If you're about to start electrolysis, you've probably wondered: how much is this going to hurt? The short answer is that electrolysis can be uncomfortable, especially on sensitive areas, but most people find it manageable, and you have more ways to make it easier than you might think. We know because so many of us in the trans community have sat in that chair ourselves.
This guide walks through what electrolysis feels like, numbing options to talk about with your providers, and comfort tips for before, during, and after each session. Every body is different, and you get to decide what comfort looks like for you.
During electrolysis, your electrologist slides a very fine probe into each hair follicle and uses a tiny bit of electrical energy to stop it from growing hair again. Done well, the probe going in shouldn't hurt. What you'll likely feel is the energy itself, which people describe as a quick sting, a flash of heat, a pinch, or a tingle.
How much it bothers you depends a lot on where you're getting treated. Many people find these areas the most sensitive:
Cheeks and the neck are often easier. Many people also find that sessions get more comfortable over time, as hairs become finer and there are fewer of them to treat.
If one appointment felt fine and the next felt rough, you're not imagining it. A few things can change how sensitive your skin is on a given day:
Numbing can make a big difference, especially for the upper lip and genital area. But numbing products are medications, and they carry real risks when used the wrong way. That's why we encourage you to talk through any option with your electrologist and your doctor or another licensed medical provider before you try it.
Topical anesthetic creams with an ingredient like lidocaine are sold without a prescription. They're usually applied a while before your appointment so they have time to work. Your electrologist may have a product they like and specific directions for how to use it.
If they do, we recommend running that advice by your doctor or pharmacist, too. The U.S. Food and Drug Administration (FDA) has warned that topical anesthetics can cause rare but serious reactions when they're applied to a large area of skin or when the area is covered with a wrap or plastic.
A few safety basics to keep in mind:
Some people ask their doctor about stronger, prescription-only creams, including blends made to order by a compounding pharmacy (a pharmacy that mixes custom medications). These can work well for sensitive areas, but they're stronger, so it's especially important to follow your prescriber's directions exactly.
For the most sensitive areas or longer sessions, some people get a local anesthetic injected by a licensed medical professional, like a dentist, nurse practitioner, or doctor. For example, some people visit a dentist for a dental block (the same kind of numbing used for fillings) before working on the upper lip. Some electrology clinics also have a medical provider on staff who can do this. Ask your electrologist what's available near you.
Some people take an over-the-counter pain reliever before their session. Ask your provider which, if any, is right for you, and when to take it, since some medications aren't a good fit with certain health conditions or other medications you might be taking.
Numbing isn't the only tool you have. These small habits can add up to a noticeably easier appointment.
For many of us, electrolysis can mean finally recognizing yourself in the mirror, feeling safer in public, or preparing for surgery. It's also a long road, and it's okay if some days feel heavy.
You might choose to bring a friend or partner along, plan something you enjoy for after your appointment, or count down the sessions you have left.
Many people find electrolysis more uncomfortable than laser, because each hair is treated one at a time and sessions are often longer. But electrolysis works on all hair colors and skin tones, and the results are permanent. Our guide to electrolysis vs. laser hair removal breaks down the differences.
For many people, yes. As treated hairs grow back finer and fewer in number, sessions often feel easier. You'll also learn which comfort strategies work best for your body.
Many people do use numbing for genital hair removal, but this is an especially important area to talk through with your surgeon, doctor, and electrologist first. They can recommend what's safe for you and how to use it.
Sometimes! Coverage depends on your plan and the reason for treatment.
Electrolysis takes patience, and a little discomfort along the way is common. But you don't have to just grit your teeth through it. With the right support from your providers and a few comfort habits in your back pocket, your sessions can feel more manageable, and every one brings you closer to feeling at home in your body.
Wherever you are in your journey, we're cheering you on!