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Conditions6 min read

PCOS and Hirsutism: Why Laser Hair Removal Can Make Things Worse

·By Tammy Morse, RE, CPE
PCOSlaserparadoxical hypertrichosishirsutism

If you have PCOS or hirsutism and you're considering laser hair removal, this article could save you significant time, money, and frustration.

What Is Paradoxical Hypertrichosis?

Paradoxical hypertrichosis is a condition where laser hair removal treatments actually stimulate new hair growth rather than reducing it. Studies suggest this affects up to 10% of laser clients, and the risk is even higher for individuals with hormonal conditions like PCOS.

Why PCOS Clients Are at Higher Risk

Women with PCOS already have elevated androgen levels that stimulate hair follicles. When laser energy is applied to the skin, it can further stimulate dormant follicles in the surrounding area, triggering them to produce new, visible hair. The very treatment meant to reduce hair can make the problem worse.

This is particularly common on:

  • The face (cheeks, jawline, chin)
  • The neck
  • The upper arms
  • The upper back

The Electrolysis Advantage

Electrolysis carries zero risk of paradoxical hypertrichosis. Here's why:

  • Electrolysis treats each follicle individually with a tiny probe inserted directly into the follicle
  • There is no broad-spectrum light energy that can stimulate surrounding dormant follicles
  • Each treated follicle is permanently destroyed
  • The method works regardless of hair colour, including the fine, light hairs common with hormonal conditions

What If You've Already Had Laser

If you've experienced increased hair growth after laser treatments, electrolysis can help. We regularly treat clients who come to us after unsatisfactory laser results, including those dealing with paradoxical hypertrichosis. The new hair growth caused by laser responds well to electrolysis treatment.

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