go the more traditional route and try laser hair removal, electrolysis, plucking, waxing, and cream hair removal systems.

Just remember, no matter what method you select with your physician, results are gradual and may not be apparent for up to six months.

When Should You Worry About Your Unwanted Hair?

If the excess hair is uncomfortable for you, or if it is new or changed in any way, it may be time to consult your physician. You should also see your doctor if you suffer from any of the following symptoms in addition to your hirsutism:

  • irregular periods

  • acne

  • difficulty losing excess weight

  • voice deepening

  • family history of diabetes

  • male-pattern baldness

  • nipple discharge

And remember, for some women it’s simply normal to have a little hair here and there. If you have any concerns while trying to embrace your hairiness, however, don’t be embarrassed to ask your doc! They likely see this every day!

Tweezers image courtesy of Shutterstock

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Please note that all content here is strictly for informational purposes only. This content does not substitute any medical advice, and does not replace any medical judgment or reasoning by your own personal health provider. Please always seek a licensed physician in your area regarding all health related questions and issues.

About the Author

Sanaz Majd, MD

Dr. Sanaz Majd is a board-certified Family Medicine physician who graduated from Drexel University College of Medicine in Philadelphia. Her special interests are women's health and patient education.