The only permanent way of removing excessive hair is by electrolysis. The electrologist uses a very fine current needle placing it down the hair shaft and into the hair follicle. A mild electric current permanently kills the hair follicle. Electrolysis should not be performed until hormonal therapy has been used for at least six months. The first step in managing hirsutism is to determine the cause of the problem.
Many gynecologists are comfortable managing hirsutism.
However, a Reproductive Endocrinologist , a gynecologist who has spent 2 to 3 years subspecializing in this field can best find the precise cause and institute the most appropriate hormonal treatment. It is important again, to begin hormonal therapy before electrolysis is utilized. Hormonal therapy will stop new hair from developing. Terminal hairs that are already present do not fall out or disappear with hormonal therapy and must be removed by electrolyisis. It is also very important to remember that excessive hair growth took, in most cases, many years to develop.