What Causes Excessive Hair Growth On The Chin And Lips?
About hirsutism in menopause;
Hello and thank you for asking!
As you mentioned, you have had hirsutism since you were about 20 years old, it means that 2 pathologies may have caused it; PCOS or adrenal enzymes deficiencies.
Anyway, you need to check testosterone level and an abdominal ultrasound.
The treatment will consist in antiandrogenics; spironolactone or cyproterone acetate. But if you are obese and have insulin resistance, metformine may help.
Hashimoto thyroiditis may cause hirsutism in rare cases, especially if left untreated. If your TSH is within the normal ranges, hypothyroidism is ruled out as a cause of hirsutism.
Hope the information will help.