How To Get Rid Of Unwanted Facial Hair On Upper Lip?

Posted on Sat, 24 Jan 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 24 Jan 2015 Answered on

Mon, 23 Feb 2015 Last reviewed on

Question : Hello sir, I'm wheatish 34 year old female. I have thick hair at side of my upper lip. Sometimes it comes out like small eruptions inside which a nail kind thing is there along with hair. once i remove the upper lip hair along with the nail, some of the eruption subsides. I've also seen some of the hair has inward growth and cause small balls on my upper lip. I have thyroid problem( TSH), mensurational disorder and I'm obese. I have shown to a dermatologist who asked me to do certain test, like Testosterone ,FSH &LH. After test my Testtosterone is 47.16 ng/dl & FSH&LH is 5.27;8.60 mlU/mL. Please suggest me a remedy for my upper lip. Getting worried, please help me

Answered by Dr. Ajish TP (9 hours later)

Brief Answer:
Probably polycystic ovarian syndrome

Detailed Answer:
Hi XXXXXXX

Welcome to HCM. I had gone through your question and understand your concerns.

Most common cause of hair growth and eruptions when associated with menstrual disorder is polycystic ovarian syndrome (PCOS). Additional tests needed are :
Ultrasound pelvis, Serum prolactin, 17 hydroxy progesterone and DHEAS.

From the reports your LH is more than FSH, testosterone on higher half of normal - all are suggestive of PCOS.

If the other investigations are normal the treatment options are:

1. Oral contraceptive pills - will regularise your menstrual cycles and decrease hair growth.
2. Anti androgens - like spironolactone and finasteride can be tried.
3. Local treatment like eflornithine cream, electrolysis and laser treatment.

Hope I have answered your question. If you have any further questions I will be happy to help.

Regards
Dr Ajish TP
Consultant Endocrinologist

Above answer was peer-reviewed by : Dr. Raju A.T