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The endocrinologist will check for other problems, such as diabetes, that can sometimes accompany polycystic ovary syndrome.

The medication used to treat polycystic ovary syndrome is effective, especially if you also lose weight; greasy skin and acne clear up in about 6 weeks, but it can take 12–18 months for maximum improvement in the hirsutism (hairiness). If there is no hormone abnormality, and the hirsutism (hairiness) happens simply because your skin is especially responsive to testosterone, your doctor may prescribe the combined oral contraceptive pill containing the progestogens desogestrel, gestodene or norgestimate.

Plucking can be used to remove a few long hairs on the chin, but in general it is not a good idea for the face because it can easily cause scarring.

Never pluck hairs on the nipple or the surrounding pink area (areola), or on a mole.

Bleaching is a good way of disguising upper lip hairs or ‘sideburns’ unless your skin is dark.

Hydrogen peroxide cream for bleaching is available from pharmacists, but it can cause severe skin irritation.

It is not suitable if you are pregnant or breastfeeding.

It is diagnosed by blood tests and, usually, an ultrasound scan of the ovaries. Women with polycystic ovary syndrome are often obese, and the hirsutism (hairiness) improves if they lose weight.Both the oestrogen and progestogen in the combined pill have an effect, so the progesterone-only pill would not be as effective in reducing hair.