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Polycystic ovarian syndrome Urgent help needed. Profuse hairfall. Re: Dr. Dinesh / Dr. Reshamma

Greeting Drs.
I am a 27 yr old female
suffering from PCOS since 2011, when I was diagnosed.
Since then I've been on/off the Oral contraceptives. I stopped taking them because those were external hormones but after I stopped taking them, my hairfall has aggravated, the periods are also not normal and acne have started coming up.
But major concern is if I loose hair at this rate, I would soon go bald. Please help me.
I would be really grateful
my investigation reports are :

DHEAS 177.20 UG/dl
LH: 4.21 mu/ml
serum prolactin 16.06 nh/ml
testosterone 51.91 ng/dl
t3 1.17 ng/ml
t4 8.70 ug/dl
tsh 1.21 ulU/ml
USG reports show both ovaries enlarges and polycystic
 
  curiousseeker on 2015-11-07
This is just a forum. Assume posts are not from medical professionals.
Patient ID: Sex: Age: Nature of work: Habits:


Please answer the following questions in a descriptive manner after careful analysis and recollection of previous experience and happenings.

1. Describe your main suffering? State the correct location of pain or suffering.

2. What other physical sufferings do you have in your body?

3. What mental sufferings / feelings do you have associated with your physical sufferings?

4. What exactly do you feel when you are at your worst? Describe the sensation in your own words.

5. When did it all start? Can you connect it to any past event or disease? What was happening in your life just before these symptoms were noticed?

6. What time of the day do you suffer the most? What time of the day /night do you feel most energetic and happy?

7. What are the things that aggravate your suffering and those that ameliorate the same? Example: time, hot or cold application, pressure, rubbing, washing, eating, tight clothing, sweating, walking, climbing, stool etc. Is there anything unusual about your pains or sufferings?

8. Do you think your sufferings have direct relation to any particular external factor or are it something to do with your own biological changes?
9. When do you feel worst, during hot weather or cold weather, humid or dry weather, standing, walking, climbing stairs, sitting, hanging legs down, laying down, turning in bed etc.?

10. Describe your general mental set up? Please pick out the adjectives which best describe your personality; (pick 3 to 5 most appropriate words that describe your mental traits)
Nervous, Anxious, Shy, Worrying, Paranoid, Proud, Unsocial, Guilty, Depressed, Hypochondriac, Untidy, Weepy, Emotional, Impractical, Confused, Suspicious, Jealous, Timid, Aggressive, Headstrong, Forgetful, Follower, Insecure, Immature, Impulsive, Rigid, Restless, Feminine, Empathetic, Introverted.

- How do you feel before or during a thunderstorm?

- How do you respond to consolation during your tough times?

- Are you sensitive to external stimuli like smell, noise, light etc.?

- Do you have any typical habit or gesture like nail biting, causeless
Weeping, talking to one self etc?
- How do you get along with your friends, family, your children and especially your husband / wife?
-What is your profession? Do you love your profession? What is your dream job?
-Did you have any bereavement in life? How has it affected you?
-Do you have any issues regarding your parenting by guardians?
-Can you remember any unfortunate incident in life that you want to forget?
-How do you respond to music? Do you feel better or worse mentally listening to music?
- What upsets you most in yourself and in others?

11. What are your fears and do you dream of any situation repeatedly?

12. What do you crave in food items and what are your aversions?

13. How is your thirst: Less, Normal or Excessive?

14. How is your hunger: Less, Normal or Excessive?

15. Is there any kind of food which your body can’t stand?

16. Is your sweat normal or less or more? Where does it sweat more: Head, Trunk or Limbs?

17. How is your bowel movement and stool type? Do you have any abnormal smell in the urine?

18. How well do you sleep? Do you have a particular posture of sleeping?

19. Do you think you are able to address your libido in general? Would you say your drive is low, normal or high?

20. Do you have any strange, peculiar or unusual sensation, thoughts or feelings? How are you different from others?

21. What medications have been taken earlier by you to treat the diseases and do you have any particular symptom surfacing after the medication?

22. What major diseases have run in the family in the last two generations both sides?

23. Describe your overall appearance with respect to your BMI, skin type, muscular or flabby etc.
24. What major diseases have you had in your life and when. Please write them in a chronological manner.
(For Females)
25. If your menstrual cycles are not normal, please describe all irregularities, like pains, moods, flow type, clots etc. as below:
- Are your periods generally regular, early or delayed? What is the usual cycle duration?
- Describe the sensations and locations of pain before, during and after the flow.
- How do you generally deal with your sufferings during periods? Do you have any non-medical way of relieving your suffering?
- What is the duration of flow? Is it heavy, medium or light?
- Do you observe clots?
- Do you have mid-cycle spotting? What are the days you have spotting?
- Describe changes in your mental condition or any other peculiar symptom that surfaces before, during or after the flow.
- Do your sufferings increase or decrease as soon as the flow begins?
- Did you ever take birth control pills on a regular basis?
- Have you ever been treated earlier or recently for any gynecological irregularity? Please describe.
 
rishimba 4 years ago
Dr. Rishamma
Answers to your questions are as follows
Patient ID: curiosseeker
Sex: Female
Age: 27
Nature of work: PhD Student biomedical sciences
1. My main suffering is severe hairfall on my head. I have lost around 2/3 of my hair which once was very thick. The hair now seems to be brittle and fall in bunches even when combed with a widest of comb.

2.Hair growth at undesired places along with frequent acne here and there. My forehead has several tiny acne. Periods are also not normal. Skin is not radiant and my gums often bleed. I have always been thin. At 5ft 5 in I weigh around 47 kg.

3. I feel very disheartened and sad, sometimes frustrated and at others afraid of the fact that it may cause infertility and once I get married I might not be able to conceive easily. But overall it brings upon a sense of utter failure and agony to me.

4. When I am at my worst I fell like a complete loser, I compare myself with other girls whose hair are lustrous, skin radiant, teeth finely set and feel like an outcast.

5. I cannot say when did it start but yes when I joined college, I had hair fall when I told my mother, she said, it is normal but once when I joined my masters and had to shift away from home to a hostel, during the summer break, I had very severe cystic acne when I went to a doctor, I was diagnosed with PCOS.One incident which shook me was during my intermediate I was hurt in my left eye which damaged my cornea, and I had to be operated, I wanted to join army but that left me ineligible on medical grounds. I was heartbroken.

6. I suffer the most during early morning and during day. I feel most energetic as the evenings descend i.e. I am most active during night.

7. Summers and hotness make me feel stuffed, I can’t tolerate hot weather. Generally also my own body temperature is very high. Sometimes people who touch me think I have fever, but I am normal. This happens especially during summers. I feel happy when I sleep, or read something. During periods when I have severe pain, I like to lie down and sleep

8. I can’t clearly say that my sufferings have any connection to an external factor but I know everything I am suffering is because of PCOS.

9.I feel worst during humid hot weather. I like cool weather.

10. Mental setup: Depressed, Aggressive, Forgetful, Impulsive, Worrying, Emotional, Jelous

- I feel alright during a thunderstorm if I am indoors. If outdoors, and I can watch lightening I feel little scared, little happy to see what nature is capable of doing.

- If I am really in a bad mood, I get irritated if I am consoled, I want to be left alone.

- I get emotional at times and weep, but not in front of anyone, I weep alone. Sometimes, If I had been in a tiff and I did not say something back to a person, I would talk to myself and say things, I would want to say to that person. (rationalizing things so that I feel better, I would say)

-I am research scholar, yes I like doing science, but I want to become an IAS, though I couldn’t qualify this time. I would definitely succeed next year.

-Yes, I had a bereavement my grandmother passed away when I was in class tenth, my nanaji was murdered the same year. But I am not sure how far has it affected me. But, yes I miss my dadi ji sometimes.

-No issues regarding parenting, I have great parents.

-Yes, I want to forget the injury to my eye.

-Yes, I feel in sync with music. If music is happy I feel happy. If sad, I feel sad.

-I get upset when people try and take advantage of my helping nature and turn back on their promises or when I see someone bullying someone. I don’t derive pleasure by bullying anyone.

11. My fears are loosing a lot of my hair and turning bald one day and recently I dreamt that I’ve lost my teeth.

12.I crave for anything sour and salty and I hate too much sweet food, too much spicy food.

13.Thirst: normal

14. Hunger: Less

15.Too much oily food my body cant stand.

16.Sweat is normal. I sweat more on body and have sweaty palms.

17.Bowel movement is fine. Stool type is neither too hard, nor too thin. It is fine.

18.I sleep fine, Yes; I sleep on my stomach side down and leaning onto something.

19.No I don’t address my Libido to full; my drive is low or not always too high.

20. I am in general a very talkative person; I like to hang around with people and talk. But, I sometimes I feel grumpy, I feel sad and weepy without any reason, and avoid talking to people I sometimes don’t want to talk to anyone.

21. I was earlier on Diane (Oral contraceptive pills) with metformin and then again for sometime on Ginnette 35 . As soon as I stopped these medications My hairfall has aggravated and hirsuitism more pronounced.

22. On, my father’s side: High Blood Pressure and heart attacks. Mother’s side: None.

23. Overall Appearance is pleasant, BMI is low, skin type is dry, I am lean in appearance hair wavy with incidence of dandruff.

24.major disease I had in life.

- chicken pox when I was 8 yrs old. Leaved 5-6 pock marks on my face which I dislike.

- eye injury when I was 16 yrs old. Though eyesight has been restored but not completely.

- Polycystic ovaries diagnosed when I turned 21.


25.
- periods are not regular. They are delayed. Earlier the duration was 7 or more days now it is 4-5 days.

- before flow I feel pain in the lower pelvis, during flow in lower stomach and uterine area.

- I just lie down and take hot bottle treatment no medicine. Once the periods started but were not stopping that time I took medicine from allopath.

- duration of flow till some cycles back was more than 7 days now it is 4-5 days. Flow is very heavy.

- yes, There are clots.

- earlier I had mid cycle spotting but now I don’t have them. I can’t ascribe any particular days when I had them.

- Before periods without OCPs my breast harden and it hurts to touch them, my lower pelvis also pains. During periods only pain in lower stomach and lower back occurs. Breast are fine.

-Sufferings decrease as the periods continue. The most difficult day is first and second, after that I have no problems as far as periods are concerned.

-Yes, I took OCPs for around 1 and a half year at a stretch, then stopped then agaian started it for 3-4 months, then stopped, then again took them for 6-8 months.

-I was treated for only pcos earlier by allopath, no gynecological irregularities other than that ever occurred.


Dr. Rishamma, you are my only hope. Kindly help me
 
curiousseeker 4 years ago
Please answer the following question..

1. Which ovary is having cysts? Left or Right?

2. Is there any relationship between bleeding gums and your periods?

3. What exactly do you feel early in the morning as you said that you suffer the most in the mornings? Do you usually get up with some suffering?

4. At what time do you generally go to bed at night?

5. Does your scalp itch or pain as well on brushing or touching?

6. What was happening in your life when you first noticed cystic acne and PCOS?

7. How were you treated for PCOS by allopathy?
 
rishimba 4 years ago
Dr. Reshamma
Answers to your questions
1. Both ovaries have cyst
2. Yes, it seems that the bleeding is more persistent when my periods are about to come.
3. I feel unlikely and sometimes sad and emotional in the mornings. Other than that I have no suffering as such.
4. I generally sleep by 12:30 am in the night.
5. Yes my scalp itches when touched and feel relieved sometimes after combing.
6. Nothing dramatic was happening. I was just away from my family in hostel and had come back in vacations.
7. I was given ocp- diane and metformin 500 mg. I felt nausiatic after metformin which was later reduced to 250 mg and I took it for 6 months.
But I was on and off without metformin for quite some times.

As I stopped taking ocps my hair would fall like crazy and to stop it I again had to go back to taking oral contraceptives.

Hope it helps.
 
curiousseeker 4 years ago
You will have to have a long term treatment. Since your problem has aggravated due to long term use of OCP, it will take some time to overcome its effect.

Let us hope homeopathy helps you get back your hormonal imbalance back. All your problems are a manifestation of your hormonal mess up due to the external hormones you were taking.
 
rishimba 4 years ago
So, what do I take?
What do you recommend?
And how long would the treatment have to be?

I am utterly broken what do I do?
I don't want to go back to ocps!
 
curiousseeker 4 years ago
Please take SULPHUR 200C some three doses on a single day, each dose 6 hours apart. If you find some relief in a week, you can come back here and let me know the changes. Else we will go to the next remedy that is suitable in this condition.
 
rishimba 4 years ago
Okay Dr
Will come back after a week and let you know about the same.

Will this from g be available without prescription?
And what dose do I take?
 
curiousseeker 4 years ago
Dr. Rishimba
I am a little confused about the dosage,how to take it if they are pellets and if I get the liquid?
Am I supposed to take it only one day three time or I have to repeat it every day till a week?
Kindly help.
 
curiousseeker 4 years ago
And do I have to avoid anything while I am on this medicine?
Any thing to consider?

Please guide me through this.
 
curiousseeker 4 years ago
I also thought I should mention this.
That since some time I get this severe cold too frequently and it is very painful, blocked nose, severe headache and throat pain, and then followed by cough and it takes around 4-5 dys to become normal.
I get cold around twice a month and when I got it this time I was feeling itchy in the nasal pallet and a little uncomfortable.. And the next day I knew I had severe cold, even my voice changed.
 
curiousseeker 4 years ago
You need to buy SULPHUR 200C in liquid doses from a good manufacturer like Reckeweg or Boiron or Helios etc.

One dose would be 3 drops of remedy in some 10 ml of water slowly sipped up in empty stomach in the morning. Don't take any food or water or even rinse your mouth for the next one hour.

This has to be done on a single day and after about a week let me know.

Regarding the cold, does the cough tend to settle in your chest once you have cold and cough?

What is the color of the phlegm usually?

What time is the coughing worst?
 
rishimba 4 years ago
Yes! It does settle in my chest

The phlem is yellowish tinged

And as soon as I get up in the morning, it gets worse.

Yesterday I had a head wash and I lost around 1000 hair. Now I am scared even to comb them.

My scalp feels a lot itchier now, dandruff too is visible.
 
curiousseeker 4 years ago
OK Got it.

Please take SULPHUR as suggested and after that we will prescribe your constitutional remedy.

Hopefully, things will improve then.
 
rishimba 4 years ago
Okay Rishiji
Would update you in a week.
I am too pinning my hopes on it that it should work.
Warm regards
And a happy diwali to you.
 
curiousseeker 4 years ago
Thank you and wish you too a happy Diwali.
 
rishimba 4 years ago
Dr Rishimba
After your suggestion I took suplphur 200c and after a week no difference in my condition was observed.
My hairfall is still copius. I loose around 1000 hair when I wash them.
Really distressed
 
curiousseeker 4 years ago

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