Unwanted Hair and Hirsutism
|
|
- Milton Stewart
- 8 years ago
- Views:
Transcription
1 Unwanted Hair and Hirsutism
2 Unwanted Hair and Hirsutism What is hirsutism? 4 Why should you treat unwanted hair? 5 What is normal hair growth? 5 What can cause hirsutism? 6 What tests might be done? 8 How does the patient feel about her hair growth? 9 What treatments are available? 10 Facial and Body hair growth scoring 16
3 4 5 What is hirsutism? Hirsutism means excessive or unwanted hair on the face or body on androgen dependent areas in women (i.e. in places usually seen in men). Upper lip, chin, chest, abdomen (tummy), or back are common areas for hirsutism. This is different from hypertrichosis, which is defined as an excess of hair in men or women at any site (even in non-androgen-dependent regions). The normal amount of body hair varies widely among women. When coarse hairs grow where women typically do not grow coarse hair, such as the upper lip, chin, chest, abdomen (tummy), or back, the condition is called hirsutism. Hirsutism is not limited to dark haired people, all hair colours (blonde, red, grey) may also be coarse and grow in unwanted areas. What is considered normal for a woman and what is considered hirsutism depends on factors such as culture and race. Unwanted facial hair is usually the main concern to women. Symptoms associated with excessive hair growth may include: greasy skin acne menstrual cycle changes decreased breast size masculine signs (such as deepening of the voice) increased muscle size hair loss on the scalp change in libido (sex drive) If a patient has any of these symptoms, or if they think that a medicine they are taking might be making the unwanted hair growth worse, they should contact a doctor. Why should you treat unwanted hair? Unwanted hair growth in women is considered abnormal in our society and this can cause distress or embarrassment and affect a woman psychologically. Hypertrichosis (generalised excessive hair) or hirsutism (excessive hair on androgen dependent areas in women) are rarely caused by a serious illness. However, in some cases, hypertrichosis and hirsutism may be caused by a medical condition. This can easily be investigated by a doctor. However, quite often women do not realise that there are treatments available to reduce hair growth or to eliminate hair. Therefore they do not even talk to their doctor about it. If a patient has trouble controlling body or facial hair by cosmetic methods, or is upset by the condition, she should discuss this with her doctor. S/he may refer the patient to a specialist if s/he thinks that this is necessary. The specialist may be an endocrinologist, dermatologist or gynaecologist, who can provide reassurance, arrange appropriate tests and discuss possible treatments. What is normal hair growth? The body is completely covered with hair, except the lips, the palms of the hands and the soles of the feet. But on most of the body, the hair is so fine and soft that you cannot see it easily. Normally, a human being has two types of hairs: 1. Terminal hairs (coloured and thicker hair on the scalp, but also found on eyebrows, eyelashes, groin, and under the arms) 2 Vellus hairs (fine and light, normally not coloured. These hairs can become terminal hairs in the presence of male-type hormones) Women have the same number of hair follicles (places where hair is produced) on their body and face as men do. In women, most of the hair follicles on the face and the body produce fine and light (vellus type) hair. The male hormone, testosterone, makes hairs on men grow thicker, darker and longer, so that they appear more noticeable. All women produce small amounts of testosterone and this allows terminal hairs to appear in the groin and armpit areas, and around the brown circles of the nipple. This is normal and happens from around puberty. However, when there are higher levels of male hormones in women, terminal hairs can develop over the shoulders, over parts of
4 Ethnic/Racial Women from some ethnic groups (e.g. from Mediterranean countries) are more likely to have darker, more dense hair. There is no underlying medical condition causing the excess hair, and this is termed ethnic hypertrichosis. 3. Polycystic Ovary Syndrome (PCOS) This is a common cause of hirsutism and may be associated with other symptoms such as acne, irregular periods, infertility and obesity. The condition is usually diagnosed in adulthood, but the symptoms often start in the teenage years. Women with hirsutism caused by PCOS don't always have other symptoms of the condition. the back, upper legs and abdomen. The amount of terminal hair increases with age in women, and some races naturally grow longer and darker hair (even on the body) although they do not produce any extra hormones. What can cause hirsutism? If the unwanted hair growth is mild and the patient s periods are regular, it is unlikely that there is a serious medical problem. If the hirsutism is severe, and/or the patient has irregular periods, or any other symptoms (e.g. baldness or deepening of the voice), there may be a medical reason for the hirsutism. Hirsutism can be caused by several different factors. The best treatment will depend upon which factor is causing the unwanted hair growth. Reasons for hirsutism include: 1. Inherited/familial In most women, hirsutism is inherited and may be present in other female relatives. These women tend to have normal amounts of testosterone, but their hair follicles are more sensitive to testosterone and so grow more quickly and thicker. The increased hair growth is usually noticed in the late teenage years, and tends to gradually get more severe as the woman gets older. 4. Medication Some drugs are able to induce hair growth in general, and some drugs can contribute to hirsutism, e.g. Glucocorticoids Cyclosporin (immunosuppressor used in organ transplant patients, in psoriasis, atopic dermatitis and in arthritis) Progestative implants, intra uterine devices (IUDs) with progesterone or progestagen Body building drugs, i.e. anabolic steroids Phenytoin (or epanutin - used in epilepsy) Phenothiazines 5. Over-production of male-type hormones All women produce small amounts of male-type hormones such as testosterone in the adrenal glands, the ovary and in fat and muscle tissue. Hirsutism can develop if one or more of these sites increase their production. Blood tests and abdominal scans can help to find out where and why the hormones
5 8 9 are being over-produced. Obesity can cause changes in how the hormones are regulated, and so lead to hirsutism. Increased weight may increase the amount of the male hormone produced by the body and so in addition weight loss may enhance the result of any treatment. The levels of male and female hormones in the blood may be tested. Occasionally, other hormone tests are needed and these may be done by an endocrinologist or gynaecologist. Sometimes, a scan of the ovaries or other glands may be helpful. 6. Congenital Adrenal Hyperplasia In rare cases, hirsutism may be caused by an increase in hormone production by the adrenal glands. This condition is called Congenital Adrenal Hyperplasia and is hereditary. Often it is not diagnosed until teenage years or later. The condition is usually treated with small amounts of steroids. 7. Benign and malignant tumors In very rare cases androgen producing tumors of the ovaries or the adrenal gland can lead to a sudden onset of excessive hair growth, and other signs of virilisation. Although it is very rare it is important to detect as early as possible this cause. 8. Others E.g. hyperprolactinaemia, Cushing s disease, acromegaly (which are quite rare). How does the patient feel about her hair growth? Some people find it easy to discuss their worries with their doctor. For others, this can be more difficult; especially with an embarrassing or upsetting condition such as hirsutism. A patient may find the answers to the following questions useful, to help her explain how she feels to her doctor. 1. Does your unwanted hair growth interfere with your daily life? 2. Do you check your hair growth in the mirror more often than before? 3. In the last few weeks, have you felt that other people are looking at your excessive hair growth more often? 4. Does your unwanted hair growth sometimes make you feel sad or are you worried about it? 5. Are you very keen to reduce your unwanted hair growth? What tests might be done? A physical examination will probably carried out and also following questions should be answered. Do other members of your family also have excessive amounts of hair? What medications are you taking? Have your periods been regular? Are you pregnant? Have you noticed other signs of excess male hormones such as increased muscle mass, deepening voice, acne, or decreased breast size? If the patient answered yes to at least three of these questions, she worries. It is also common for women to remove their unwanted hair before they visit their doctor, or go outside the house (especially if the unwanted hair is on the face). This can make it difficult for the doctor to assess how severe the hair growth is. In this case, it might be useful for the patient to use the scoring scale at page 16 to show her doctor, or to document treatment changes where the unwanted hair is, giving an idea of how severe the growth is.
6 10 11 What treatments are available? Women with hirsutism should be tested for a medical cause, and should then be treated. If there is no underlying cause, hair management is the only way forward. Treatment of hirsutism depends on the cause of the problem. If it is a racial, ethnic, or family trait, no medical treatment may be necessary or prescribed. Instead, a patient may choose to see a beautician for removal of unwanted hair or be advised on home methods for removing unwanted hair. Weight loss is an important treatment for hirsutism. In overweight women, weight loss can decrease male hormone levels and reduce hair growth. 1. Cosmetic Treatment Bleaching is an option for dark hair and makes the excessive hair less obvious. Bleaching works well on the arms, thighs, and just below the nose. The results are immediate, but bleaching needs to be done frequently, depending on how quickly the hair grows. Bleaching may also leave skin red, cause rash/skin irritation, can be painful, is time-consuming, and can make hair more obvious Depilatory creams dissolve the hair, and the results are immediate, but the treatment needs to be done frequently, which can be uncomfortable. Depilatory creams may also cause irritation to the skin. Shaving: electric shavers are probably better than the wet type, as there is less tendency to irritate or damage the skin. The results are immediate, but shaving needs to be done frequently, and can also cause a rash/skin irritation, and is time-consuming. Shaving can also leave stubble, and although shaving does not influence the hair thickness the newly grown hair appears thicker. Waxing pulls hairs out from the roots. The results are immediate, but waxing needs to be done frequently and the hair must be allowed to grow long enough to be able to repeat the procedure. Waxing may also leave skin red, cause rash/skin irritation, can lead to pimples full of pus, can be painful, and is time-consuming. Electrolysis may cause permanent hair loss, but takes time as a small area is treated every few weeks, and unskilled treatment may cause scarring. Electrolysis uses electrical current to damage individual hair follicles so they do not grow back. This is expensive and requires multiple treatments. Tweezing is good for removing a few hairs, such as around the eyebrows. The results are immediate, but tweezing needs to be done frequently. Tweezing may also leave skin red, cause rash/skin irritation, can be painful, and is time-consuming. 2. Medical Treatment In most cases, hirsutism will return once the medical treatment is stopped. Examples of drugs* that may be prescribed are: Eflornithine cream: a prescription cream applied twice per day to slow the growth of unwanted facial hair. First effects can usually be seen after 8 weeks of treatment. Therefore, in the beginning it should ideally be combined with another form of therapy such as laser, waxing etc.
7 12 13 Ethinyl estradiol/cyproterone acetate or ethinyl estradiol/drospirenone. These combinations contain oestrogen (a female hormone) and a low dose of other hormones which have an anti-male hormone action see below. These hormones may not suit everyone, especially women over the age of 40 years. Side effects include bleeding between periods, tender breasts, nausea (feeling sick) and headaches, especially in the first few months. The hormones should not be given to women who are overweight, smoke, or have a job or lifestyle that means they sit down a lot. This is because the medicine can increase the risk of a blood clot in people with these factors. Cyproterone acetate or drospirenone (anti-androgens). Anti-androgens work against male hormones. Women should not become pregnant during and for up to 3 months following treatment with anti-androgens as they can interfere with a baby s development. Cyproterone acetate is also available in doses that are larger and more effective than the dose found in the combination product. The main disadvantage is that higher doses are more likely to produce side effects including weight gain, depression, and loss of libido (sex drive). Higher doses should therefore only be given to women with moderate or severe hirsutism and always with a safe contraceptive method, in women of childbearing age. Spironolactone is a weak diuretic (water tablet) that has some anti-androgen activity. Like cyproterone, safe contraception should be practised to avoid pregnancy. Side effects include tender breasts and irregular periods. Metformin. This drug is normally used in the treatment of diabetes. In recent years it has been shown to be beneficial to women with PCOS (see above). The main side effects of metformin are nausea, abdominal cramps, flatulence (wind), diarrhoea and constipation. * NB - some drugs may not be available in all countries 3. Photoepilation Therapy Photoepilation therapy is the most efficient method for coloured (dark) hair. Significant improvement is usually achieved after at least 5 7 sessions (depending on the laser or light source type, colour of hair etc.), and the benefits are long term. However, the treatment is expensive, it can cause burning and/or stinging sensation, can be painful, and sessions should only be performed every 4 8 weeks to enable the hair follicle to enter a new growth phase. Laser treatment damages individual hair follicles so they do not grow back. Lasers may not work well on blonde, red or grey hair. Several treatments are often required, but regrowth can be slowed by using lasers in combination with eflornithine cream. Complications can result from any topical treatment or hair removal procedure. It is important to follow all directions for any hair removal product and to be aware of the risks involved with any professional hair removal procedure. 4. Psychological Management If a patient s unwanted hair growth is troubling her, affecting her daily life, causing her anxiety, or making her depressed, she should talk to her doctor. Her doctor will be able to advise about available psychotherapy treatment. Facial and Body hair growth scoring The Ferriman-Gallwey Score This scale can be used to decide how severe hirsutism is. Each area is given a number from 1 to 4. If there is only a little extra hair growth, the area is given a score of 1, rising to a score of 4 for areas with a lot of excess hair growth. A patient can discuss how to use this scale with her doctor; she could use it to show him/her where she feels her excess hair growth is, and how severe it is. Also, the scale can be used to monitor the success of treatment, by scoring at regular intervals. A doctor will advise how to use the scale in the best way for each patient.
8 14 Notes 15 Facial and body hair growth scoring Name: Date of birth: Assess for Hirsutism as follows: Dates A few hairs at outer margin Small moustache at outer margin Moustache extending halfway from outer margin Moustache extending to mid-line A few scattered hairs Scattered hairs with small concentrations Complete cover, light and heavy Circumareola hairs With mid-line hair in addition Fusion of these areas, with threequarter cover Complete cover A few scattered hairs Rather more, still scattered Complete cover, light and heavy A sacral tuft of hair With some lateral extension Three quarter cover Complete cover experts@skinacademy.eu A few mid-line hairs Rather more, still mid-line Half and full cover A few mid-line hairs Mid-line streak of hair A mid-line band of hair An inverted V shape grow Adapted from Ferriman and Gallwey (Ferriman D, Gallwey JD J Clin Endocrinol Metab. 1961;21: )
9 16 This document is a consensus of opinion from the Experts of the Skin Academy. Sponsored by an unrestricted educational grant from Almirall Laboratoires, Spain.
10 Printed by: Almirall Hermal GmbH Global Marketing & Medical Affairs Dermatology Scholtzstrasse 3, Reinbek, Germany
HIRSUTISM. What are the aims of this leaflet?
HIRSUTISM What are the aims of this leaflet? This leaflet has been written to help you understand more about hirsutism. It tells you what it is, what causes it, what can be done about it, and provides
More informationPolycystic ovary syndrome (PCOS)
Centre for Diabetes and Endocrinology - Patient information Polycystic ovary syndrome (PCOS) Approximately 1 in 5 women have polycystic ovaries. This describes the appearance of the ovaries when they are
More informationPOLYCYSTIC OVARY SYNDROME
POLYCYSTIC OVARY SYNDROME Information Leaflet Your Health. Our Priority. Page 2 of 6 What is polycystic ovary syndrome? (PCOS) Polycystic ovary syndrome (PCOS) is the most common hormonal disorder in women
More informationA Free Guide to different Hair Removal Treatments
A Free Guide to different Hair Removal Treatments 2 Introduction From peach-fuzz to long, dark, or coarse growth, both men and women have been doing battle with excess hair -and hair removal - for centuries.
More informationClient Information for Informed Consent TESTOSTERONE FOR TRANSGENDER PATIENTS
Client Information for Informed Consent TESTOSTERONE FOR TRANSGENDER PATIENTS You want to take testosterone to masculinize your body. Before taking it, there are several things you need to know about.
More informationFACT SHEET. The Polycystic Ovary Syndrome (PCOS) Introduction
FACT SHEET The Polycystic Ovary Syndrome (PCOS) Introduction The polycystic ovary syndrome (PCOS) is the commonest hormonal disturbance to affect women. The main problems that women with PCOS experience
More informationHEALTH UPDATE. Polycystic Ovary Syndrome (PCOS)
HEALTH UPDATE PO Box 800760 Charlottesville, VA 22908 Gynecology: (434) 924-2773 Polycystic Ovary Syndrome (PCOS) What is it? An endocrine (hormonal) disorder. Because there is such variability in how
More informationPolycystic Ovary Syndrome
Polycystic Ovary Syndrome Polycystic ovary syndrome (PCOS) is a disorder that affects as many as 5 10% of women. PCOS has three key features: 1) high levels of hormones called androgens; 2) irregular menstrual
More informationX-Plain Low Testosterone Reference Summary
X-Plain Low Testosterone Reference Summary Introduction Testosterone is the most important male sex hormone. It helps the body produce and maintain adult male features. Low levels of testosterone affect
More informationForm ### Transgender Hormone Therapy - Estrogen Informed Consent SAMPLE
What are the different medications that can help to feminize me? Estrogen - Different types of the hormone estrogen can help you appear more feminine. Estrogen is the female sex hormone. Androgen blocker
More informationThere are four areas where you can expect changes to occur as your hormone therapy progresses. 1) Physical
You are considering taking feminizing hormones, so you should learn about some of the risks, expectations, long term considerations, and medications associated with medical transition. It is very important
More informationPolycystic Ovarian Syndrome
Polycystic Ovarian Syndrome What is Polycystic Ovarian Syndrome? Polycystic ovary syndrome (or PCOS) is a common condition affecting 3 to 5% of women of reproductive age. It is linked with hormonal imbalances,
More informationX-Plain Alopecia Reference Summary
X-Plain Alopecia Reference Summary Introduction Hair loss is very common in both men and women. You or someone you love may be experiencing hair loss. Hair follicle Learning about normal hair growth is
More informationWOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500. Birth Control Pills
Birth Control Pills WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 Birth control pills (also called oral contraceptives or "the pill") are used by millions of women in the United States to
More informationInformed Consent Form for Testosterone Therapy
Student Health Services Oregon State University, 201 Plageman Building, Corvallis, Oregon 97331-8567 Tel 541-737-9355 General Fax 541-737-4530 Medical Fax 541-737-9665 http://studenthealth.oregonstate.edu/
More informationOvarian Cyst. Homoeopathy Clinic. Introduction. Types of Ovarian Cysts. Contents. Case Reports. 21 August 2002
Case Reports 21 August 2002 Ovarian Cyst Homoeopathy Clinic Check Yourself If you have any of the following symptoms call your doctor. Sense of fullness or pressure or a dull ache in the abdomen Pain during
More informationThere are four areas where you can expect changes to occur as your hormone therapy progresses.
You are considering taking testosterone, so you should learn about some of the risks, expectations, long term considerations, and medications associated with medical transition. If is very important to
More informationHirsutism and Polycystic Ovary Syndrome (PCOS)
AMERICAN SOCIETY FOR REPRODUCTIVE MEDICINE Hirsutism and Polycystic Ovary Syndrome (PCOS) A Guide for Patients PATIENT INFORMATION SERIES Published by the American Society for Reproductive Medicine under
More informationBreast Cancer in the Family
Oxford University Hospitals NHS Trust Oxford Regional Genetic Department Breast Cancer in the Family Information for women with a moderately increased risk of breast cancer Breast cancer in the family
More informationInformation About Hormonal Treatment for
Information About Hormonal Treatment for Trans Men Leighton J Seal PhD FRCP Consultant Endocrinologist, Gender Identity Clinic, West London Mental Health NHS Trust (Charing Cross) Leighton J Seal 1 Patient
More informationTestosterone. Testosterone For Women
Testosterone Testosterone is a steroid hormone. Popular use of the term steroid leads people to believe that it signifies a drug that s illegal and abused by some body builders and other athletes. While
More informationAcne (Acne Vulgaris) A common type of bacteria that lives on the skin, known as Propionibacterium acnes, sometimes
Acne (Acne Vulgaris) Acne, clinically known as acne vulgaris, is the most common skin disease. It affects 85% of teenagers, some as young as 12, and often continues into adulthood. It is also called pimples,
More informationPolycystic ovary syndrome: what it means for your long-term health
Polycystic ovary syndrome: what it means for your long-term health Information for you Published in February 2005, minor amendments in June 2005 Revised 2009 What is polycystic ovary syndrome? Polycystic
More informationBreast cancer in the family
Birmingham Women's NHS Foundation Trust Breast cancer in the family Information for women with a slightly increased risk of breast cancer This is a no smoking hospital Breast cancer in the family what
More informationPolycystic Ovarian Syndrome (PCOS)
UW MEDICINE PATIENT EDUCATION Polycystic Ovarian Syndrome (PCOS) Signs, symptoms, and treatments What is PCOS? Polycystic ovarian syndrome (PCOS) is a disorder that affects up to 1 in 10 women of reproductive
More informationIntroduction to puberty
Introduction to puberty Objective: Structure: Time: Materials: Participants will describe some of the common external changes associated with puberty. Presentation by educator with large group discussion.
More informationTestosterone Therapy for Women
Testosterone Therapy for Women The Facts You Need Contents 2 INTRODUCTION: The Facts You Need... 3-4 CHAPTER 1: Testosterone and Women... 5-9 CHAPTER 2: Testosterone Therapy for Women... 10-14 CONCLUSION:
More informationX-Plain Psoriasis Reference Summary
X-Plain Psoriasis Reference Summary Introduction Psoriasis is a long-lasting skin disease that causes the skin to become inflamed. Patches of thick, red skin are covered with silvery scales. It affects
More informationOVARIAN CYSTS. Types of Ovarian Cysts There are many types of ovarian cysts and these can be categorized into functional and nonfunctional
OVARIAN CYSTS Follicular Cyst Ovarian cysts are fluid-filled sacs that form within or on the ovary. The majority of these cysts are functional meaning they usually form during a normal menstrual cycle.
More informationF r e q u e n t l y A s k e d Q u e s t i o n s
Acne who specializes in treating skin problems) about how you can help prevent acne and if treatment would help you. Q: What is acne? A: Acne is a disorder that causes outbreaks of skin lesions commonly
More informationAnatomy: The sella is a depression in the sphenoid bone that makes up part of the skull base located behind the eye sockets.
Pituitary Tumor Your doctor thinks you may have a pituitary tumor. Pituitary tumors are benign (non-cancerous) overgrowth of cells that make up the pituitary gland (the master gland that regulates other
More informationBenign Pituitary Tumor
PATIENT EDUCATION patienteducation.osumc.edu The pituitary gland is a small, pea-sized endocrine gland in the center of the brain. Also known as the master gland, the pituitary gland helps control the
More informationBirth Control Options
1 of 5 6/2/2014 9:46 AM Return to Web version Birth Control Options What is contraception? Contraception means preventing pregnancy, also called birth control. Most people know about options such as birth
More informationF REQUENTLY A SKED Q UESTIONS
Acne ogist (a doctor who specializes in treating skin problems) about how you can help prevent acne and if treatment would help you. page 1 Q: What is acne? Q: What are the different types of A: Acne is
More informationNow that your Doctor has prescribed Livial for you
Now that your Doctor has prescribed Livial for you This educational brochure is only for use by patients prescribed LIVIAL The Menopause The term menopause refers to the very last menstrual period a woman
More informationTestosterone propionate, phenylpropionate, isocaproate and decanoate. Please read this leaflet carefully before you start using SUSTANON 250.
SUSTANON 250 Testosterone propionate, phenylpropionate, isocaproate and decanoate What is in this leaflet Please read this leaflet carefully before you start using SUSTANON 250. This leaflet answers some
More informationMEDICATION GUIDE POMALYST (POM-uh-list) (pomalidomide) capsules. What is the most important information I should know about POMALYST?
MEDICATION GUIDE POMALYST (POM-uh-list) (pomalidomide) capsules What is the most important information I should know about POMALYST? Before you begin taking POMALYST, you must read and agree to all of
More informationINFERTILITY/POLYCYSTIC OVARIAN SYNDROME. Ovulatory Dysfunction: Polycystic ovarian syndrome (PCOS)
Introduction Infertility is defined as the absence of pregnancy following 12 months of unprotected intercourse. Infertility may be caused by Ovulatory Dysfunction, Blocked Fallopian Tubes, Male Factor
More informationThe Hair Removal ebook!
The Hair Removal ebook! Brought to you by Terms of Use: This ebook was created to provide educational information regarding hair removal. Before making any decision, please consult a qualified health or
More informationX-Plain Acne Reference Summary
X-Plain Acne Reference Summary Introduction Nearly 17 million people in the United States have acne, making it one of the most common skin diseases in the USA. Although acne is not a serious health threat,
More informationAcne. Normal skin. What is acne?
Acne Acne is extremely common in varying degrees of severity. About 9 out of 10 teenagers develop some degree of acne. However, this does not mean it should be ignored. Acne is a distressing condition
More informationAcne. What causes acne? Formation of Skin Pimples and Acne
Acne Facts & Fixes Acne Acne is the most common skin disease, affecting 85% of Australians aged 15-24 years old. Very few people manage to escape their teenage and young adult years without some pimples
More informationEffective long-lasting strategy to prevent unintended pregnancy. The intrauterine system for contraception after abortion.
Effective long-lasting strategy to prevent unintended pregnancy. The intrauterine system for contraception after abortion. After the abortion I started re-thinking my birth control method. I am looking
More informationLaser treatment for the removal of unwanted Hair
Laser treatment for the removal of unwanted Hair Exceptional healthcare, personally delivered Welcome to the Bristol Laser Centre We are part of the Plastic Surgery Department at North Bristol NHS Trust
More informationwww.healthoracle.org 1
How does hair grow and should it recycle? A single hair follicle grows its hair strand over a period of four to six years (the anagen phase). It then rests for two to four months (the telogen phase), after
More informationMEDICATION GUIDE. SORIATANE (sor-rye-uh-tane) (acitretin) Capsules
Page 30 Please print: Patient name and address: Telephone: I have fully explained to the patient,, the nature and purpose of the treatment described above and the risks to females of childbearing potential.
More informationELECTROLYSIS- INFORMATION AND FAQ s
ELECTROLYSIS- INFORMATION AND FAQ s 1. How does Electrolysis work? A very fine sterilized filament is inserted into the hair follicle, which is a natural opening in the skin. The skin is not pierced or
More informationINSULIN RESISTANCE, POLYCYSTIC OVARIAN SYNDROME
1 University of Papua New Guinea School of Medicine and Health Sciences Division of Basic Medical Sciences Discipline of Biochemistry and Molecular Biology PBL SEMINAR INSULIN RESISTANCE, POLYCYSTIC OVARIAN
More informationmale sexual dysfunction
male sexual dysfunction lack of desire Both men and women often lose interest in sex during cancer treatment, at least for a time. At first, concern for survival is so overwhelming that sex is far down
More informationAcne can appear on the face. back, chest, neck. shoulders, and upper arms. ----.-----. WHAT CAUSES ACNE?
Cysts Nodules Acne can appear on the face. back, chest, neck. shoulders, and upper arms. pore becomes inflamed (red and swollen). Sometimes the inflammation can damage the lining of the pore and then the
More informationPILLS & RING INFORMATION AND INSTRUCTIONS ON COMBINED HORMONAL CONTRACEPTION INCLUDING BIRTH CONTROL PILLS & NUVA RING
PILLS & RING INFORMATION AND INSTRUCTIONS ON COMBINED HORMONAL CONTRACEPTION INCLUDING BIRTH CONTROL PILLS & NUVA RING What is combined hormonal contraception? Birth control which contains two hormones
More informationimplant contraceptiv contraceptive contraceptive raceptiv contraceptive implant contraceptive contraceptive ontraceptive implant ontraceptive im
your guide to the contraceptive implant Helping you choose the method of contraception that is best for you contra ontraceptive im contraceptive implant mpl ceptive contraceptive contracepti ntraceptive
More informationINFORMATION FOR THE PATIENT PATIENT PACKAGE INSERT CLÉO -35 Acne Treatment
INFORMATION FOR THE PATIENT PATIENT PACKAGE INSERT CLÉO -35 Acne Treatment Composition CLÉO -35 is a preparation which contains 2 sex hormones, cyproterone acetate and ethinyl estradiol in a specific ratio.
More informationUterine fibroids (Leiomyoma)
Uterine fibroids (Leiomyoma) What are uterine fibroids? Uterine fibroids are fairly common benign (not cancer) growths in the uterus. They occur in about 25 50% of all women. Many women who have fibroids
More informationHeavy menstrual bleeding and what you can do about it!
Heavy menstrual bleeding and what you can do about it! The intrauterine system as an alternative to hysterectomy. What is heavy menstrual bleeding? Do I have it? A woman s menstrual periods are considered
More informationDrospirenone and Ethinyl Estradiol Tablets USP, 3 mg/ 0.03 mg
FDA Approved Patient Labeling Drospirenone and Ethinyl Estradiol Tablets USP, 3 mg/ 0.03 mg Rx only Guide for Using Drospirenone and Ethinyl Estradiol Tablets WARNING TO WOMEN WHO SMOKE Do not use drospirenone
More informationAging Well - Part V. Hormone Modulation -- Growth Hormone and Testosterone
Aging Well - Part V Hormone Modulation -- Growth Hormone and Testosterone By: James L. Holly, MD (The Your Life Your Health article published in the December 4th Examiner was a first draft. It was sent
More informationpatientinformation Polycystic ovary syndrome Obstetrics & Gynaecology The Rotherham NHS Foundation Trust
The Rotherham NHS Foundation Trust Polycystic ovary syndrome Obstetrics & Gynaecology patientinformation Your health, your life, your choice, our passion Hearing about your experience of our services is
More informationHeavy periods (menstrual bleeding)
Heavy periods (menstrual bleeding) This information sheet has been given to you to help answer some of the questions you may have about heavy periods and the treatments that are available. This leaflet
More informationOxford University Hospitals. NHS Trust. Dermatology Department Frontal Fibrosing Alopecia. Information for patients
Oxford University Hospitals NHS Trust Dermatology Department Frontal Fibrosing Alopecia Information for patients What is Frontal Fibrosing Alopecia (FFA)? FFA is a condition which causes hair loss, mainly
More informationThe Journal of Integrated Health Sciences
JIHS Available online at www.jihs.in The Journal of Integrated Health Sciences A study of endocrine profile in premenopausal women with hirsutism Lakhani Som J 1*, Lakhani Om J 2, Raval RC 3 1 Assistant
More informationAlthough the flush is the classic menopausal symptom that we ve
24 MENOPAUSE: ANSWERS AT YOUR FINGERTIPS HOW LONG DO SYMPTOMS LAST? The duration of early symptoms is very variable from a few months to many years and the severity varies between individuals. On average,
More informationWHAT DOES DYSMETABOLIC SYNDROME MEAN?
! WHAT DOES DYSMETABOLIC SYNDROME MEAN? Dysmetabolic syndrome (also referred to as syndrome X, insulin resistance syndrome, and metabolic syndrome ) is a condition in which a group of risk factors for
More informationX-Plain Chemotherapy for Breast Cancer - Adriamycin, Cytoxan, and Tamoxifen Reference Summary
X-Plain Chemotherapy for Breast Cancer - Adriamycin, Cytoxan, and Tamoxifen Reference Summary Introduction Breast cancer is a common condition that affects one out of every 11 women. Your doctor has recommended
More informationAXIRON (AXE-e-RON) CIII
Medication Guide 1 AXIRON (AXE-e-RON) CIII (testosterone) topical solution Read this Medication Guide before you start using AXIRON and each time you get a refill. There may be new information. This information
More informationTitle: Affordable Low Rate Health Insurance. Word Count: 329
抮 抮 Title: Affordable Low Rate Health Insurance Word Count: 329 Summary: The easiest way to obtain affordable, low cost health insurance is to purchase a low cost health insurance plan through your employer.
More informationFor the Patient: Dasatinib Other names: SPRYCEL
For the Patient: Dasatinib Other names: SPRYCEL Dasatinib (da sa' ti nib) is a drug that is used to treat many types of cancer. It is a tablet that you take by mouth. Tell your doctor if you have ever
More informationinjections injections injections injections injections injection injections injections injections tions njections injections injections injections
your guide to contraceptive Helping you choose the method of contraception that is best for you ions ections injection njections injection tions 2 Contraceptive Contraceptive contain a progestogen hormone
More informationMedication Guide ANDROGEL (AN DROW JEL) CIII (testosterone gel) 1%
Medication Guide ANDROGEL (AN DROW JEL) CIII (testosterone gel) 1% Read this Medication Guide that comes with ANDROGEL 1% before you start taking it and each time you get a refill. There may be new information.
More informationMENOPAUSE WOMAN'S TEST (Assessment of hormone balance)
ATTACHMENT: Useful remarks for patient and doctor, to be associated to the analytical results. Your doctor should interpret this report. Cod. ID: 123456 CCV: 6bf Date: 01/01/2013 Patient: Rossi Mario Rapport
More informationTestosterone & Testosterone Replacement Therapy
your PR.i.VATES Testosterone & Testosterone Replacement Therapy www.yourprivates.org.uk CONTENTS TESTOSTERONE & TRT Contents Introduction 3 Purposes of testosterone 4 How will I be affected by an orchidectomy?
More informationIntroduction Breast cancer is cancer that starts in the cells of the breast. Breast cancer happens mainly in women. But men can get it too.
Male Breast Cancer Introduction Breast cancer is cancer that starts in the cells of the breast. Breast cancer happens mainly in women. But men can get it too. Many people do not know that men can get breast
More informationIs Insulin Effecting Your Weight Loss and Your Health?
Is Insulin Effecting Your Weight Loss and Your Health? Teressa Alexander, M.D., FACOG Women s Healthcare Associates www.rushcopley.com/whca 630-978-6886 Obesity is Epidemic in the US 2/3rds of U.S. adults
More informationMEDICATION GUIDE testosterone gel Testosterone (tes-tos-te-rone gel) CIII
MEDICATION GUIDE testosterone gel Testosterone (tes-tos-te-rone gel) CIII Read this Medication Guide that comes with testosterone gel before you start using it and each time you get a refill. There may
More informationPolycystic ovary syndrome
Polycystic ovary syndrome All you need to know This resource is informed by the evidence-based guideline for the assessment and management of polycystic ovary syndrome (PCOS), authored by the PCOS Australian
More informationAbnormal Uterine Bleeding
Abnormal Uterine Bleeding WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 Abnormal uterine bleeding is one of the most common reasons women see their doctors. It can occur at any age and has
More informationFDA-Approved Patient Labeling
FDA-Approved Patient Labeling Guide for Using Lo Loestrin Fe WARNING TO WOMEN WHO SMOKE Do not use Lo Loestrin Fe if you smoke cigarettes and are over 35 years old. Smoking increases your risk of serious
More informationFrom this site: http://www.energeticnutrition.com /vitalzym/fibroid_tumors.html Uterine Fibroid Tumors
From this site: http://www.energeticnutrition.com /vitalzym/fibroid_tumors.html Uterine Fibroid Tumors Uterine Fibroid Tumors A woman s fibroisis condition usually associated with estrogen dominance. Uterine
More informationBreast Pain. National Cancer Helpline 1800 200 700
General information Breast Pain Breast Pain This factsheet gives information on breast pain in women. It explains the different types and causes of breast pain and how it can be diagnosed and treated.
More informationFDA-Approved Patient Labeling IMPLANON (etonogestrel implant) Subdermal Use
FDA-Approved Patient Labeling IMPLANON (etonogestrel implant) Subdermal Use IMPLANON does not protect against HIV infection (the virus that causes AIDS) or other sexually transmitted diseases. Read this
More informationTestosterone Replacement Informed Consent. Patient Name: Date:
Testosterone Replacement Informed Consent Patient Name: Date: This form is designed to document that you understand the information regarding Testosterone Replacement Therapy, so that you can make an informed
More informationPatient identifier/label: Page 1 of 6 PATIENT AGREEMENT TO SYSTEMIC THERAPY: CONSENT FORM FEC-T. Patient s first names. Date of birth.
Patient identifier/label: Page 1 of 6 PATIENT AGREEMENT TO SYSTEMIC THERAPY: CONSENT FORM FEC-T Patient s surname/family name Patient s first names Date of birth Hospital Name: Guy s Hospital St. Thomas
More informationloving life YOUR GUIDE TO YOUR THYROID
loving life YOUR GUIDE TO YOUR THYROID one THE THYROID two HYPOTHYROIDISM three HYPERTHYROIDISM four TREATING HYPERTHYROIDISM five THYROID NODULES AND GOITRES one THE THYROID What is the thyroid? The thyroid
More informationPost-Coital Hormonal Contraception Instructions for Use of Plan B, Plan B One-Step, Next Choice One Dose, My Way, Generic Levonorgestrel and Ella
Post-Coital Hormonal Contraception Instructions for Use of Plan B, Plan B One-Step, Next Choice One Dose, My Way, Generic Levonorgestrel and Ella Several options for emergency birth control exist for women
More informationIntroduction Ovarian cysts are a very common female condition. An ovarian cyst is a fluid-filled sac on an ovary in the female reproductive system.
Ovarian Cysts Introduction Ovarian cysts are a very common female condition. An ovarian cyst is a fluid-filled sac on an ovary in the female reproductive system. Most women have ovarian cysts sometime
More informationMedication Guide Testim (TĔS tim) CIII (testosterone gel)
Medication Guide Testim (TĔS tim) CIII (testosterone gel) Read this Medication Guide that comes with Testim before you start using it and each time you get a refill. There may be new information. This
More informationTeriflunomide (Aubagio) 14mg once daily tablet
Teriflunomide (Aubagio) 14mg once daily tablet Exceptional healthcare, personally delivered Your Consultant Neurologist has suggested that you may benefit from treatment with Teriflunomide. The decision
More informationTemozolomide (oral) with concurrent radiotherapy to the brain
Temozolomide (oral) with concurrent radiotherapy to the brain Temozolomide (oral) with concurrent radiotherapy to the brain This leaflet is offered as a guide to you and your family. You will find it useful
More informationHow To Treat An Inflamed Acne
Acne Page 1 of 5 Acne is common and is usually treatable. You may need treatment for several months to clear spots. Inflamed acne needs to be treated early to prevent scarring. Once the spots are gone,
More informationprogestog progestogen stogen-only pill progestogen progestogen-only pill he progestogen-only pill progestogen-onl progestogen-o the progestogenonly
your guide to the progestogenonly pill Helping you choose the method of contraception that is best for you the progestogen rogestogen-only the progestogen-only pill progestogen-only pill stogen-only progestoge
More informationHypothyroidism. What are the symptoms of Hypothyroidism?
Hypothyroidism Hypothyroidism is when the thyroid gland does not make enough of the hormone thyroxine (a chemical). It is often called an underactive thyroid. It can make your body functions slow down.
More informationMANAGING ACNE IN PHARMACY
MANAGING ACNE IN PHARMACY ACNE PREVALENCE Acne is the most common of skin diseases, affecting 85 per cent of Australians aged 15-24 years old. Very few people manage to escape their teenage and young adult
More informationMultiple Myeloma. This reference summary will help you understand multiple myeloma and its treatment options.
Multiple Myeloma Introduction Multiple myeloma is a type of cancer that affects white blood cells. Each year, thousands of people find out that they have multiple myeloma. This reference summary will help
More informationNIH Clinical Center Patient Education Materials Managing adrenal insufficiency
not feel well. Your symptoms could include: unusual tiredness and weakness dizziness when standing up nausea, vomiting, diarrhea loss of appetite stomach ache joint aches and pains NIH Clinical Center
More informationCreighton Laser Consultants. Creighton Family Medicine-Twin Creek Carlos Prendes MD Nancy Rounds CMA Joseph Stangl PAC
Creighton Laser Consultants Creighton Family Medicine-Twin Creek Carlos Prendes MD Nancy Rounds CMA Joseph Stangl PAC 2 Overview The different layers of the skin The skin s role in the human body Hair
More informationLet s talk aboutpuberty
Let s talk aboutpuberty A booklet about growing up for young people who have a learning disability This booklet will tell you about what happens to your body as you grow up. This is called Puberty. A2
More informationPatient information. Goserelin Zoladex Breast Services Directorate PIF 1005 V3
Patient information Goserelin Zoladex Breast Services Directorate PIF 1005 V3 What is Goserelin? Goserelin is a tried and tested drug used to treat breast cancer. It can be used alone or given with other
More informationProstate Cancer. There is no known association with an enlarged prostate or benign prostatic hyperplasia (BPH).
Prostate Cancer Definition Prostate cancer is cancer that starts in the prostate gland. The prostate is a small, walnut-sized structure that makes up part of a man's reproductive system. It wraps around
More informationAbout the Uterus. Hysterectomy may be done to treat conditions that affect the uterus. Some reasons a hysterectomy may be needed include:
Hysterectomy removal of the uterus is a way of treating problems that affect the uterus. Many conditions can be cured with hysterectomy. Because it is major surgery, your doctor may suggest trying other
More informationA guide to using Estelle-35ED
A guide to using Estelle-35ED Release the Woman within The Pill has created a new freedom for women everywhere. Freedom from skin conditions that can plague some women through their teens and into adulthood
More information