Hirsutism Treatment by Ray Sahelian, M.D. (natural treatment database)

The presence of terminal hair with a male pattern of distribution in a women is called hirsutism, and is either due to increased androgen production or to increased sensitivity of the hair follicle to androgens. Hirsutism is characterized by excessive hair growth on the face, breasts and belly, and affects about 5 percent of women. It is thought to be related to the body's level of androgens (male hormones).  In more than 95% of cases, hirsutism is a benign condition, generally a polycystic ovarian syndrome. When there is no evidence of oligo-anovulation and androgen levels are normal, the diagnosis of idiopathic hirsutism is given.

Cause of Hirsutism
DHEA, testosterone, androstenedione, and other androgens.
Polycystic ovary syndrome, see natural ways to treat this condition

Hirsutism Treatment
Hirsutism treatment is threefold: 1) inhibition of androgen production; 2) inhibition of androgen action and 3) a local treatment. The brisk apparition and extension of hirsutism, together with signs of virilisation and high levels of circulating androgens, suggest the presence of a tumor, extremely rare, but almost always malignant.

Natural Options for Hirsutism Treatment
Licorice is one option, although licorice should not be taken daily for prolonged periods without breaks since it can cause low potassium levels.
Exercise and weight loss could be very beneficial.
Spearmint tea may be helpful.

Spearmint tea may help treat excess body hair
Effect of spearmint (Mentha spicata Labiatae) teas on androgen levels in women with hirsutism.
Phytother Res. 2007 Feb 20; Department of Clinical Biochemistry, School of Medicine, Suleyman Demirel University, Isparta, Turkey.
Mentha spicata Labiatae, known as spearmint and Mentha piperita Labiatae, known as peppermint can be used for various kinds of illnesses in herbal medicine and flavoring in industry. Spearmint grows on the Anamas plateau of Yenithornarbademli town of Isparta, located in southwest part of Turkey. In this town, clinicians thought that consumption of tea steeped with spearmint or peppermint caused a diminished libido. Because antiandrogenic effects of spearmint and peppermint were found previously in rats, it was decided to observe the effect of this herbal tea on the androgen levels in hirsute women. Twenty-one female hirsute patients, 12 with polycystic ovary syndrome and 9 with idiopathic hirsutism were included to the study. They were took a cup of herbal tea which was steeped with spearmint for 5 days twice a day in the follicular phase of their menstrual cycles. After treatment with spearmint teas, there was a significant decrease in free testosterone and increase in luteinizing hormone, follicle-stimulating hormone and estradiol. There were no significant decreases in total testosterone or dehydroepiandrostenedione sulphate levels. Spearmint can be an alternative to antiandrogenic treatment for mild hirsutism. Further studies are needed to test the reliability of these results and the availability of spearmint as a drug for hirsutism.

Hirsutism Research Update
Licorice reduces serum testosterone in healthy women.
Steroids. 2004 Oct-Nov;69(11-12):763-6.
Licorice has been considered a medicinal plant for thousands of years. The most common side effect is hypokalemic hypertension, which is secondary to a block of 11beta-hydroxysteroid dehydrogenase type 2 at the level of the kidney, leading to an enhanced mineralocorticoid effect of cortisol. We have investigated the effect of licorice on androgen metabolism in nine healthy women 22-26 years old, in the luteal phase of the cycle. They were given 3.5 g of a commercial preparation of licorice (containing 7.6% W.W. of glycyrrhizic acid) daily for two cycles. CONCLUSIONS: Licorice can reduce serum testosterone probably due to the block of 17-hydroxysteroid dehydrogenase and 17-20 lyase. Licorice could be considered an adjuvant therapy of hirsutism and polycystic ovary syndrome.

Hirsutism Treatment Questions
Q. Is there an herb or vitamin that can help with hirsutism treatment?
     A. There may be, but I am not aware of an herb or supplement that has been thoroughly tested to be effective as a hirsutism treatment. Licorice may help, but chronic licorice use may lead to loss of potassium and high blood pressure.

 

Hirsutism treatment