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Suggest Treatment For Insufficient Growth Of Facial Hair

Posted on Thu, 15 Oct 2015

Question: Hi I got problem of growing beard, I got sides and chin moustache but some places are still vellus light hair and not yet dark, got some gaps also

Answered by Dr. Shehzad Topiwala (1 hour later)

Brief Answer:
Beard growth

Detailed Answer:
I follow what you are saying.

When I see someone like you in my practice, I order the following blood tests in addition to a thorough physical examination:

CBC
Electrolytes
Glucose
Calcium
SGOT
SGPT
Albumin
Bilirubin
Creatinine
TSH
Free T4
Total Testosterone
SHBG

None of these tests require fasting but it is important to do them around 7 am to 9 am in the morning.

If the Testosterone is found to be low then few more blood tests should be added, preferably to the same blood sample:

FSH
LH

and possibly even

Prolactin
Ferritin.

I understand you have seen a doctor who did some hormone tests. It is quite likely most/all of these tests may have been run by your doctor and as you say, they were told to be normal.

Endocrinologists are doctors who specialise in hormone related matters and the hair issue you have can be related to one of the following potential endocrine/auto immune conditions:

Thyroid problems
Male hormone deficiency
Alopecia areata

You will be best served by seeing an endocrinologist in-person for a comprehensive evaluation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shehzad Topiwala (10 minutes later)

Ah ok I will go to endocrinologist as u said as I found a clinic in Melbourne which is this says:
Endocrinology Melbourne provides specialist endocrinology consulting services for the assessment, management, monitoring and ongoing care of endocrine disorders. The doctors consulting at Endocrinology Melbourne are attached to tertiary referral centres and the University of Melbourne.
~ Diabetes – Type I / Type II
~ Hypertension
~ Thyroid Disease
~ Adrenal Disorders
~ Osteoporosis & Metabolic Bone Disorders
~ PCOS
~ Hormone disorders
~ Lipid disorders
~ Pituitary disorders
~ Adrenal disorders
~ Gestational Diabetes & Thyroid Disorders in Pregnancy
We have a diabetes nurse educator, dietitian and pathology collection on site at our new consulting rooms – Jacaranda Consulting Suites. We have short-waiting times, with five endocrinologists available to accept new GP referrals. Parking is at the rear of the building via the laneway, with access to the consulting rooms via the carpark.

Also found one of the called XXXXXXX she's Dr XXXXXXX Jung graduated from the University of Melbourne with Honours in 1999. She completed specialist physician training in Endocrinology at St. Vincent’s Hospital, Melbourne, in 2006. Her PhD projects evaluated the stress hormone, cortisol, during pregnancy and in people with obesity, diabetes, Cushing’s syndrome and adrenal insufficiency. Dr Jung works at the Diabetes and Metabolic Bone Clinics at St. Vincent’s Hospital, and at the Menopause clinic at Royal Women’s Hospital, Melbourne, and in private practice. She is a Lecturer for the University of Melbourne and teaches medical students.
U saying this person can help in beard growth factors as u requested from me ??

Answered by Dr. Shehzad Topiwala (7 hours later)

Brief Answer:
Follow up

Detailed Answer:
Yes she is very qualified to make the right diagnosis and manage your condition correctly

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shehzad Topiwala (1 hour later)

So u see that she is good and can help me with my problem ?, and also what she will do to me like tests then she will give me Medications ?

Answered by Dr. Shehzad Topiwala (12 hours later)

Brief Answer:
Second follow up

Detailed Answer:
Yes she has the right qualifications in the relevant field.

Regarding tests, she will perform a thorough physical examination and then based on results on preliminary tests she may consider ordering more.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shehzad Topiwala (53 minutes later)

I called endocrinologist but they are available on next November so that's ver far, so I looked for more people , can u also please see they this person can help
XXXXXXX XXXXXX
Qualifications:
MBChB, (SA), 1995
MRCP (UK), 2000
FCDerm (SA), 2008
Specialties:
Psoriasis;
Eczema;
Skin cancers; and
Hair problems. XXXXXXX obtained her MBChB in Cape Town, South XXXXXXX (first class honours and distinction in clinical and preclinical years) in 1995. She the went on to graduate with MRCP(UK) in London in 2000 and then commenced dermatology training in London at the Royal Free, and XXXXXXX and XXXXXXX Hospitals.
She completed her dermatology degree at Groote Schuur Hospital in Cape Town, graduating with FCDerm(SA) in 2008 and continued practising there as a sessional consultant.
She was instrumental in setting up and running the first public skin laser service in XXXXX XXXXXXX as well as providing support and consultations for the Teledermatology service provided to rural practitioners.
She has recently relocated with her family to Melbourne, where she joins XXXXXXX Dermatology. Her interests include general, medical and paediatric dermatology including psoriasis, eczema, skin cancers and hair problems.
She is currently involved in the numerous trials for psoriasis being undertaken in the practice and also works at the practice’s dermatology centres in Berwick and Wonthaggi.

Answered by Dr. Shehzad Topiwala (1 hour later)

Brief Answer:
Third follow up

Detailed Answer:
The above doctor is a dermatologist, a skin specialist. Although you may eventually need their services, it would be useful to first be certain of hormone status. The following is a list of some endocrinologists in XXXX:

Prof. XXXXXXX XXXXXXX XXXX, MBBS,MD
General Endocrinology without Diabetes
Professor
XXXXXh University
Level 0 / Block o, XXXXX Medical Centre
000 XXXXXXX Road XXXXXXX XXXXXXX 0000
XXXXXXX
Phone: 000 0000 0000
Fax: 000 0000 0000

Dr. XXXXXXX A XXXXXXX MBBS,MD,PHD
Doctor XXXXXXX XXXX Institute
Level0, Block 0
XXXXXX Med Cntr
000 XXXXXXX Rd XXXXXXX VIC, 00000
XXXXXX
Phone: 0000
Fax: 0000
Website: http://www.pyyyyyyy.org

Prof. XXXXXXX XXXXX XXXXX, MBBS,MD
General Endocrinology
Director
XXXXX Hospital

XXXXX Street
XXXXXX VIC, 0000
XXXXX

Prof. XXXXXXX XXXXX, MBBS,MD, FRACP
General Endocrinology
Consultant Endocrinologist
XXXXXX Road XXXXXXX VIC,

Phone: 0000
Fax: 0000

Prof. XXXXXXX Engler, MBBS,MD, FRACP
General Endocrinology
Consultant Endocrinologist
Monash Medical Ctr
246 XXXXXXX Road XXXXXXX VIC, 03168
AUSTRALIA
Phone: 0000
Fax: 0000

Prof. XXXXXXXXXXX, BMedSc,FRACP,MBBS,PhD
General Endocrinology XXXXXXX Principal Res Fellow XXXXXXX XXXXX's Inst of Med Res
CCCCC
00000 Wright Street XXXXXXX VIC, 00000
XXXX
Phone: 0000
Fax: 0000

Prof. XXXXXXX XXXXXXX , MB,PHD
Professor
Eastern Health XXXXXXX Street
Box Hill VIC, 3128
AUSTRALIA
Phone: 0000
Fax: 0000

Dr. XXXXXXX XXXXXXX , FRACP
PO Box 557W
XXXXXXX 0000
ACCCCC
Phone: 0000
Fax: 0000

Area of concentration:

Dr XXXX XXXXX
XXXXX Endocrinology and Diabetes
248 CXXXX Street
XXXXXX, XXXXXXX 3220
XXXXXXX
Phone: +0000

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shehzad Topiwala (3 hours later)

U able to get me a referral letter ??

Answered by Dr. Shehzad Topiwala (19 minutes later)

Brief Answer:
Fourth follow up

Detailed Answer:
I do not practice in Australia. Kindly go through your typical referral channels there

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shehzad Topiwala (12 hours later)

is the endocrinologists should be specialists or just general endocrinologists because u sent me all of them are general endocrinologists?

Answered by Dr. Shehzad Topiwala (4 hours later)

Brief Answer:
Fifth follow up

Detailed Answer:
General endocrinologists. But please call the practice in advance and confirm this

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shehzad Topiwala (4 minutes later)

I got booked with XXXXXXX XXXXX, MBBS,MD, FRACP
General Endocrinology
Consultant Endocrinologist
XXXX Medical Ctr
000 XXXXXXX Road XXXXXXX VIC, 00000
CCCCCC
Phone: 0000

So he will do to me some blood tests ? And if yes
The result will come up in same session ??

Answered by Dr. Shehzad Topiwala (2 hours later)

Brief Answer:
Sixth follow up

Detailed Answer:
Please ask him directly when you call his office and speak with the receptionist or nurse or assistant

Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar