Physical methods for the management of hirsutism

Physical methods for the management of unwanted hair are critically reviewed. Electrolysis and thermolysis are popular and medically proven electrochemical and electrosurgical techniques for permanent hair removal. Many patients seek consultation with their physician prior to having this elective procedure performed. Clinical guidelines are presented for a successful consultation with such patients. Many years ago the unregulated practice of x-ray therapy by unlicensed and poorly trained personnel resulted in tragic morbidity and mortality. Some historical parallels exist between this disturbing period and present day electrolysis and thermolysis practice: only twenty-seven states currently require licensing for permanent hair removal, which is a procedure with rare but potentially serious complications.