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The goal of this observational cohort study is to investigate the effect of intense pulsed light (IPL) for excessive hair in patients \>18 years of age and in need of gender affirmative treatment, refered to the department of dermatology and venereology, Umeรฅ University Hospital, Sweden. The main questions this study aims to answer are: * \[To evaluate the effect of consecutive IPL treatments in women with hirsutism due to polycystic ovarial syndrome (PCOS), with or without anti-androgen treatment\] * \[To evaluate the effect of consecutive IPL treatments in individuals born as biologically men but in transition to become women, with or without hormonal treatment\]. Patients will use self-assessed questionnaires evaluating: * Background characteristics and time spend on concealing, reducing and treating hypertrichosis at home. * Ferriman-Gallwey scale, regarding the intensity of their
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