PCOS or Polycystic Ovarian Syndrome has become a common health condition for many women across the world. While it is the most prevalent endocrine disorder in women and the leading cause of infertility, its prevalence ranges from 6-26% worldwide, and in India it is 3.7-22.5%.

In women with PCOS, the body produces high levels of androgens such as testosterone and dihydrotestosterone (DHT). These are said to be male hormones that stimulate hair follicles, leading to excessive growth on the face, chest, and back.

Hormonal imbalances disrupt the normal hair growth cycle, causing hair to become thicker, darker, and more permanent.

Dr Prachi Sarin Sethi, Senior Consultant, Obstetrician & Gynecologist, Motherhood Hospital, Gurugram said, “In PCOS, an increase in male hormones is often associated with insulin resistance, which can lead to type 2 diabetes. When the body does not respond well to insulin, the ovaries produce more male hormones, leading to more facial hair growth.”

This condition is called hirsutism or excessive hair on the face and body, which is one of the most bothersome symptoms for women suffering from PCOS.

Dr Shelly Singh, Senior Consultant, Rosewalk Healthcare, said that this is why this syndrome also involves long-term problems, such as infertility, type 2 diabetes, heart disease, sleep disorders, mental health problems like depression and anxiety.

Dr Singh said managing facial hair during PCOS requires a “multidisciplinary approach” involving gynaecologists, dermatologists, endocrinologists and nutritionists.

Dr. Vaishali Sharma, senior gynaecologist and infertility specialist, explains ways to manage PCOS and treat facial hair.

Lifestyle changes

Regular exercise can help reduce insulin resistance, balance hormone levels, and maintain a healthy weight. A diet rich in whole foods, low in refined sugars, and rich in fiber can also help control weight and reduce the risk of diabetes.

medical treatment

Birth control pills are often prescribed to regulate the menstrual cycle and reduce androgen levels, which can help with symptoms such as acne and excessive hair growth. In some cases, anti-androgen medications may be recommended to reduce hirsutism and other androgen-related symptoms.

Hair removal techniques

There are several hair removal methods available for women with hirsutism.
Traditional options like waxing, threading, and shaving are effective but temporary. Long-term solutions include laser hair removal and electrolysis, which can provide more permanent results by directly targeting hair follicles.

Mental Health Support

PCOS can take a toll on mental health, particularly due to symptoms such as hirsutism and weight gain. Seek help, whether through therapy, support groups or counselling.

“We must focus on the emotional impact of PCOS to improve overall health and help women cope with the challenges associated with this condition,” Dr Sharma said.