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Suffering from hair loss. Undergone test. What test should be done? - Online Doctor Chats

Date : 19-Mar-2013
User rating for this question
Very Good Posted in: Hair Loss
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor:How are you doing?
User:i am doing fine
User:need a small information
Doctor:How can I help you
User:my wife is having hair loss
User:i checked with the doctor he had suggested few tests
User:we had taken that
User:tests are
Doctor:do you have the reports?
Doctor:Yeah, sure , go ahead
User:hemogram(CBC,P/s,RBS indices),Liver Function tests, thyroid profile (T3,T4,TSH)
User:Impression for first haemogram is Normocytic normochromic blood picture
User:BUN 8.8
User:S.Creatinine 0.9
User:liver Function Tests are bilirubin
User:S. Direct Bilirubin 0.2
User:S. Indirect bilirubin is 0.2
User:S. Total Protien 7.6
User:A.Albumin 5.0
User:S.Globulin *2.6
User:S.A/G ratio 1.92
User:S.SGOAT(AST) 27
User:S.SGPT(ALT) 18
User:A.Alksline Phosphate 109
User:S.G.G.T 20
User:Thyroid Profile(T3,T4,TSH) are
User:T3 1.95
User:T4 92.29
User:TSH 0.90
User:can you please let me know the problem
Doctor:can you tell me the units for T3, T4 and TSH
Doctor:it must be there on the right side of the value
Doctor:No, the units
User:oh ok
Doctor:ng/dL or nmol/L
Doctor:or whatever they have used
User:0.92-2.33/60-120/0.25-5 respectively
Doctor:Is there no /ml or ng/ml written there
Doctor:Or they have used just numbers
User:nmol/l for T3,T4
User:uIU/ml for TSH
Doctor:the reports are normaal,
Doctor:all of them
User:what could be the problem for hair loss
Doctor:Since when does your wife have hair loss?
User:past 3 months
Doctor:Have you shifted your residence?
Doctor:In the last 3-4 months?
User:but water in the old house got harden
User:yes from past few months
Doctor:Its a possible cause
Doctor:What about stress?
Doctor:is she under a lot of stress for some reason
User:no, stress is normal
Doctor:Has she internalized it to an extent that its a part of normal life or there is not such thing?
Doctor:Can she sleep well?
Doctor:What about dietary habits?
User:normal diet
Doctor:What does she eat in a typical day? especially the protein and vitamin A part?
User:normally have rice with vegetables, fruits
Doctor:for breakfast?
Doctor:what does she have?
User:i am not sure
User:i leave early in the morning
Doctor:Then lets do one thing
Doctor:Is it possible for you to log in from home
Doctor:what time do you get home?
User:7:30 pm
Doctor:actually I want to speak with your wife
User:even i can ask her to log in
Doctor:and ask about diet, exercise
Doctor:Let her do that
Doctor:anytime today or tomorrow or whatever time you want is fine
Doctor:I am available till 7:30 pm
User:how can she get you again in the chat
Doctor:from 10:45 am in the morning
Doctor:She can ask for me
User:oh ok
Doctor:They'll make sure I'm available
User:yes i will tell hir to log in
Doctor:or tell her to login and click on get a call from a doctor
Doctor:there she can directly ask for me
Doctor:Till then, tell her to stop putting that hard water in her hair
User:ok which would be fine, Thanks XXXXXXX for your time
Doctor:Instead of the hard water, tell her to boil the water and use that in her head
Doctor:The residue will settle down and she can use the clear version
Doctor:or use drinking water
User:that would be fine
Doctor:also, the protein intake must be high
Doctor:and plenty of fruits and vegetables as well
Doctor:No harsh chemicals and no heating treatments
Doctor:that should be able to fix the problem in a few months
Doctor:Another thing, very importantly, is no stress
Doctor:unconsciously, we take a lot off stress
User:ok yeah
Doctor:So XXXXXXX breathing and meditation will also help
Doctor:I'll explain these things to her
Doctor:Just raise a request for a call from a doctor
Doctor:and ask for me
User:yeah sure
Doctor:they'll get it arranged right away
Doctor:just give us her number
User:ok sure
Doctor:We'll take care of it
Doctor:Is there anything else I can help you with?
User:we were planning for babies
User:we have undergone few tests
User:my results are Harmone analysis report Serum LH 4.1mIU/ml
User:follicular stimulating hormone 5.2 mIU/ml
User:serum prolactin 26.1
User:testosterone-free 3.9
User:testosterone-total 2.6 mg/ml
User:i had consulted XXXXXXX
User:he had every thing is normal and not so much problem
Doctor:What about the semen analysis ?
User:had suggested to have Maxoza L
Doctor:What about the semen analysis?
Doctor:Is it normal?
User:physical examination color opaque white, volume 2.5 ML,viscocity normal, reaction alkaline
User:microscopic examination Active Motlility 30%, sluggishly motile 40%, Non motile 30%, total sperm count 12 mill, sperm morphology Normal Forms, abnormal forms nil,pus cells 4-6
Doctor:The sperm count is less
Doctor:There is some evidence of an infection as well
User:doc a suggested for Maxoza - L, fertomid for two months
User:not sure
User:yeah sperm count is less
Doctor:did you take the medication?
Doctor:Is the 2 months course complete
Doctor:Did you get a repeat sperm count after that?
User:no doctor
Doctor:Please get it done
Doctor:Lets see if there is any improvement
Doctor:What about your wife
Doctor:Has she been evaluated?
User:she has normal results
User:doc said every hing is fine in my case a slight variation
Doctor:She has regular periods?
User:he said that should not be a problem
User:25 days
Doctor: the next step forward is a semen analysis
Doctor:If that is fine and your wife is ok, there should be no problem in having a child
User:should i take semen analysis test
Doctor:Yes please
User:i will take the tests and get back
Doctor:Once you get the reports, we can discuss it
User:Thanks for your valuable time
Doctor:Thanks for consulting me
User:have a nice day bye
Doctor:You too
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