What medications are available for treating hirsutism in individuals with PCOS?

Reviewed by Yoshinori Abe, MD

Internal Medicine

Spironolactone and cyproterone acetate are two prescription medications commonly used to treat hirsutism (excess hair growth) in people with PCOS. These anti-androgen drugs work by blocking the effects of male hormones, helping to reduce unwanted facial and body hair over time.

Because hirsutism can stem from several underlying causes—not just PCOS—identifying the root issue is essential before starting treatment. A quick, private symptom check can help you clarify what may be driving your symptoms and guide your next steps, whether that's a doctor visit, lab testing, or targeted treatment. It's free, takes just a few minutes, and could save you weeks of uncertainty.

Reviewed for medical accuracy: 07/14/2026

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Explanation

Hirsutism is when women have too much hair in places where usually only men have hair, like the face or chest. This can happen with a condition called PCOS. Some medicines can help reduce this hair growth.

Medications for Hirsutism:

Spironolactone: This medicine can help by blocking the effects of hormones that cause hair growth. It was shown to be effective in reducing unwanted hair in women.
Cyproterone Acetate: This is another medicine that can help. It works by reducing the levels of male hormones in the body, which can help lessen hair growth.

These medications can be helpful, but it's important to talk to a healthcare provider to find the best treatment plan. You can start by taking our free AI symptom checker to better understand your symptoms and get personalized guidance.

(References)

Lumachi F, & Basso SM. (2010). Medical Treatment of Hirsutism in Women. Current medicinal chemistry, 20491644.
Cumming DC, Yang JC, Rebar RW, & Yen SS. (1982). Treatment of hirsutism with spironolactone. JAMA, 7199587.
Fraser IS, Shearman RP, Allen JK, & McCarron G. (1983). Cyproterone acetate and the treatment of hirsutism. The Australian & New Zealand journal of obstetrics & gynaecology, 6226279.

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