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Protocol · Hormonal Health

Hirsutism Management Support Protocol

Spearmint Tea and Inositol (Myo-inositol) are the core of this stack, with 6 supporting supplements. Each row gives the amount the protocol lists and the grade our evidence database holds for that supplement in Hirsutism Management Support.

We are re-verifying the studies cited on protocol pages; only confirmed citations are shown.

The stack

8 supplements · 1 graded · 1 confirmed study

Amount listed in this protocol; not a recommendation.

Supplements in the Hirsutism Management Support protocol, with the amount the protocol lists, the grade on file and confirmed studies
GradeSupplementAmount listedWhy it’s in the stackEvidence on fileShop
Primary stackThe core of this protocol
Spearmint TeaAmount listed: 2 cups spearmint tea daily (1 cup twice daily)

Has anti-androgen effects; reduces free testosterone levels in studies

Not graded yet

Confirmed studies for Spearmint Tea (titles as PubMed lists them)

Inositol (Myo-inositol)Amount listed: 2–4 g myo-inositol daily

Improves insulin sensitivity; may reduce androgen levels in PCOS-related hirsutism

  • Blood glucose: improves
  • Excessive Hair Growth: improves
  • Insulin: changes; see studies
Grade C for Blood glucose2 studies · 46 people
Supporting stackListed as additions to the core
Saw PalmettoAmount listed: 320 mg standardized extract daily

5-alpha reductase inhibitor; may reduce conversion of testosterone to DHT

Not graded yet
DIM (Diindolylmethane)Amount listed: 100–200 mg daily

Supports healthy estrogen metabolism; may help balance hormones

Not graded yet
ZincAmount listed: 25–30 mg daily

May help regulate androgen levels; important for hormonal balance

Not graded yet
Vitamin DAmount listed: 2,000–4,000 IU daily

Deficiency common in PCOS; may improve insulin sensitivity and androgen levels

Not graded yet
BerberineAmount listed: 500 mg two to three times daily

Improves insulin sensitivity; may reduce androgens in PCOS

Not graded yet
Omega-3 Fatty AcidsAmount listed: 2 g EPA+DHA daily

May improve insulin sensitivity; anti-inflammatory effects

Not graded yet

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  • Grade C

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How this protocol works

In plain language

Hirsutism is excessive hair growth in women in areas where hair typically grows in men (face, chest, back, abdomen). It affects about 5-10% of women and is usually caused by excess androgens (male hormones) or increased sensitivity to normal androgen levels.

COMMON CAUSES:

  • PCOS (most common cause, ~70-80%)
  • Idiopathic hirsutism (no identifiable cause)
  • Adrenal disorders (CAH, tumors)
  • Medications (anabolic steroids, some others)
  • Rarely: androgen-secreting tumors

EVALUATION IS IMPORTANT:

Hirsutism may be a sign of underlying conditions that need treatment. See a healthcare provider for proper evaluation, especially if:

  • Rapid onset
  • Signs of virilization (voice deepening, clitoral enlargement, male-pattern balding)
  • Irregular periods
  • Acne or oily skin

CONVENTIONAL TREATMENTS:

  • Oral contraceptives (reduce androgens)
  • Anti-androgens (spironolactone, finasteride)
  • Topical eflornithine (slows hair growth)
  • Hair removal methods (laser, electrolysis, waxing)
  • Treat underlying cause (PCOS, insulin resistance)

LIFESTYLE FACTORS:

  • Weight loss (if overweight) - significantly reduces androgens
  • Low glycemic diet
  • Exercise

Spearmint tea* has demonstrated anti-androgen effects in studies.

Inositol* helps with insulin sensitivity in PCOS-related hirsutism.

Saw palmetto* may inhibit conversion of testosterone to its more potent form (DHT).

Expected timeline: Supplements may take 2-3 months to show effects on hair growth. Hair already present needs removal; supplements help reduce new growth.

Printed from drgrey.ai/protocols/hirsutism. For education only; not medical advice. Talk to a clinician before starting any supplement.