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Change in skin type and growth of facial hair due to hormonal problems - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   Hi.
Doctor :   hi
User :   I have been told that I am suffering from some sort of hormonal problem.
Doctor :   how can I help you?
Doctor :   ok
User :   I need to know what I need to do.
User :   Symptoms are : User :   my skin has changed from dry to Oily,I have got adult acne
User :   suddenly for the past two years.
User :   never had it during my teens
Doctor :   I need to know what are the symptoms
User :   please read above
Doctor :   ok
User :   also unnatural facial hair
User :   growth
Doctor :   you need to wash it with soap 2 times a day
Doctor :   so do not get exposed to dust and pollution
User :   that's it?
Doctor :   yes
Doctor :   do not break the pimples
Doctor :   apply an antibiotic cream
User :   Am I talking to a doctor?
Doctor :   to the affected area
Doctor :   yes
User :   All this generic advice I know already!
Doctor :   ok
Doctor :   I am not supposed to prescribe without examination
User :   Thanks .I have clearly wasted my money
User :   Have a great day
Doctor :   you need to tell me what you are expecting from the doctor
User :   C/mon anybody who reads up a little bit knows that you need to not nreak your pimples,wash your face regularly but not too much etc etc.It's all plain common sense or maybe not very common.
User :   What I was expecting was some kind of direction
Doctor :   ok
User :   Without you telling me I can probably know that I may be suffering from PCOS
Doctor :   ok
User :   I just thought this was a forum where some guidance could be given on next steps based on the symptoms
User :   a person presents
Doctor :   we will send you an educational brochure regarding your problem
User :   not medication but some indication
User :   Nah.thanks.
Doctor :   do not get disheartened
Doctor :   approach differs to each one
User :   so what do you do in these chats?
Doctor :   please calm down
User :   I am calm.Asking you what shd one expect
Doctor :   we will provide you with the necessary information
User :   when they come here.just for my information
Doctor :   if you feel you are not getting what you want
Doctor :   you are free to ask us
Doctor :   there are patients who know nothing about their condition
Doctor :   so we start off by telling the basic stuff
User :   Well, I can understand and not arguing with you.
Doctor :   you know your condition well and feel we are not giving you anything extra
Doctor :   what is it that you expect from us?
User :   I came here because I am trying to figure out If I need to really go to a doctor hence the question and what if my self diagnosis is correct ,then what is the procedure for diagnosis
User :   that's it
Doctor :   ok
Doctor :   I will help you
User :   I mean what tests.
Doctor :   come again
User :   Thanks.
User :   I meant if I do indeed have PCOS,what needs to be done to confirm,what tests?
User :   shd I go to an endocrinologist or somebiody else etc etc
Doctor :   ok
Doctor :   I will now explain in detail
User :   ok
Doctor :   you first need to undergo certain blood tests
Doctor :   these are tests for detecting hormones
Doctor :   like lutenizing hormone
Doctor :   follicle stimulating hormone
User :   lsh,fsh
User :   that's me showing off :-)
Doctor :   17 hydroxy progesterone
Doctor :   thyroid stimulating hormone
Doctor :   DHEA sulfate
User :   I got that done
Doctor :   yes
Doctor :   you know quite a bit
Doctor :   its very good
User :   Science student.
User : all these tests and then.
Doctor :   and then
Doctor :   ultrasound
Doctor :   to measure the thickness of the endometrium
Doctor :   and to visualise the
Doctor :   ovaries
User :   another question.Wouldn't ultrasound alone help? Are the blood tests necessary?
Doctor :   it adds to the blood tests
Doctor :   to help in the diagnosis
User :   hmm okay.scary.
Doctor :   the mainstay of diagnosis
Doctor :   of PCOS is the detection
Doctor :   of elevated hormones
Doctor :   and their effect on the
Doctor :   various organs on the body
Doctor :   especially the uterus
Doctor :   do not get scared
Doctor :   in this era of modern science
User :   hmm.and is there any specific reason why it would happen to somebody.
Doctor :   every problem will have solution
User :   yes I know.but not to offend you.I hate going to a doctor.:-)
User :   anyway not your problem.
Doctor :   the exact cause has not been found
Doctor :   it has multiple causative factors
Doctor :   if you wish to tell me the exact reason
Doctor :   behind you shying away from the doctor
Doctor :   I might help you
Doctor :   in the best possible way I can
User :   generally.Half the doctors in India are either overworked or truly jaded.
Doctor :   ok
User :   now I have been talking about PCOS as my condition
User :   most of them will dismiss it
Doctor :   but why do you think so?
User :   because they think most people are stupi
User :   stupid
Doctor :   Indian doctors are the most preferred in the world
User :   well...
User :   yes they are good
Doctor :   but our people fail to recognise them
User :   no doubt abt that
User :   they have knowledge
User :   but listening to patients
User :   and being more attentive would definitely help
Doctor :   ok
User :   anyway,won't waste your time.
Doctor :   if you feel so we can fix up an appointment with the doctor
User :   I am not very familar.Can you recommend somebody?
Doctor :   who is willing to cater to your needs specifically
Doctor :   which city are you from?
User :   I can take care of the appointment myself.
Doctor :   ok
Doctor :   I am not sure if we have the database of doctors in pune
User :   okay no problem.
Doctor :   I will ask someone from my company to contact you after confirmation
Doctor :   Is there anything else I can help you with?
User :   no thanks.
User :   Sorry for the argument.
Doctor :   Please fill the feedback form say done when done.
Doctor :   no problem
Doctor :   we understand your apprehension
Doctor :   Have you filled the feedback form?
User :   yep
Doctor :   Thanks for consulting HealthcareMagic. Bye for now.Please refer your friends to our service.
User :   bye
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