Managing PCOS facial hair: From hormone therapy to at-home solutions

Noticing extra fuzz or stubborn chin hairs that won’t quit? PCOS facial hair might be the culprit—and understanding why it happens is the first step to managing it (without losing your mind or your confidence).

If you’re dealing with PCOS facial hair, you’re far from alone. In fact, about four to 11% of people assigned female at birth (AFAB) experience hirsutism—that’s what doctors call excess hair growth in places typically associated with “male” patterns, like the chin, upper lip, or jawline. PCOS hair growth can be one of the most visible (and frustrating) signs of hormonal imbalance in people with polycystic ovarian syndrome (PCOS).

As someone deep in the throes of perimenopause, I get it. Hormonal chaos is my constant companion—irregular cycles, moody nights, and, yes, a few stubborn chin hairs that seem to appear overnight. While I don’t have PCOS, I absolutely understand the frustration of managing those surprise sprouts and the confusion of conflicting advice online about what actually helps.

In this guide, we’ll break down why PCOS facial hair happens, what treatments actually work, and whether it can ever truly go away. From hormone-balancing therapies to at-home fixes, consider this your judgment-free, science-backed playbook for managing unwanted facial hair—and feeling more like yourself again.

Why does PCOS cause facial hair growth?

If you’ve ever stood in front of the mirror, tweezers in hand, wondering why new hairs keep popping up along your jawline, you’re not alone.

Hirsutism is the fancy medical term for when hair grows in places typically seen in people assigned male at birth (AMAB). The most common hirsutism symptoms (aka PCOS hair growth areas) include hair on the:

• Face (upper lip and chin)
• Chest
• Breast areola
• Lower belly
• Lower back
• Inner thighs

In the general population, about four to 11% of people AFAB experience it, but among people with PCOS, that number is much higher: 65 to 75%.

Normally, our bodies are covered in fine, soft “vellus” hair. But when androgens (hormones like testosterone) rise, those fine hairs can transform into thicker, darker “terminal” hairs. That’s what gives you visible facial or body hair growth.

People with PCOS often have higher-than-normal levels of androgens—like testosterone, DHEA, and dihydrotestosterone (DHT)—and that hormonal imbalance triggers the shift from peach fuzz to stubble.

So why exactly does PCOS cause this spike in androgens? According to Maribelle Faucett, WHNP, there are a few main culprits:

1. Hair follicles that are super-sensitive to androgens: Some hair follicles act “like little Pac-Men,” says Faucett. They gobble up “testosterone or DHEA-S at a higher rate,” which increases local androgen activity (and symptoms) even when your blood tests look “normal,” she says.
2. Insulin resistance: When your cells don’t respond well to insulin, it “can stimulate the ovaries to produce more testosterone, contributing to excess hair growth,” says Faucett.
3. Ovary or adrenal overstimulation: “In androgenic PCOS without insulin resistance, the ovaries or adrenal glands are directly overstimulated, leading to elevated androgens,” says Faucett.

Between elevated androgens, insulin resistance, and extra-sensitive hair follicles, your system’s hormonal harmony gets a little off-beat, and your hair follicles, unfortunately, are often affected.

How is PCOS facial hair diagnosed

Wondering if that stubborn chin or lip hair is just a random hormonal hiccup or something more? Diagnosis usually starts by confirming you’re dealing with PCOS. The Rotterdam Criteria are the gold standard for diagnosing PCOS.

To meet the criteria, you need two out of three key features:

• Irregular or infrequent periods (oligo-ovulation): Cycles longer than 35 to 45 days or fewer than eight periods per year suggest ovulation isn’t happening regularly.
• Signs of high androgens (hyperandrogenism): This can show up on bloodwork as elevated testosterone or through symptoms like acne, hair thinning, or excess facial and body hair, even when labs look “normal.”
• Polycystic-appearing ovaries on ultrasound: Defined as ovaries with 12 or more small follicles (2 to 9  mm each) or a volume over 10 mL.

Ruling out other conditions—such as non-classic congenital adrenal hyperplasia or adrenal tumors—is also essential to making an accurate PCOS diagnosis, says Faucett.

“If terminal hair (thick, pigmented hair) appears in androgen-sensitive areas like the upper lip or chin,” “other causes … are ruled out,” and facial hair “appears alongside other diagnostic criteria (per the Rotterdam criteria),” it “can be attributed to PCOS,” she says.

To assess the extent of unwanted hair, clinicians often use something called the Ferriman–Gallwey (FG) score—basically a visual grading scale for body hair.

Here’s how it works: nine body areas (including the upper lip, chin, chest, abdomen, back, arms, and thighs) are each scored from 0 (no visible terminal hair) to 4 (coarse, dense hair like a man’s). Add them up, and you get a total score between 0 and 36.

• A score over 3 suggests more hair than average.
• 6 or higher signals significant hirsutism.

Of course, no one-size-fits-all chart can capture everyone’s reality. Hair growth patterns vary widely by ethnicity, genetics, and age, and many people remove facial hair before exams, making scoring tricky. Plus, adolescents may not show full hair growth yet.

That’s why it’s key to work with a culturally competent provider who understands these nuances and looks at the whole picture, not just a single lab or score. With the right evaluation, your clinician can pinpoint whether PCOS is the cause and tailor a treatment plan that actually works for you.

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What are the treatment options for PCOS facial hair?                    

‍‍Unwanted facial hair can be one of the most frustrating symptoms of PCOS, but you’ve got options. “Treatment should always be individualized, based on severity and patient preference,” says Faucett. Here’s how to tackle it from every angle—medical hirsutism treatments, cosmetic approaches, and lifestyle changes.

Medications

Medication can help stop facial hair growth related to PCOS. Here are some hirsutism medications your provider may prescribe to manage symptoms of PCOS facial hair:

• Combined oral contraceptives: Birth control for PCOS helps regulate periods, lower excess androgens, and gradually reduce hair growth.
• Anti-androgens: These drugs block androgen effects to slow unwanted hair growth. Spironolactone for hirsutism—also a blood pressure med—can lower testosterone production and help clear circulating testosterone faster. Just note: these aren’t FDA-approved specifically for PCOS and aren’t safe during pregnancy (spironolactone may cause birth defects, says Faucett).
• Insulin sensitizers: Medications such as metformin (commonly used for type 2 diabetes) can improve insulin resistance, which in turn may help lower testosterone levels and ease symptoms.
• Topical prescription creams: A prescription cream like eflornithine helps slow down unwanted facial hair, especially around the lips or chin. It works by blocking an enzyme in your hair follicles that fuels hair growth. It won’t stop hair completely, but it can make regrowth finer and less noticeable over time.

Be patient: “Visible results can take 6–12 months due to the hair growth cycle,” says Faucett. Stick with your plan—it’s a marathon, not a sprint.

Hair removal options

While you treat the cause, you can still treat the frustrating facial fuzz. These cosmetic approaches help manage what’s visible while your hormones get balanced.

Depilatory (hair removal) creams

Quick, easy, and private—these creams use ingredients like thioglycolic acid to dissolve hair at the surface.

Pros:

• Painless (when used correctly)
• Budget-friendly and DIY
• Works fast

Cons:

• Leave it on too long, and you risk chemical burns
• Not safe for sensitive or compromised skin (think rosacea, eczema, sunburn, or retinol use)

Laser hair removal

Laser treatments zap hair at the follicle using concentrated light beams—fast, efficient, and effective.

Pros:

• Long-term reduction
• Covers large areas quickly

Cons:

• Higher risk of skin damage for people with darker complexions (though tech advances are making lasers increasingly precise for different skin tones)
• May be less effective on light-colored hair (though new tech is improving that too)
• Requires multiple sessions (usually two to six)

“I typically don’t recommend laser alone without addressing the underlying hormonal imbalance,” says Faucett. The most effective approach often combines oral contraceptives, spironolactone, and laser hair removal for PCOS facial hair to minimize regrowth, she adds.

Electrolysis

Electrolysis for PCOS facial hair is the old-school gold standard. A fine wire delivers a tiny electric current to each follicle, destroying it permanently. 

Pros:

• The only FDA-approved method for permanent hair removal
• Works for all skin and hair types
• Great for sensitive areas like the upper lip or chin

Cons:

• Time-consuming—you’ll need multiple sessions over months to a year 

Shaving

If you’ve got a razor and five minutes, you’ve got an easy fix. Shaving is quick, painless (well, unless you slip), and one of the most budget-friendly ways to do PCOS facial hair removal. And no—despite what your aunt or TikTok told you—it doesn’t make hair grow back thicker, darker, or faster.

Pros:

• Virtually painless
• Fast, cheap, and easy to do at home
• Perfect for a quick touch-up

Cons:

• Hair grows back with a blunt edge, which can feel rough or “stubbly” as it comes in
• That blunt regrowth can make hair seem darker or coarser than it actually is

Shaving’s a solid option when you want instant results, but just be ready for a little texture between sessions.

Waxing

If you want smoother skin that actually lasts, waxing might be your new best friend. Unlike shaving, which gives you a clean slate for all of 24 hours, waxing keeps regrowth at bay for a few weeks (or longer if you’re consistent). Once you get the hang of it, you can even do it yourself (though your first few tries might come with a learning curve).

Pros:

• Results can last several weeks.
• Works on both large areas (like legs) and delicate zones (like the upper lip).
• Leaves skin feeling smoother than shaving—no stubble phase.

Cons:

• It takes some practice (and pain tolerance).
• Redness and irritation are common right after.
• If the wax is too hot, it can burn (so test the temperature first).
• Skip waxing if you’re taking isotretinoin, have used it in the past six months, or are on antibiotics or tretinoin (retinoic acid)—your skin will be too sensitive and prone to injury.

Pro tip: If you’re getting a salon wax, make sure the esthetician never double-dips (reusing the same stick in the wax pot). It’s a serious hygiene red flag that can spread bacteria from client to client.

Natural and complementary approaches

Lifestyle can’t “cure” PCOS (or unwanted facial hair), but it can help support your hormonal balance.

Eat for hormone health

A Mediterranean-style, low–glycemic load diet—rich in fiber, fish, legumes, and healthy fats—has been shown to improve insulin sensitivity, hormones, blood pressure, and even periods. Working with a registered dietitian can make a big difference, says Faucett. They can help you implement the right nutrition to support your hormones.

And adding a cup of herbal tea to your diet can help too. It’s true, spearmint tea for PCOS is a real thing, and there’s some legitimate (though early) data to back it up. “Small studies have shown that drinking two cups of spearmint tea daily can help reduce testosterone levels and improve hirsutism symptoms over time,” says Faucett.  

Supplements

A few can support hormonal balance (just run them by your provider first).

• Spearmint capsules: A convenient stand-in for tea, especially if insulin resistance isn’t your main issue, says Faucett.
• Inositol and berberine: Help with insulin sensitivity and may lower androgen levels when insulin resistance is present, says Faucett.

“Natural remedies can take the longest to see results, so patience and consistency is key,” says Faucett.

Maintain a healthy weight (for you)

Even a modest 5% weight loss can improve insulin sensitivity and lower androgens. That said, many people with PCOS find weight loss difficult. If lifestyle changes alone aren’t enough, medications like GLP-1 receptor agonists (used for diabetes and obesity) may help make it more achievable.

Move your body

Exercise isn’t just about weight; it also helps reduce stress hormones like cortisol. That matters since stress can fuel androgen levels.

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PCOS facial hair takes patience to manage, but you don’t have to tackle it blindly. The best results come from a mix of hormonal management, smart hair removal strategies, and steady lifestyle shifts, all tailored to you.

How to prevent and manage regrowth

Myth #1: Shaving makes hair grow back thicker.
Truth: Shaving doesn’t change hair color, thickness, or growth rate.

Myth #2: If you just lose weight or eat “clean,” the hair will go away.
Truth: Diet and exercise can help balance hormones and reduce androgens, but they rarely stop facial hair completely. 

Myth #3: Laser or electrolysis will cure PCOS facial hair.
Truth: These treatments can permanently remove existing hair, but new growth can return if hormones remain unbalanced. 

Myth #4: Only people with PCOS get facial hair.
Truth: Hormonal shifts from menopause, certain meds, or genetics can also trigger unwanted hair growth. 

Myth #5: There’s nothing you can do about it.
Truth: So many options exist from hormone-balancing meds to at-home solutions. 

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Getting rid of unwanted hair is one thing, but keeping it gone is another story. While hair removal methods can help you stay smooth in the short term, they won’t stop regrowth for good. That’s because the real culprit isn’t the hair itself—it’s the excess androgens driving it.

“At the root, suppressing androgen production or activity will see the most results long term, whether that is through consistent medication or supplement use paired with lifestyle support,” says Faucett. Translation: the most effective plan usually combines internal treatment with external care. And since PCOS can look different from person to person, working with a provider who really knows their stuff is key. They can help fine-tune the right combo for your body.

That said, cosmetic treatments like laser hair removal can be a game-changer when paired with hormonal management. To make sure you get the smoothest—and safest—results possible, try these tips:

• Go pro. Always choose a board-certified dermatologist for laser treatments. In the wrong hands, lasers can cause burns, pigment changes, or even scars. A skilled medical professional will tailor the settings to your skin and hair type, minimizing risk.
• Soothe post-laser skin. Expect a little redness or swelling afterward (think mild sunburn). A cool compress can help calm things down.
• Stay sun-smart. Protect treated skin from UV exposure to prevent irritation or discoloration. Avoid tanning beds and follow your derm’s aftercare instructions to the letter.
• Keep it up. Laser results don’t last forever. You’ll likely need maintenance sessions after your initial treatments to keep regrowth in check.

The best long-term results come from a one-two punch—treating the hormonal cause from within and managing the visible effects on the surface.

When to see a specialist

If you’re constantly battling unwanted facial hair, it’s not just a vanity issue. It can mess with your confidence and signal that something hormonal is going on. Conditions like PCOS often show up with excess hair, along with other clues like irregular periods, acne, dark skin patches, or unexplained weight gain.

That’s why it’s worth checking in with your provider if the hair growth is bothering you, or if you’ve noticed other changes in your cycle, skin, or energy. “I recommend a thorough evaluation early on, as soon as the hair becomes unwanted or distressing,” says Faucett. “A specialist can rule out other causes, confirm the diagnosis, and develop a personalized treatment plan.”

If you’re looking for convenient, judgment-free support, the clinicians at Allara can guide you through hormone testing and tailored treatment options, all from the comfort of home.

The bottom line

Dealing with PCOS facial hair can be frustrating, but it’s absolutely manageable. This is a common, treatable symptom of a hormonal imbalance, not a reflection of your femininity. With the right blend of medical care, lifestyle support, and realistic expectations, smooth(er) days are ahead.

“You’re not alone—facial hair is a common and treatable symptom of PCOS,” says Faucett. “It can take time to see changes, but there are effective treatment options available.”

If you’re ready to get to the root of what’s really going on, the experts at Allara can help. Their team will investigate, diagnose, and create a personalized treatment plan, so you can finally get answers, feel in sync with your body again, and move forward with confidence.

Key takeaways

• PCOS facial hair is super common—and caused by higher androgen (male hormone) activity or sensitivity, not poor hygiene or “doing something wrong.”
• Hair removal helps, but hormones rule. Shaving, waxing, or laser can keep things smooth, but long-term results come from treating excess androgens.
• Diagnosis matters. A provider can confirm PCOS and rule out other causes of unwanted hair growth.
• Consistency is key. Combining medication, supplements, and lifestyle changes works best for reducing regrowth over time.
• You’ve got options—and support. With the right plan (and some patience), you can manage symptoms and feel more at home in your skin.

Frequently asked questions (FAQs) 

Why shouldn't you shave your face if you have PCOS?

You totally can shave your face with PCOS—it's a myth that you shouldn’t. Shaving doesn’t make hair grow back thicker, darker, or faster (promise). It’s quick, easy, and budget-friendly. The only downside? The blunt tip left behind can feel stubbly as it grows out, which might make hair look darker or coarser for a few days. If you want longer-lasting results, consider waxing, laser, or electrolysis. Just keep in mind: no hair removal method can stop PCOS hair growth for good. You’ll need to tackle the underlying cause (excess androgens) to see lasting change.

How do I stop facial hair growth due to PCOS?

To stop the hair, you’ve got to stop the hormones driving it. Managing PCOS-related facial hair means targeting excess androgens—the hormones that trigger those coarse, stubborn strands. The most effective approach usually combines medication (like birth control pills or spironolactone) with laser hair removal to slow regrowth, says Dr. Faucett. Lifestyle changes and supplements such as inositol and berberine can also help balance hormones and support your results, she adds.

How do I stop facial hair growth due to PCOS naturally?

There are plenty of ways to support hormonal balance without prescriptions. While these won’t completely stop facial hair or cure PCOS, they can definitely help tame symptoms over time. Try:

• Eating an anti-inflammatory, fiber-rich diet (think: Mediterranean-style with fish, legumes, and healthy fats) to boost insulin sensitivity.
• Sipping spearmint tea—studies suggest two cups a day may lower testosterone and reduce hirsutism.
• Taking supplements like inositol and berberine, which can help regulate insulin and androgens.
• Maintaining a healthy weight for you—even a 5% weight loss can help balance hormones.
• Moving regularly to lower stress hormones like cortisol, which can elevate androgen levels

Does waxing reduce hair growth? 

Kind of! Because waxing pulls the hair out by the root, regrowth can become finer and sparser over time though results vary depending on your hair type. Plus, one session can leave skin smooth for up to three or four weeks, which is a big upgrade from the daily shave grind.

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