u/Significant_Cost_269

I’ve had hirsutism for about fifteen years. I did laser removal about a year after it started. It did nothing. If I don’t shave, I can grow a full beard (sideburns, chin, entire neck) in about three days. A full beard with thick black hairs. My head hair is naturally dark blonde! If I shave in the morning, I have a three o’clock shadow. I’ve tried changing my diet, losing weight, metformin, over the counter supplements, creams, and at home laser hair kit. I’ve had my blood tested a thousand times and the testosterone and androgens are on the high side of normal but still within the normal range. I finally started Spironolactone about seven months ago. 100 mg. Went back after six months. No change. Not even a little. Coincidentally because of my age (45 now) and suspected to be in perimenopause I began HRT with 0.05 estradiol patches and progesterone. I got bumped up to 200 mg of Spiro at the same time. It’s been four weeks now on these three and nada. No slowing. No lighter or softer hair. I take 100 mg Spiro in the morning and 100mg at night to keep it in my system. My doctor thinks my PCOS diagnosis could be incorrect due to my always having my period like clock work each month and an average blood sugar of about 80. Where I live it’s impossible to get in with an endocrinologist so I’m having to use my PCP. She’s great and she listens and she researches for me. If it’s not PCOS related, what the hell is causing this? We checked my cortisol and it was normal as well. All I want is to get up and not have to shave every morning or be able to be comfortable with my husband kissing my neck. Does anyone have any advice or been in a similar situation? Thank you in advance for any advice you can offer.