Because of its diuretic effect, spironolactone must be used only with caution in some cases, but it is extremely effective in many PCOS patients. Proscar works by interfering with enzymes within the hair follicle. Once hirsutism medication has begun, it is appropriate to begin hair removal techniques that will treat the extant hair. An increasingly common method of hair removal is via laser. Currently the preferred types of lasers are Alexandrite and Diode laser, which are powerful but appear to cause less burning and change in skin pigmentation than other types of lasers.
Electrolysis is slower and good primarily for small, limited areas.
It can be useful for African-American women, who are more prone to burning from lasers. In most cases, the regrown hair will be sparser and finer, but further treatment may indeed be needed. The most common treatments for hair loss are Minoxidil, Proscar, Spironolactone, and hair transplants. Other Skin Manifestations PCOS patients also have an increased risk of several other types of skin manifestations. Acanthosis nigricans refers to increased pigmentation of the skin, and it commonly occurs on the neck.