Comparative Study of Diode Laser versus Intense Pulsed Light (IPL) for the management of Hirsutism in Sulaimani Government

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Burhan Tahir Saeed


Hirsutism defined as excessive hairiness, hirsutism can negatively affect individuals, particularly females. Hirsutism has been attributed to the presence of high levels of androgen. There are different procedures to treat hirsutism; however, diode laser and intense pulsed light (IPL) are the most common methods. The present study was carried out in order to compare diode laser and IPL procedures regarding their effectiveness in decreasing hirsutism, patient satisfaction, and pain level. The present cross-sectional prospective study was carried out on 66 patients with hirsutism who regularly visited a dermatology clinic in Sulaimani, Kurdistan Region-Iraq over a period of 8 months from February to October 2020. They were assigned into a diode laser group (n=35) and an IPL group (n=31). Each patient had 8 laser sessions, once every month. Required data were collected through photos taken in every session. The collected data were analyzed through Statistical Package for the Social Sciences (version 22.0). The patients’ mean age was 33.12 years. Over 53% and 35% of them had a family history of first- and second- degree hirsutisms, respectively. Both procedures led to good and very good primary outcomes in 43.9% and 36.4% of the patients, respectively. Patient satisfaction was high in 42.4% of them. Our research has showed that IPL has fewer side effects (p-value<0.001), better primary outcome (p-value<0.001), and better patient’s mood (p-value<0.002). The two procedures led to similar level of patient satisfaction, and they were not significantly different in this regard (p-value=0.3). In terms of hair types, the two procedures were significantly different (p-value<0.001), such that IPL was better for thin hair, while diode laser for thick hair. Both diode laser and IPL procedures were found to be efficient in terms of primary outcome, patient satisfaction, and patient’s mood. However, diode laser is proper for dark-skinned patients with thick hair and IPL for thin hair. Diode laser was found to be better choice for our patients because most clients in the region are dark-skinned with thick hair.


Hirsutism, diode laser, intense pulsed light, auxiliary hair removal


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[1] BO. Yildiz, S. Bolour, K. Woods, A. Moore, R. Azziz, “Visually scoring hirsutism,” Human reproduction update, 16(1). pp. 51-64, 2010.
[2] Mofid, SA. Seyyed Alinaghi, S. Zandieh, T. Yazdani, “Hirsutism,” International journal of clinical practice, 62(3), pp. 433-43, 2008.
[3] K. Unluhizarci, G. Kaltsas, F. Kelestimur, “Non polycystic ovary syndrome–related endocrine disorders associated with hirsutism,” European journal of clinical investigation, 42(1), pp. 86-94, 2012.
[4] JH. Barth, J. Catalan, CA. Cherry, A. Day, “Psychological morbidity in women referred for treatment of hirsutism,” Journal of psychosomatic research, 37(6), pp. 615-9, 1993.
[5] R. Azziz, D. Ehrmann, RS. Legro, RW. Whitcomb, R. Hanley, AG. Fereshetian, et al., “Troglitazone improves ovulation and hirsutism in the polycystic ovary syndrome: a multicenter, double blind, placebo-controlled trial,” The Journal of Clinical Endocrinology & Metabolism, 86(4), pp. 1626-32, 2001.
[6] RL. Rosenfield, “9 Pilosebaceous physiology in relation to hirsutism and acne,” Clinics in Endocrinology and Metabolism, 15(2), pp. 341-62. 1986.
[7] KS. Oláh, “The modern management of hirsutism,” Reviews in Gynaecological Practice, 4(4), pp. 211-20, 2004.
[8] KE. Sharquie, KA. Al-Khafaji, “The prevalence of hirsutism in Iraqi females,” Annals of Saudi Medicine, 12(5), pp. 453-5, 1992.
[9] KA. Martin, RR. Anderson, RJ. Chang, DA. Ehrmann, RA. Lobo, MH. Murad, et al., “Evaluation and treatment of hirsutism in premenopausal women: an Endocrine Society clinical practice guideline,” The Journal of Clinical Endocrinology & Metabolism, 3(4), pp.1233-57, 2018.
[10] RP. Dawber, “Guidance for the management of hirsutism,” Current medical research and opinion, 21(8), pp. 1227-34, 2005.
[11] DV. Bode, DA. Seehusen, DC. Baird, “Hirsutism in women,” American family physician, 85(4), pp. 373-80, 2012.
[12] EV. Ross, Z. Ladin, M. Kreindel, C. Dierickx, “Theoretical considerations in laser hair removal,” Dermatol Clin, 17, pp. 333–55, 1999.
[13] P. Ormiga, C. Ishida, A. Boechat, M. Ramos-e-Silva, “Comparison of the Effect of Diode Laser Versus Intense Pulsed Light in Axillary Hair Removal,” Dermatologic Surgery, 2014.
[14] H. Cameron, S. Ibbotson, R. Dawe, J. Ferguson, “Within-patient right-left blinded comparison of diode (810 nm) laser therapy and intense pulsed light therapy for hair removal,” Lasers Med Sci, 23, pp. 393–7, 2008.
[15] C. Haak, P. Nymann, A. Pedersen T, “Hair removal in hirsute women with normal testosterone levels: a randomized controlled trial of long-pulsed diode laser vs,” intense pulsed light. Br J Dermatol, 163, pp. 1007–13, 2010.
[16] Martin, R. Anderson, R. Chang, D. Ehrmann, “Evaluation and Treatment of Hirsutism in Premenopausal Women: An Endocrine Society* Clinical Practice Guideline,” Journal of Clinical Endocrinology & Metabolism, 103(4), 2018.
[17] M. Atta-Motte, I. Zalęska, “Diode Laser 805 Hair Removal Side Effects in Groups of Various Ethnicities – Cohort Study Results,” J Lasers Med Sci, 11(2), pp. 132–137, 2020.
[18] E. Khodaeyani, M. Amirnia, S. Babaye-Nazhad, H. Alikhah, B. Brufeh, “Efficacy of Intense Pulsed Light in Hirsutism,” Pakistan Journal of Biological Sciences, 13, pp. 635-641, 2010.
[19] Zaleska, M. Atta-Motte, “Epilation results comparison: diode laser versus IPL. The effectiveness of diode laser epilation following non-coherent light therapy,” Conference: EuroSciCon Conference on Dermatology and Skin. The Section of Professional Cosmetology, The Faculty of Motor Rehabilitation, University of Physical Education in Krakow, Poland, 2019.
[20] N. Puri, “Comparative Study of Diode Laser Versus Neodymium-Yttrium Aluminum: Garnet Laser Versus Intense Pulsed Light for the Treatment of Hirsutism,” Journal of Cutaneous and Aesthetic Surgery, 8(2), pp. 97-101, 2015.
[21] H. AL-Hamamy, A. Saleh, Z. Rashed, “Evaluation of Effectiveness of Diode Laser System (808 nm) versus Intense Pulse Light (IPL) in the Management of Unwanted Hair: A Split Face Comparative Study,” International Journal of Medical Physics, Clinical Engineering and Radiation Oncology, 53, pp. 540-7, 2015.
[22] M. Sochor, A. Curkova, Z. Schwarczova, R. Sochorova, M. Simaljakova, J. Buchvald, “Comparison of hair reduction with three lasers and light sources: Prospective, blinded and controlled study,” J Cosmet Laser Ther, 13, pp. 210-5, 2011.
[23] S. Jo, Y. Kim Jin, J. Ban, Y. Lee, O. Kwon, W. Koh, “Efficacy and Safety of Hair Removal with a Long-Pulsed Diode Laser Depending on the Spot Size: A Randomized, Evaluators-Blinded, Left-Right Study,” Ann Dermatol, 27(5), pp. 517–522, 2015.