How is women's laser hair reduction tailored for PCOS or hirsutism?
Women presenting with PCOS or hirsutism receive an IADVL 2026-aligned hormonal workup, free androgen index, fasting insulin, thyroid panel, before the first laser session. A board-certified dermatologist co-manages with the patient's endocrinologist on spironolactone, metformin, or oral contraceptive therapy where indicated. The four-wavelength diode laser (FDA K191321 cleared) achieves 80–95% reduction of existing follicles; the underlying androgen drive is addressed in parallel. PCOS-pattern hair typically requires 8–10 sessions plus a 12-month maintenance cadence. The dermatologist performs every session, fluence and pulse duration are titrated to the patient's phototype, not a salon template.