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Chronic PCOD and hairloss - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   Hi, I am a PCOD patient. Is this curable
Doctor :   PCOD is a chronic condition.
Doctor :   Both surgical and medical treatment are available for this condition.
Doctor :   However, as this is a chronic condition, there is always chances of recurrence.
Doctor :   Hence the answer to your question is that this conditions can be kept under control, but not completely cured.
Doctor :   Have you followed what I have suggested?
User :   I have tried in the past - Metformin ; Aldectone ; XXXXXXXX 35. I have stopped using XXXXXXXX 35 as my period was very short. Whats the suggestion ... how can it be kept under control ?
Doctor :   Conservative conditions applies to non painful conditions of PCOD, where in there are no large cysts.
User :   I have small but multiple cysts.
Doctor :   If there are large cysts which are discomforting, then surgery is needed.
Doctor :   As you don't have them, you will need conservative treatments.
Doctor :   There are various forms of medical drugs that are available.
Doctor :   Insulin modifying drugs (metformin) are the first choice.
Doctor :   The other medical drugs which are available are ovulation inducing drugs.
Doctor :   There are other factors that affect you conditions.
User :   I tried Metformin in the past. It didn't help me in weight reduction / improving the regulation of my period. I have male pattern baldness setting in. Would you suggest that I go for a hair transplant.
Doctor :   Those factors including stress, dietary factors and hereditary factors that affect the PCOD condition.
User :   Is it true that Metformin leads to hair fall ? Couldn't find a proper answer on the Internet.
Doctor :   The hair loss symptoms and weight reduction prob
Doctor :   weight gain problem are more due to PCOD's
Doctor :   than metformin.
Doctor :   I would suggest you to follow up with your gynaecologist appropriate drugs,
Doctor :   follow them with good stress management,
Doctor :   good and adequate sleep,
User :   Based on a doctor's suggestion, I have drastically reduced my intake of cereal. I also exercise / do yoga 3-4 times a week. I dont think its helped me in weight reduction or PCOD. Whats your view on Hair Transplant - DHI method.
Doctor :   plus proper dietary modifications(weight reducing diet plan) and physical exercises.
Doctor :   Hair transplant are the final option of treating hair loss, if all measures fail.
Doctor :   You can try hair transplant therapy as the last resort, if all measures fail completely in treating the problem.
Doctor :   Have you followed what I have suggested?
User :   Yes. I tried Laser Treatment for my hair, Oils / Medicines / ... dont think it helped.
User :   Why do you say that transplant is the last resort ... are there any side effects ? I understand its a 2 hour process followed by 3-4 days of antibiotics. Isn't that safe ?
Doctor :   Since I haven't performed a physically examined you, I cannot pinpoint the exact cause for the hair loss that you have.
Doctor :   But, based on your description, there are more chances that PCOD with or without stress, nutritional factors that are probably responsible for the hair loss.
Doctor :   High androgen levels can also lead both to PCOD and hair loss.
Doctor :   Anti androgen drugs can also play a role in treating both the condition.
User :   Are the symptoms of PCOD - weight gain , hirsutism , hormonal imbalance, hair loss reversible ? XXXXXXXX 35 is a anti androgen drug ??
Doctor :   My suggestion is,
Doctor :   yes, hair transplant is a simple treatment with less side effects. You can opt for this
Doctor :   if you have tried all other necessary medications for correcting PCOD's, stress factors corrections and nutritional improvement aren't helping you.
Doctor :   Hence, if these measures have been tried and aren't useful.
Doctor :   then you can go ahead with hair transplant.
User :   Is there a chance that a repeated transplant is required ?
Doctor :   Yes, there are chances that hair transplants may have to be repeated over a period of time.
Doctor :   if the causative factors are not treated.
Doctor :   hence its absolutely necessary, that the causative factors are addressed to with the option of hair transplantation.
Doctor :   I would again stress on these points
Doctor :   1. Follow up with your gynaecologist for PCOD treatment -
Doctor :   if insulin modifying drugs and the antiandrogen drugs are not regulating the ovulation, use of ovulation inducing drugs can be opted for.
Doctor :   2. Follow up with adequate nutrition
Doctor :   3. Physical exercises, proper stress management and regular sleep.
Doctor :   4. Vitamin supplements along with vasodilators(locally or orally)
Doctor :   These are the first steps to be tried.
Doctor :   You can consider hair transplantation with these measures, which will make the chances of repeated hair transplantation.
Doctor :   Have you followed what I have suggested?
Doctor :   Are you there?
Doctor :   Are you there?
User :   Yes. I am.
Doctor :   Do you have any other query?
User :   I am taking vitamins - Biotin and Vitamin A. what is vasodilator ?
User :   Are the symptoms reversible ?
Doctor :   You mean hair loss?
User :   All of the symptoms - hirsutism , hair loss, depression , ...
Doctor :   Depressions symptoms and hair loss is probably related PCOD.
User :   Are the symptoms reversible ?
Doctor :   Based on the details that you have provided, yes, they can be reversed with appropriate treatment.
Doctor :   Have you followed what I have suggested?
User :   Yes I have. Thanks for your help. I dont think Nutrition is a problem with me. I am doing Yoga so exercise and stress are under control. I just feel depressed that why cant this thing be controlled ? I wish I didn't have hirsutism / hair fall - rest I can manage.
User :   What are Vasolidators ?
Doctor :   Vasodilators are products that causes dilatation of blood vessels which makes sure that there is sufficient blood supply to the areas dilated.
User :   Are thes required for PCOD ??
Doctor :   There are different drugs which function as vasodilators.
Doctor :   The effects of this drugs are used in treating hair loss.
Doctor :   They are not used for PCOD, but for hair loss.
Doctor :   Have you followed?
Doctor :   Do you have any other query?
User :   No. Thank you for your suggestion/s.
Doctor :   Thanks for consulting me. Bye for now.
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