Facial Hair (hirsutism)

What is Hirsutism?

Hirsutism is the medical term for excessive hair growth in women in areas where men typically grow more hair. This usually appears on the face, chin, upper lip, neck, chest, stomach, or back. The hair is often dark and coarse, unlike the finer, lighter hair normally found in these areas.

Although not dangerous, hirsutism can cause significant emotional distress and affect self-confidence.

Causes of Excess Facial Hair in Women

In most cases, hirsutism is linked to a hormonal imbalance. When the body produces higher levels of androgens (male hormones such as testosterone), or when hair follicles become more sensitive to these hormones, excess hair growth can occur.

Common causes include:

• Polycystic ovary syndrome (PCOS) — the most frequent cause in younger women

• Obesity, which can influence hormone levels

• Cushing’s syndrome (high cortisol levels)

• Congenital adrenal hyperplasia (a genetic condition)

• Certain medications such as danazol, corticosteroids, and fluoxetine

• Hormone-secreting tumours in the ovaries or adrenal glands (rare)

In around 1 in 10 women, no clear medical cause is found, though family history and ethnicity (particularly Middle Eastern, South Asian, or Mediterranean backgrounds) can play a role.

Symptoms of Female Facial Hair Growth

Hirsutism usually causes thick, dark hair to grow in male-pattern areas. Other possible symptoms include:

• Acne and oily skin

• A deepening of the voice

• Thinning or receding hairline

• Enlarged clitoris (in severe cases)

• Increased muscle mass or reduced breast size

If you notice sudden or severe changes, it is important to seek medical advice to rule out an underlying condition.

How is Hirsutism Diagnosed?

If you think you may have hirsutism, your GP may:

• Take a blood test to measure hormone levels

• Arrange an ultrasound or CT scan to check your ovaries and adrenal glands

• Carry out a physical examination

These investigations help determine whether excess androgens are the cause and identify any treatable underlying conditions, such as PCOS.

Treatment Options for Facial Hair

There are a range of approaches women use to manage unwanted facial hair:

• Shaving – fast but may cause irritation and stubble

• Waxing or epilation – longer-lasting but can be painful

• Bleaching – lightens the hair, but may irritate skin

• Electrolysis – destroys hair follicles but can be time-consuming and costly

• Laser hair removal – long-lasting but requires multiple sessions

• Hormonal treatments – such as the contraceptive pill, which may help regulate androgen levels

For many women, prescription creams like Vaniqa offer an effective, clinically proven solution.

Vaniqa Cream (Eflornithine 11.5%)

Vaniqa is the only non-hormonal prescription treatment licensed in the UK for reducing unwanted facial hair in women.

• Works by blocking an enzyme in hair follicles that stimulates growth

• Leads to slower regrowth and finer, less visible hair

• Improvements are usually noticeable after 8 weeks, with maximum results at around 24 weeks

• Best used alongside your usual hair removal methods

It’s important to note that Vaniqa is not a hair removal cream. Instead, it reduces the rate of new hair growth.

How to Buy Vaniqa Cream Online

You can order Vaniqa online from Click Pharmacy in three simple steps:

1. Complete a short online consultation – answer some health questions for our prescribers.

2. Get reviewed by a UK-registered clinician – ensuring the treatment is safe and suitable for you.

3. Receive discreet delivery – your prescription is sent directly to your door, with next-day delivery available.

Can Hirsutism Be Prevented?

There’s no guaranteed way to prevent hirsutism, but certain lifestyle changes may help reduce your risk or manage symptoms:

• Maintaining a healthy weight (especially with PCOS)

• Exercising regularly

• Eating a balanced diet

• Avoiding medicines that may trigger hair growth (e.g. danazol, minoxidil)

• Using natural remedies such as spearmint tea or turmeric (evidence is limited)

Always speak to a healthcare professional before trying new treatments or supplements.

FAQs about Female Facial Hair

How common is hirsutism?
It affects 5–10% of women, with higher prevalence in those with hormonal imbalances or certain genetic backgrounds.

Is facial hair in women hereditary?
The condition itself isn’t directly inherited, but the underlying causes — such as PCOS — can run in families.

Does hirsutism affect my health?
Hirsutism isn’t harmful in itself, but it can cause emotional distress and may indicate an underlying condition that requires attention.

Can I use Vaniqa with other hair removal methods?
Yes — in fact, combining Vaniqa with methods like shaving, waxing, or laser treatment often gives the best results.