Hypertrichosis

Hypertrichosis is excessive local or widespread hair growth in areas of the skin where hair growth should not be. In specialized literature, you can find synonyms for Hypertrichosis - polytrichia, viril syndrome, although many doctors classify these diseases as different types of the same category.

Hypertrichosis is an abnormal hair growth in women, men, and even children, while virilism can only affect women, when hair growth is one of the symptoms, but not the only one.

Hypertrichosis as an androgen-dependent phenomenon has various forms and can be caused by several reasons, its official classification is as follows:

ICD-10 L68, Hypertrichosis:

• L 68.0 - Hirsutism L 86.1 - Hypertrichosis of vellus hair, acquired
• L 86.2 - Localized hypertrichosis
• L 68.3 - Polytrichism
• L 68.8 - Other hypertrichosis
• L 68.9 – Hypertrichosis, unspecified

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Causes of hypertrichosis

The causes of hypertrichosis depend on its form, which are etiologically determined as follows:

• Congenital hypertrichosis:
  • Congenital universal - embryonic.
  • Congenital local.
• Acquired hypertrichosis:
  • Interscapular.
  • Puberty.
  • Climacteric.

In general, the causes of hypertrichosis are due to genetic factors. As a result of the mutation of epithelial cells, their structure changes, which acquires the properties of the epidermis. In turn, a genetic mutation can be associated with an abnormal process of bearing a fetus, when pregnancy is difficult, and infectious diseases in the first trimester can also cause the transformation of the epithelium. In a newborn, symptoms of excessive hair growth may not appear, but a potential, hidden danger remains: the child may be a carrier of a mutated genome, and hypertrichosis will appear in the next generation.

Unlike congenital pathological hair growth, acquired hypertrichosis is provoked by other reasons, such as constant exposure to irritation on the skin, such as shaving, the bad habit of pulling hairs, mechanical friction, etc. In addition, hair growth develops as a consequence of taking certain drug groups - glucocorticosteroids, both in tablet form and externally (ointments, creams).

Let us list the most common factors and causes that provoke hypertrichosis: •

• Congenital genetic pathologies, including developmental anomalies of the skeletal or mental system, when hairiness is one of the clinical signs of the disease.
• Endocrine pathologies – pituitary gland, adrenal glands, ovaries, thyroid gland.
• Hormonal imbalance (pregnancy).
• Changes in the hormonal system associated with menopause.
• Tumor of the brain, mammary gland, ovary.
• Epilepsy.
• Medicinal factors – taking corticosteroids, streptomycin, androgen drugs.
• Metabolic disorder as a result of starvation (anorexia).
• Mechanical irritation – shaving, hair plucking.

More detailed information about the types and causes of hypertrichosis is presented in the table.

Type and form of the disease	Cause, provoking factor
Congenital hypertrichosis (downy)	Genetic mutations of epithelial cells
Acquired vellus hypertrichosis	A threatening symptom of oncological disease, according to statistics, 95-98% of those examined are found to have oncopathology
Drug-induced hypertrichosis	Taking diaxoside, cyclosporine, dinitrochlorobenzidine, corticosteroids, minoxidil, diphencypropenone, psoralen, hormonal ointments. Taking anabolic steroids
Hypertrichosis caused by mechanical, traumatic factors	Constant exposure to hot thermal irritants – thermal procedures (warming plasters, mustard plasters, mud therapy, paraffin applications) PUVA therapy Cryotherapy Ultraviolet irradiation Depilation, shaving, plucking Trichotillomania (compulsive hair pulling)
Symptomatic hair growth	Hypertrichosis can be one of the symptoms of porphyria, dermatomyositis, TBI, fetal alcoholism,
Syndromic hypertrichosis	Achard-Tiers syndrome (combination of diabetes and hypercortisolism) Itsenko-Cushing syndrome (hyperadrenocorticism) Morgagni syndrome (hyperstomosis of the cranium, hypertrichosis, virilism) Pfaundler-Hurler disease (glycosaminoglycan abnormality) Lipoatrophic diabetes syndrome (Berardinelli syndrome) Cornelis de Lange syndrome, a neonatal anomaly Stein-Leventhal syndrome (pathological polycystic ovary disease) Seckel's syndrome Trisomy E syndrome
Hypertrichosis caused by venereal diseases	Syphilis

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How is hypertrichosis inherited?

To date, geneticists have identified many congenital types of hypertrichosis, which manifest themselves immediately after the baby is born. Lanugo hair growth in newborns is associated with inheritance, both parents or one of them already have a similar problem. Unlike the normal vellus hair of babies, vellus hypertrichosis is characterized by a thicker, visible, pigmented hair. Congenital hypertrichosis is localized on the neck, trunk, and sometimes on the face (forehead). Pathological congenital hypertrichosis fetalis lanuginosa is often accompanied by adentia (teeth dystrophy), diseases of the nervous system and developmental defects (mental retardation, microcephaly). There is also a congenital type of vellus hair growth - hypertrichosis congenita, inherited by an autosomal dominant type with a high level of penetrance (genotype indicator).

How is hypertrichosis inherited in an autosomal dominant manner?

Types of inheritance may vary. Autosomal dominant is characterized by the fact that the altered (mutant) gene is transformed into an active trait in a heterozygous form, thus, the child inherits the altered form of the gene (allele) from one of its parents at conception. Inheritance of hypertrichosis by the autosomal dominant variant indicates that the probability of hairiness is equal for both newborn boys and girls. Unlike hypertrichosis foetalis lanuginosa, such vellus hypertrichosis does not entail serious consequences for the health of the newborn, and does not affect its mental, physical and reproductive development. A disease associated with excessive hair growth can occur in each generation, the probability of a situation where a child of "hairy" parents will inherit their feature is 50%. There are other inheritance options when the penetrance level is low, then pathological hair growth may not manifest itself in a newborn. It is also possible for hair growth to “debut” at a later age, for example, during puberty or during menopause in women.

Currently, more than 20 forms of hereditary hypertrichosis are known, local and total, including those with defective genes HTC2, HCG, CGH, X, when hairiness is combined with congenital developmental anomalies - fibromatosis of the gums, skeletal dysplasia.

When and how is hypertrichosis inherited, what is the probability of inheritance?

• If a family has enough descendants with inherited hairiness, hypertrichosis occurs in every generation.
• Women and men inherit hypertrichosis in equal proportions.
• Hereditary hypertrichosis can be transmitted by either the mother or the father.
• The chance that a child will inherit hypertrichosis if it is passed down through a generation is 50%.

Hirsutism and hypertrichosis

Although hirsutism and hypertrichosis belong to the same class according to ICD-10, they are different types of hair growth. The first thing that distinguishes these two anomalies is that only women can suffer from hirsutism, and in most cases it is associated with androgenic factors (male-pattern hair growth), while hypertrichosis is polyetiological and knows no gender or age barriers. How can you tell hirsutism from hypertrichosis? First, you need to distinguish between vellus and terminal hair. Vellus is soft, almost invisible hair, terminal hair is usually dark, hard, and long. In short, vellus and terminal hair grow simultaneously in large quantities in atypical places on the body, as well as where they are supposed to grow, but they grow excessively actively - polytrichia (hypertrichosis). Hirsutism is most often manifested by the growth of terminal hair in androgen-sensitive, diagnostically determined 9 zones.

Criteria for distinction:

Sign	Hypertrichosis, polytrichia	Hirsutism
Floor	Men, women, children	Women
Zone		9 diagnostic zones: Chin Upper lip Stomach Breast Shoulders Pubis Hips Back Hands
Dependence on the level of androgens (testosterone and dihydrotestosterone)	Hair growth can occur in areas of the body that are not dependent on androgen production.	Hair growth in androgen-dependent areas of the body

Thus, hirsutism is a purely female problem of excessive hair growth, while hypertrichosis can affect any person, regardless of gender and age, although it should also be differentiated from the national characteristics of some genotypes, which are characterized by increased hairiness.

Symptoms of hypertrichosis

Signs of hairiness do not require a specific and detailed description, symptoms of hypertrichosis, as they say, are visible to the naked eye. They can appear in both men and women, but if for the former excessive hairiness is to some extent a certain symbol of masculinity, then for beautiful ladies it is a problem, if not a tragedy of a lifetime.

Symptoms of hypertrichosis in women:

• Increased hair growth on the chin.
• Hair growth of nasolabial folds.
• Hair growth on the chest, in the area of the mammary glands - presternal (anterior chest) in combination with a sunken, sunken sternum. The symptom may indicate neurofibromatosis.
• Excessive hairiness on the legs and arms.
• Hair growth in the lumbar region in combination with spina bifida (spinal pathology). Hair in the sacral region grows in a tuft, which is also called a "fawn's tuft".
• Hairiness of the buttocks.
• Male-pattern pubic hair growth.
• Excessive hair growth may be accompanied by weakness of the limbs and loss of sensitivity.
• Excessive growth of eyebrows (fusion).
• Birthmarks with tufts of hair, hairy nevi, including giant melanosis Becker. Pigmented giant nevus in 80% is accompanied by congenital anomalies - adentia, hip dislocation (spina bifida).

In turn, hypertrichosis can also be a signal of dangerous diseases. Hairiness, which appears in adulthood in 90% of cases, indicates hidden oncological processes, dermatomycosis, undiagnosed craniocerebral trauma.

It should be noted that Hypertrichosis can be classified into the following categories:

1. Heterochrony is a pituitary anomaly in which children prematurely develop secondary sexual characteristics in the form of excessive hair growth (beard, moustache, pubic hair, etc.).
2. Heterotopia is a rare congenital syndrome caused by intrauterine diseases and developmental anomalies. With heterotopia, the child's hair growth becomes total, often combined with congenital hip dislocation and adentia.
3. Heterogeneity is male-pattern hair growth, which is related to hirsutism. Although hirsutism is considered an independent pathology, it is classified as a type of hypertrichosis.

Hypertrichosis in women

Hypertrichosis in women is most often associated with hormonal factors and age periods:

1. Excessive hair growth can "start" in puberty. Hypertrichosis in women most often first appears at this age, the age limits are quite wide from 7 to 15 years. Hair is localized in the area of the mammary glands, on the neck, back, face, in the sacrum, and lower back. The so-called hypertrichosis pubertalis verginum is a sign of hormonal changes, but it can also be a signal of a more serious condition - tuberculosis, ovarian diseases, adrenal glands. It is quite difficult to make a diagnosis due to the non-specificity of hypertrichosis as a secondary symptom.
2. Hypertrichosis of young women aged 16 to 22-24 years, when vellus hair, not terminal hair, is more active. It is localized on the legs (shin), abdomen, thighs, and less often in the chest area. This may be due to abnormal functioning of the adrenal glands, thyroid gland, or ovaries.
3. Hypertrichosis climacteria is a fairly common phenomenon that accompanies the climacteric period. Hypertrichosis in women over 45 years of age most often manifests itself on the face - hair grows on the chin, above the upper lip (mustache). After the end of climacteric changes, hair growth may persist and even increase, which is a symptom of insufficient endocrine function.

In addition, it is worth mentioning the androgen-dependent syndrome - virilism. The disease clearly corresponds to its name - virilis means male. Masculinization of beautiful ladies can be associated with various reasons, but it is obvious that the main role in them is played by hormonal imbalance. Excessive production of testosterone as an androgenic hormone leads to hyperandrogenism syndrome. The ovaries and adrenal glands are directly involved in this process, less often virilism is provoked by metabolic imbalance when taking steroid drugs (anabolics). Hyperandrogen syndrome can have a functional nature, and also be associated with a tumor process. Functional virilism is a disorder of the adrenal cortex, usually in Itsenko-Cushing disease (hypercorticism). One of the symptoms of this pathology is hypertrichosis. In addition to hair growth, a woman's voice timbre changes, her body type gradually changes (towards a male type), her monthly cycle stops, and her breast size decreases.

Excessive hair growth can also be caused by pathological starvation, anorexia. Against the background of extreme exhaustion, a woman may develop vellus hair growth, which gradually disappears during the therapeutic period as she recovers.

Hypertrichosis in children

In childhood, hairiness is usually congenital. Abnormal hypertrichosis in children is very rare - only one child per billion newborns. The vellus hair that should have disappeared in the womb remains, it is visible literally from the first minute of birth. The hair is quite dark, thick, dense, which is not typical for infant vellus hair - lanugo. Generalized hypertrichosis in children is an unpleasant sight, the baby's entire body is covered with hair. Hypertrichosis fetalis is often one of the symptoms of severe congenital malformations - adentia, abnormal structure of the skull (microcephaly), mental impairment. It is believed that primary pathological hypertrichosis in children is 100% genetically determined.

Also, atypical hair growth can be inherited, but not abnormal, this happens when both parents of the child suffer from hypertrichosis, or one of them. For example, supercilia confluentiа - thick, almost fused eyebrows, but this sign can signal dementia, mental retardation.

In addition, hair growth can develop on nevi (warrucous, cellular, pigmented), with pathological syndromes - Schaeffer, Recklinghausen.

Pathological hair growth in a child can be provoked by a negligent mother, extensive hypertrichosis is found in 10-15% of children born to women suffering from chronic alcoholism. In addition to hair growth, such babies have defects in the formation of the skeleton and mental retardation in 8-10%.

Hypertrichosis in men

According to statistics, hypertrichosis is a typical female disease, among seven women there is only one man with pathological hair growth. As a rule, hypertrichosis in men appears at the age of 10 to 14 years, if it is not a congenital form.

Hypertrichosis in men is called excessive hair growth in areas where hair should grow, but not in such quantities, even taking into account age and nationality. For example, hair growth on a man's chest should not cause surprise, it is considered normal, but if the hair is more like wool and provokes questions from others, and the owner of the hair has complexes, then it is time to go to a doctor or cosmetologist.

Excessive hair growth can be both congenital and acquired, this applies not only to men but also to women. Congenital hypertrichosis is visible from the first days of birth and is most likely a hereditary trait. Acquired hair growth can be associated with craniocerebral trauma, taking anabolic steroid drugs, mechanical or medicinal factors (shaving, rubbing with hormonal ointments, taking certain medications). In addition, excessive hair growth is often associated with a national genotype, it is known that among Caucasian peoples, in Arab countries, Jews, Italians, hair growth is much ahead of the "hairiness" of representatives of other countries and is not considered an anomaly.

In addition to the above reasons, hypertrichosis in men can be provoked by hypergonadism, that is, early puberty caused by increased levels of androgens. In boys aged 8-10 years, secondary sexual characteristics begin to appear, including hair growth, more typical for a teenager aged 14-16 years.

Excessive hair growth is also caused by diseases that are worth knowing about and paying attention to hypertrichosis if it develops in adulthood for the first time:

• Tumor process.
• Diabetes mellitus (hypertrichosis diabetica) – hair on the back in the shoulder blade area and on the stomach near the navel.
• Encephalopathy.
• Tuberculosis.
• Alcoholism.
• Latent undiagnosed traumatic brain injury.

Congenital hypertrichosis

True congenital hypertrichosis is rare, the symptoms of vellus hair growth are visible immediately after birth and do not disappear on their own throughout life. One of the types of congenital hypertrichosis is lanuginous hair growth, from lanugo - hair. Lanugo normally covers the entire fetus, starting from the 27-28th week of pregnancy, by the 40-1st week the hairs disappear. With a genetic anomaly, the child is born with excess vellus hair, often accompanied by concomitant congenital pathologies. Congenital hypertrichosis can be local, that is, the hairs grow on certain areas of the body - the back, lower back, face, forehead, and hair growth can also be generalized, that is, cover literally the entire body. A tuft of hair in the sacral area (faun's tuft) is a sign of spinal pathology - non-closure of the spinal arches (spina bifida).

Congenital hypertrichosis is classified as follows:

• hypertrichosis congenita - universal congenital hypertrichosis of an autosomal dominant type.
• hypertrichosis fetalis – embryonic hypertrichosis, which is combined with other congenital pathologies.
• hypertrichosis congenita localisata – local lumbosacral hypertrichosis or pigmented hair nevus (fawn's tuft).

The most favorable in terms of prognosis for further development and quality of life is universal congenital hypertrichosis.

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Vellus hypertrichosis

Hypertrichosis lanuginosa – vellus hypertrichosis is a hereditary or acquired disease. The genetic factor that provokes vellus hair growth is a rather rare clinical case, more often vellus hypertrichosis is caused by external or internal reasons, that is, this form of acquired hair growth.

The congenital form of vellus hypertrichosis is so rare that it is known more from historical documents than from real documents. Since the first description of the "werewolf man" 400 years ago, only about 50 diseases have been diagnosed to this day. The genetic anomaly has territorial preferences - northern Romania (Transylvania), Indian states, South America.

The process of mutant gene dominance is still a mystery, its expressivity cannot be studied due to the small number of clinical observations and their stretched out time. In all likelihood, true vellus congenital Hypertrichosis is an echo of atavistic mutations, which are encountered less and less with each century.

Acquired hypertrichosis has been studied quite well and extensively. It should be noted that the syndrome of vellus hair, which begins to grow suddenly, in a person who has not previously suffered from excessive hair growth, in 80-90% is a sign of hidden oncopathology. 98% of all detected tumors are malignant, this can be an oncoprocess in the lungs, in the bladder, in the gastrointestinal tract, breast cancer, uterine cancer is often determined.

Diagnosis of vellus hair growth is quite difficult, the diagnosis must be differential. Difficulties are associated with the non-specificity of the symptom, unlike hirsutism, where there are clear diagnostic criteria. It is impossible to prevent vellus hypertrichosis, the only thing that can be done in the case of universal hairiness that does not have pathological factors is correct hair removal. Treatment of hypertrichosis in this case should be carefully thought out, since any cicatricial changes after epilation procedures, trauma to the skin, can activate hair growth.

Werewolf Syndrome and Hypertrichosis

Legends of Transylvanian werewolves, vampires and other evil spirits gave rise to a lot of misunderstandings and superstitions. Today, what was previously obviously considered to be the creation of Dracula is called either generalized hypertrichosis or erothropoietic porphyria, which is also accompanied by excessive hair growth. Along with such rare diseases as progeria, Alice syndrome and other oddities, werewolf syndrome, hypertrichosis is still among the ten strangest and most unique diseases. According to statistics, true pathological hairiness occurs in a ratio of 1 case per billion. Quite recently, geneticists have discovered one of the possible causes of autosomal gene mutation. Scientists have tracked an entire generation of a Mexican family, starting in 1995, and determined that the X chromosome is responsible for hypertrichosis, it has an excessive number of genes (SOX3 alleles). Moreover, the men of this family had hair growing on their faces and around their eyes, while women had more unpleasant symptoms, with hair growing all over their bodies. This discovery does not help those who suffer from werewolf syndrome, but in the foreseeable future it makes it possible to solve the problems of baldness and alopecia.

Hypertrichosis of the auricle

Hair growth on the edge of the auricle is not a pathology in principle, it is a fairly common phenomenon in men with an increased level of androgens. Such vegetation also appears in the nostrils, so the problem is solved simply - depilation or epilation at the choice of the owner of the hair. Hypertrichosis of the auricle, as a rule, is caused by a genetic factor and is inherited as a trait attached (linked) to the Y chromosome. Hair growth of the auricle can begin at 16-18 years, when puberty ends and the hormonal system returns to normal, but more often hypertrichosis in this area "starts" after 35-40 years or later. Often, hereditary baldness is accompanied by compensatory hair growth in the nostrils and in the ear area, this is also associated with a genetic factor, not pathology. In women, the auricles remain normal, hair growth in this area is almost never seen, in isolated cases there may be male-type hair growth with virilization syndrome. Genetics and biologists have not yet found other reasons, because normally microscopic hairs, fluff, cover the ears of all people without exception.

Treatment of hypertrichosis

Before determining the tactics and strategy of action, hypertrichosis is diagnosed and classified, and its treatment will depend on this. The examination should be carried out by an endocrinologist, urologist or gynecologist, possibly a dermatologist. First of all, possible threatening pathology is excluded, since vellus hypertrichosis is often a sign of oncological processes in the body.

Treatment of hypertrichosis is carried out according to diagnostic findings, but most often the first stage is the elimination of a cosmetic, visible defect. This is especially effective in the congenital form of the disease, which is not treated in any other way except symptomatically. In addition, if a hormonal cause is identified, adequate hormone replacement therapy is carried out. If hypertrichosis is caused by a drug factor, the drug that provokes hair growth is excluded, if it is necessary to continue the course of therapy, the drug is replaced with a more gentle one and one that does not have side effects.

Modern dermatocosmetology has many tools and methods that help solve the problem of hypertrichosis, of course, provided that it is not a sign of a serious pathology. Perhaps in the near future, geneticists will still find the true cause of gene mutations and will be able to offer a truly effective way to get rid of pathological hair growth.

How to treat hypertrichosis?

In order to answer the question of how to treat hypertrichosis, it is necessary to find out its true cause, which is sometimes quite difficult to do.

If abnormal hair growth is diagnosed in a child whose parents have excessive hair growth, treatment can only be symptomatic, since no one in the world has yet been able to stop, much less neutralize, gene mutations.

If hypertrichosis is caused by dysfunction of the endocrine glands, treatment is carried out adequately to the diagnosis, that is, therapy should be aimed at curating the condition of the ovaries, adrenal glands, thyroid gland, etc. How to treat hypertrichosis in this case is decided by a gynecologist-endocrinologist or a urologist-andrologist for men.

In addition, it is important to stabilize the patient’s psychoneurological condition, since hair growth is sometimes a tragedy, especially for women.

Local hair growth can be treated with physiotherapy – electrocoagulation, depilation is possible, but it should be done with the help of a dermatologist, not in a beauty salon. Depilation done independently can only cause harm, since traumatic damage to the skin is inevitable, and even small doses of it can provoke and activate the growth of new hair. Oddly enough, but the old and traditional method – shaving, in this sense, is the safest method of self-removal of excess hair, especially if you do it with an electric razor.

Treatment of hypertrichosis with folk remedies

There are many so-called folk methods of hair removal. They may be effective when it comes to simple epilation. In the case of pathological hair growth, this is fraught with complications, so hypertrichosis treatment with folk methods should be carried out only with the consent and on the recommendation of the attending physician. This is especially true for the facial area, as well as hypertrichosis caused by endocrine disorders, pathology of the adrenal glands or pituitary gland.

In this regard, the only thing that can be recommended is relatively safe herbal infusions and decoctions that are used internally, in long courses. Such folk recipes help to improve the functioning of the hormonal system, strengthen the nerves, and improve the general condition. Other methods used externally as epilation are not only not included in this article, but are not recommended in principle.

1. St. John's wort decoction for women. St. John's wort is recommended for normalizing hormonal levels, treating the nervous system, and as a general tonic. The course of taking the decoction should not exceed 14 days, then take a month's break and the course can be repeated. 1 tablespoon of dry grass is brewed with half a liter of boiling water, infused for no more than 5 minutes. The decoction is filtered, divided into 2 parts, which are drunk separately in the morning after breakfast after 40 minutes and before bed.
2. Licorice decoction for men. Licorice normalizes the hormonal system, acts as a general tonic for the male body. 1 teaspoon is brewed with a glass of boiling water, infused for 15 minutes, filtered, and drunk once a day for 21 days. Then a two-week break is needed, after which the course is repeated.
3. Clover infusion. Even Avicenna used a decoction of this amazing plant for his patients. Clover helps to improve the functioning of the genitourinary system in men, cleanses the blood, and restores strength. 2 tablespoons of dry grass (flowers, stems) are poured into a liter of boiling water in a thermos. The decoction is infused for 12 hours, it is convenient to do this in the evening. In the morning, the decoction is filtered and drunk half a glass 3 times a day half an hour before meals. The course is a month, then a break and the treatment is repeated.
4. Geranium essential oil for women. Geranium helps to activate estrogen production, its essential oil has long been used by women in northern Africa. Pelargonium helps to cope with depression, restores skin turgor, and normalizes the nervous system. Add 7-10 drops of essential oil to warm water, take a bath for 15-20 minutes, no more. Such procedures are recommended twice a week for 2-3 months.

In addition to decoctions and bath procedures, acupuncture can help as an auxiliary means, but this should be decided by a dermatologist, endocrinologist, in a word, the attending physician.

Self-medication for hypertrichosis is fraught with at least increased hair growth, and at most – complications in the functioning of internal organs.

Treatment of hypertrichosis in women

For women, the problem of abnormal hair growth is not just a misfortune, it is a provoking factor for depressive states and other nervous diseases. Therefore, if excessive hair growth is not associated with gynecological, endocrine diseases, first of all, the treatment of hypertrichosis in women is careful, correct hair removal. The therapeutic course is selected strictly individually, before treatment, an additional consultation with narrow specialists is mandatory - a dermatologist, endocrinologist, and possibly an oncologist. It is no secret that vellus acquired hypertrichosis in most cases indicates hidden oncological diseases, so it is worth thinking again what is more important - health or hair removal.

What is strictly contraindicated for hypertrichosis:

• Local paraffin applications.
• Waxing.
• Ointments and creams containing mercury.
• Scrubs.
• Ultraviolet irradiation
• Massage.
• X-ray irradiation.
• Mechanical methods of hair removal – pumice, plucking.
• Hormonal creams, ointments.

What can help?

• Temporary hair removal using depilatory creams.
• Bleaching vellus hair with magnesium carbonate and hydrogen peroxide. Mix 10 grams of magnesium with 20 ml of peroxide, add neutral liquid soap, apply the mixture to the hair and leave for 25 minutes.
• Electrophoresis with the addition of lidase.
• Electrolysis.

Hypertrichosis is a complex anomaly, the causes of which can be associated with both hereditary factors and diseases of internal organs. Regardless of how thick and abundant the hair grows, before eliminating it, you need to examine the body, find out the true cause and entrust the treatment to specialists.