If a mother requests treatment for her 11-year-old daughter with excessive upper lip hair, what should be the best initial action?

The appropriate initial action in this scenario is to refer the mother and her daughter to an endocrinologist or pediatrician. This recommendation is rooted in the need to assess the underlying causes of the excessive upper lip hair, which could be indicative of hormonal imbalances or other medical issues. Before any treatment is considered, it is crucial to evaluate whether there are any underlying health concerns, especially in children, where changes in hair growth patterns might be linked to conditions such as polycystic ovary syndrome (PCOS) or other endocrine disorders.

By referring the child to a medical professional, you ensure that a comprehensive evaluation is conducted. This step provides not only a medical assessment but also allows for appropriate interventions if necessary, ensuring the child's overall health and well-being are prioritized. Once a proper diagnosis and any necessary treatments or recommendations have been established by the healthcare provider, then appropriate hair removal methods can be discussed.