PCOS and Facial Hair: Understanding Hirsutism and How to Manage It
Photographer: Midjourney
Understanding Facial Hair Growth in Women with PCOS:
Polycystic ovary syndrome (PCOS) is a hormonal condition that affects a significant number of women worldwide. One of the most noticeable and distressing symptoms for some women with PCOS is excessive facial hair growth, particularly in the beard area. This condition, known as hirsutism, is caused by an imbalance of hormones, primarily elevated levels of androgens (male hormones like testosterone), which can lead to the development of male-pattern hair growth in women.
Here I want to explore why facial hair growth happens in women with PCOS, what it means for your body, and some tips for managing it.
What Causes Facial Hair Growth in PCOS?
Women naturally produce small amounts of androgens, but in women with PCOS, the ovaries may produce higher-than-normal levels of these hormones. Not fun! This increase in androgens leads to several symptoms, including irregular periods, acne, and unwanted hair growth on areas of the body where men typically grow hair, such as the chin, jawline, neck, and upper lip.
The overproduction of androgens in women with PCOS is linked to insulin resistance, which is also common in this condition. High insulin levels can stimulate the ovaries to produce more androgens, creating a cycle that leads to the development of male-pattern facial hair. In some women it can also lead to male-pattern baldness.
Hair Growth Phases in the Beard Area
Like all hair, facial hair in the beard area grows through three distinct phases:
Anagen Phase (Growth Phase): During this phase, the hair follicle is actively producing new hair cells, and the hair grows. In women with PCOS, the anagen phase can be extended in areas where male-pattern hair growth typically occurs, such as the chin and jawline.
Catagen Phase (Transitional Phase): The hair growth slows down, and the hair follicle begins to shrink. This phase lasts a few weeks.
Telogen Phase (Resting Phase): The hair is no longer growing but stays in place until it eventually falls out, making way for new hair.
In hirsutism caused by PCOS, the anagen phase is often more pronounced in areas like the beard, leading to noticeable and sometimes coarse hair growth.
Photographer: Milotze
Managing Facial Hair in the Beard Area with PCOS
Managing unwanted facial hair growth is an ongoing concern for many women with PCOS. Here are some effective strategies to consider:
Hormonal Treatments: Medications like oral contraceptives, anti-androgens (such as spironolactone), and insulin-sensitizing drugs (like metformin) can help regulate hormone levels, reducing the stimulation of facial hair follicles. In some women metformin can lead to side effect, I have an aunt who had liver issue because of metformin, so its not for me. However, many people work with metformin and have little issues. Just do your homework on any drug you are interested in utilizing.
Hair Removal Methods:
Shaving: Contrary to popular belief, shaving does not make hair grow back thicker or faster. It can be a quick and effective way to manage facial hair, especially when it grows back quickly.
Waxing or Threading: These methods remove hair from the root, but can be painful, especially in sensitive areas like the chin or neck. Results last longer than shaving, usually about 2–4 weeks, however you have to let the hair grow out in order to utilize the procedure.
Depilatory Creams: These creams dissolve hair at the surface of the skin, providing a temporary solution. However, they can sometimes irritate sensitive skin, so patch testing is recommended.
Laser Hair Removal: Laser treatments target the hair follicles and can reduce hair growth over time. It is said to be one of the more permanent solutions, though it requires multiple sessions and is often most effective on darker hair. It’s also very expensive, so be for warned about the price. I have gone into a little more depth about my experience with Laser hair removal in my last blog post that you can find HERE.
Electrolysis: This method involves using an electric current to destroy hair follicles and is considered a permanent hair removal option. It can be time-consuming and may require many sessions, but it works for all hair types and colors. Out of all the hair removal options I’ve tried, this has been the most painful by far, but it’s also the only method that really worked to remove hair caused by my PCOS.
Skincare: Regularly cleansing and exfoliating the skin can prevent ingrown hairs, which are common in areas where hair is frequently removed. Use gentle exfoliants and moisturizers to keep the skin smooth and hydrated.
Diet and Lifestyle Changes: Improving insulin sensitivity through diet and exercise can help regulate hormone levels. A diet rich in whole grains, lean proteins, and fiber, along with regular physical activity, can improve insulin resistance, which may, in turn, reduce androgen levels and lessen facial hair growth.
Emotional Support and Acceptance: Facial hair growth in the beard area can be a source of anxiety and self-consciousness for many women with PCOS. It’s important to seek emotional support, whether through therapy, support groups, or connecting with others who have similar experiences. Embracing self-care and focusing on feeling good about yourself can help build confidence, even while managing physical symptoms.
Living with PCOS and Facial Hair
Bottom line this is no joke, it is a syndrome that effects many women so just know if you are reading this that you are not alone. PCOS-related facial hair can be challenging to manage, but there are many options available to reduce and remove unwanted hair. It’s important to consult with a healthcare provider for the best treatment plan for your individual needs, as managing facial hair is often tied to addressing the underlying hormonal imbalance. If you’re unsure where to find a healthcare provider who deals with PCOS, try looking at fertility clinics, as they often specialize in hormones, which play a key role in PCOS. While not every fertility clinic may have a PCOS expert, this is where I found the doctor I’ve worked with in the past. It’s a good place to start your search for specialized care.
Ultimately, the goal is to find a combination of treatments that helps you feel comfortable and confident in your own skin, recognizing that beauty comes in many forms—even when you’re on a journey to manage PCOS symptoms.
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