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.
Common Causes of Abnormally Excessive Hair Growth
- Too much androgen secretion: Many women secrete too much androgen as a result of conditions such as Polycystic Ovarian Syndrome (PCOS) or Polycystic Ovarian Disease (PCOD), which affects 6-10 percent of the general female population and accounts for half of all hormonal disorders affecting female fertility. Because androgen levels are out of whack, PCOS sufferers can develop abnormally excessive facial or body hair. For more information on PCOS, visit www.PCOSupport.org .
- Genetics: Some clinicians will cite “racial” or “familial” genes as a cause of hirsutism, but this isn’t an authentic cause per se. Having said that, if you’re of Mediterranean descent, you are more likely to experience noticeable or “unwanted” hair growth that a blonde Scandinavian woman may not.
- Stress: In response to stress, your adrenal glands pump out “stress hormones” or catecholamines that speed up your body. But since your adrenal glands also make androgen, increased stress can also increase circulating androgens in your bloodstream, which can cause hirsutism.
- Obesity: Certain body types (wherein more of the weight is carried in the upper body) are more susceptible to hirsutism because they are associated with insulin resistance. Also, fat cells can make androgen just as they can make estrogen.
- Overactive adrenal glands: This is a side effect of tumors resulting from certain pituitary diseases, such as Cushing’s Disease (for more information, visit the National Adrenal Disease Foundation at www.medhelp.org/nadf). Cushing’s Disease and PCOS are often accompanied by irregular periods.
- Oversensitive hair follicles: Some of us are genetically wired with hair follicles that are simply more sensitive to androgens.
- Side effects of certain drugs: Many drugs can cause either androgen secretion and hirsutism, or the opposite—hair loss or alopecia. As a general rule, when taking either a prescription or an over-the-counter drug, be sure to ask about common side effects. Drugs that commonly cause hair growth in women include: Dilantin (used to control seizures), Danazol (used in extreme cases of endometriosis), Cyclosporine, Steroids (used in a variety of drugs, particularly asthma medications)
- Oral contraceptives: Certain OCs can increase circulating androgen levels, while others decrease them. Consult with your doctor on hair related side effects of any oral contraceptives that you are considering taking.
- Insulin resistance & Diabetes: This is when your cells stop responding to the insulin your pancreas makes. Too much insulin can actually cause hirsutism. For more information, see Hormone Help Page located on Dr. Redmond's (a well known endocrinologist) web page.
- Thyroid disorders: Certain thyroid disorders could cause hirsutism. Once your thyroid problem is treated, however, it’s likely no new hairs will be stimulated to grow.
- Rare endocrine disorders: An increase in androgen levels can result from a number of very rare endocrine diseases, such as Hyperandrogenic-Insulin Resistant-Acanthosis Nigricans (Hairan) Syndrome.
The following are methods most people consider once an underlying hormonal problem causing excessive, unwanted hair growth has been ruled out, or dealt with.
- Tweezing: Tweezing is the cheapest method of removal, and is generally considered appropriate for eyebrows, since you may want to alter their shape from time to time and allow the hairs to grow back. "However, tweezing can cause scar tissue to form and can also stimulate the hairs to grow back stronger and coarser. Avoid using tweezers on sparse facial hair or as a way of removing large areas of unwanted hair on the legs and underarms."--Dr. Sara Rosenthal, Women and Unwanted Hair
- “Tweezer-like” Products: Although these devices are relatively cheap and convenient, the hair removal is temporary and, like regular tweezing, stimulates the hair follicle to grow stronger hair.
- Shaving: The problem with shaving for women is where they are shaving and where, on their bodies, stubble is socially and culturally acceptable. Shaving facial hair, for example, is stigmatizing; shaving underarm hair is not. In light of this, experts understand if women refrain from shaving the face if it doesn’t feel right, but they do not discourage shaving if the goal is to remove the hair without stimulating the roots. And if the goal is to permanently remove the hair, shaving is a better option than waxing, tweezing or sugaring if you’re having electrolysis treatment because of the potential skin damage associated with these alternate methods.
- Waxing: Waxing is basically large scale tweezing. It removes the hair for long periods of time without producing stubble. With the exception of hair that has been hormonally stimulated, hair that is waxed on areas such as the lower leg or underarm, may grow back fine or sometimes finer. However, like tweezing, waxing can negatively stimulate the roots and hair follicles on areas like the chin, breast, abdomen, and upper lip.
- Sugaring: Sugaring produces the same results as waxing, but doesn’t require as much heating. It can be messy and, as a result, is not exactly convenient. It is also a large-scale tweezing method.
- Threading: This is an ancient technique popular in places like India and the Middle East. It involves the use of a regular thread to remove hair from the surface of the skin. It is a variation on tweezing.
- Hair Removal Creams: These creams (also called depilatories) remove surface hair but they tend to have less of an effect on the follicle than methods like tweezing. Think of them as a chemical shave. And while they don’t provide a permanent solution, the hair may take longer to grow back than it would if you were shaving, and hair doesn’t grow back as stubbly.
- Bleaching: Bleaching kits do not remove hair at all, but can lighten the dark, fine hairs of the upper lip or arm to conceal hirsutism. Use with caution as on some hair colors, it make it catch the light and ends up making it more noticeable, almost shiny.
- Home Electrolysis Kits: These tend not to live up to their claims, nor do any “patch” devices you may have come across on the home shopping network; both end up actually “tweezing” out the hairs instead of removing them via electrolysis. The good news is the DC battery that powers home electrolysis kits is not strong enough to do any real damage to your skin. We've tried them all and none of them work. Hair is just not a conductor of electricity, sorry.
- Laser: Laser treatment for hair removal is gaining popularity, but its success is really dependent on the hair and skin pigment. If you’re a person of color, the pigment in your skin will likely interfere with the laser beam’s reach. Similarly, if you’re fair-haired, the laser will likely be unable to grasp the pigment in your hair. This is an adequate method if you’re fair skinned, but dark haired. However, it is extremely costly, and its permanence is not guaranteed and can not be legally represented as permanent. It might work well in conjunction with a permanent method like electrolysis on large areas like a man's back or full beard removal. Make sure you are having laser treatments done by a trained medical doctor, not just a "certified" technician, certification can be as simple as a 4 hour course on how to operate the machine. Visit the FDA Laser (Radiation Emitting Devices) Facts page for more information.