The Beauty of Seeking a Second Opinion With Hirsutism!

Cute chic shaving her beard. Courtesy of

So I recently sought a second opinion about my idiopathic hirsutism.

My first endocrinologist was very proactive at measuring my hormonal levels. She tested me up the wahzoo: insulin, androgen, follicle stimulating hormone, thyroid, pituitary, testosterone, progesterone….you name it, she tested me for it!

When it was discovered I had idiopathic hirsutism and not hirsutism from another cause, particularly PCOS, she basically told me to hit the road.

I cannot stand doctor’s that think about themselves more than their patients!

I say this because when I talked to a second endocrinologist, she prescribed me with spironolactone right away! Spironolactone is the main medication for women with hirsutism because it is a water pill that acts as an anti-androgen. It is probably the strongest in the U.S. market. In the U.K., they may prescribe cyproterone acetate which may be slightly stronger than spironolactone.

The second endocrinologist was quite confused as to why the first one did not prescribe me spironolactone. It is true: if taken while pregnant, spironolactone may have adverse effects on a male fetus.

But considering my tubes were tied and did not intend on getting pregnant nor was I trying to get pregnant and informing the first endocrinologist of this, she still did not prescribe me the medication, stating she only gives that to patients with some type of underlying condition.

I told her that I have been researching this medication for a while and it appears to show a great deal of promise in managing abnormal hair growth on a woman; this article came to mind.

So the first endocrinologist told me to take a weak estrogen birth control and advised me to get laser hair removal…bottom line…useless! Me and the second endocrinologist felt she was looking out more for herself than me!

So I was not in the office for more than 30 minutes before the second endo have me a very quick physical exam and sent me on my way….with a prescription for Spironolactone! I was elated! Finally, my 15 year battle with hirsutism may be coming to an end!

If nothing else, I have a way to manage it! I actually purchased some Spironolactone from India, but when I saw it came wrapped in Indian newspaper, I was quite reluctant to put it in my body! Needless to say, that regimen of “spironolactone” ended when I received it!

I have read many forums about spiro not working for many women. I guess it is like any other medication…side effects may simply be different for folks. I have been taking my official spironolactone for a week now and I have not seen any adverse changes. (knock on wood!)

So here’s to successful hirsutism management for me! And YOU!


{ 6 comments… add one }

  • Heather November 14, 2012 at 10:49 pm

    That is excellent news. I’ve been reading your blog and I wish you the best of luck with the new medication. Let me guess about the first doctor, did she offer laser in her office? If so, that’s such a shame on her! If not, she’s not such an educated or informed individual, is she?! I’m not sure how long it will take to see results with the spironolactone, but my clients have said that it definitely slows down the rate at which the hair grows. I look forward to your posts to see how this goes for you. Good luck!

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    • Mo November 15, 2012 at 6:36 am

      thanks heather! No, the first endo simply told me to get laser haire removal and sent me on my way. Pretty useless, I’d say! She only ran my blood test! And frankly I had laser hair removal before and you NEED to maintain it for quite some time to get long term reduction….and it costs a crap load!

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  • Laura Hosseini November 20, 2012 at 4:47 pm

    I have to tell you there are some deals out there on permanent hair removal. I know has a lot of respect from us girls for laser hair removal here in Santa Monica.

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    • Mo November 20, 2012 at 7:11 pm

      Thanks Laura! Yes, many of the laser hair removal spas that I visited usually have pretty good deals going on. I will check out Dr. Tavari’s website.

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  • Lauren (@hopeandmane) December 29, 2012 at 2:17 pm

    Sigh. Such is the life of a woman with PCOS, huh? It’s so frustrating!

    Reply edit

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