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@nupurwellwoman Better Health For Women: Well Woman Clinic Radio www.wellwomanclinic.in
Dr Nupur Gupta Dr Ekta Nigam
Obstetrician & Gynecologist Dermatologist & Cosmetologist
PCOS & UNWANTED HAIR:
PROBLEMS & SOLUTIONS
THE MOTHER
OF ALL
LIFESTYLE
DISORDERS IN
WOMEN
Polycystic Ovarian Syndrome/ PCOS
What are the symptoms & problems of PCOS?
Symptoms that occur if you do not ovulate
• Period problems - 7 in 10 women (irregular or
light periods, or no periods at all)
• Fertility problems – you need to ovulate to
become pregnant (occasional or no ovulation)
What are the symptoms & problems of PCOS?
Symptoms that can occur if you make too much
testosterone (male hormone)
• Excess hair growth (hirsutism) occurs in more
than half of women with PCOS. It is mainly on the
face, lower abdomen, and chest.
• Weight gain – about 4 in 10 women with PCOS
become overweight or obese.
WHAT ARE OTHER SIGNS OF
EXCESS ANDROGENS OTHER
THAN HIRSUTISM
IS PCOS HIRSUTISM
REVERSIBLE? HOW LONG DOES
IT TAKE TO REVERSE HIRSUTISM?
HOW TO REDUCE
ANDROGENS IN PCOS?
•Manage Insulin Levels
•Exercise
•PCOS Diet: Do’s & Don’ts
•Be Patient
• Anti Androgens
WHEN TO GIVE ANTI
ANDROGENS IN PCOS?
•Mild
•Moderate
•Severe
DOES HIRSUTISM
GO AWAY WITH
WEIGHT LOSS?
YES/NO
HOW TO TREAT FACIAL HAIR
WITH PCOS?
TEMPORARY
• Shaving
• Waxing
• Bleaching cream
• Threading
• Plucking
PERMANENT
• Electrolysis
• Laser hair reduction
SHAVING?
IS IT THE RIGHT
CHOICE FOR
YOUR
UNWANTED
HAIR?
Least painful, Daily,
ingrown facial hair,
razor bumps, mild
skin irritation
Use sharp blade &
moisturising cream
H O T W A X I N G : P R O S & C O N S
R E D N E S S S W E L L I N G PA I N F U L
I N G R O W N H A I R , E V E R Y 3 W E E K S
BLEACHING
CREAM?
IS IT THE RIGHT
CHOICE FOR
YOUR
UNWANTED
HAIR?
Removes pigment,
Patch test, Chemical -
Redness
THREADING?
IS IT THE RIGHT
CHOICE FOR
YOUR
UNWANTED
HAIR?
Not on chin, sidebran
painful
PLUCKING/
TWEEZING?
IS IT THE RIGHT
CHOICE FOR
YOUR
UNWANTED
HAIR?
Tedious, Not practical
for large areas
ELECTROLYSIS?
IS IT THE RIGHT
CHOICE FOR
YOUR
UNWANTED
HAIR?
Multiple sittings for
darker & thicker hair,
Redness &
LASER HAIR
REDUCTION
Why should
we opt for
laser hair
removal?
Intense beam light,
qualified & trained
Dermatologist
WHAT TYPE OF HAIR
CAN BE REMOVED BY
LASER?
D R N U P U R G U P TA & D R E K TA N I G A M
. WHAT KIND OF RESULTS
CAN WE EXPECT? HOW
MANY SITTINGS?
D R N U P U R G U P TA & D R E K TA N I G A M
. DOES IT SAVE TIME
AND MONEY?
D R N U P U R G U P TA & D R E K TA N I G A M
. WHAT ARE THE SIDE
EFFECTS?
D R N U P U R G U P TA & D R E K TA N I G A M

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Unwanted hair (hirsutism) and polycystic ovaries

  • 1. @nupurwellwoman Better Health For Women: Well Woman Clinic Radio www.wellwomanclinic.in Dr Nupur Gupta Dr Ekta Nigam Obstetrician & Gynecologist Dermatologist & Cosmetologist PCOS & UNWANTED HAIR: PROBLEMS & SOLUTIONS
  • 2. THE MOTHER OF ALL LIFESTYLE DISORDERS IN WOMEN Polycystic Ovarian Syndrome/ PCOS
  • 3. What are the symptoms & problems of PCOS? Symptoms that occur if you do not ovulate • Period problems - 7 in 10 women (irregular or light periods, or no periods at all) • Fertility problems – you need to ovulate to become pregnant (occasional or no ovulation)
  • 4. What are the symptoms & problems of PCOS? Symptoms that can occur if you make too much testosterone (male hormone) • Excess hair growth (hirsutism) occurs in more than half of women with PCOS. It is mainly on the face, lower abdomen, and chest. • Weight gain – about 4 in 10 women with PCOS become overweight or obese.
  • 5. WHAT ARE OTHER SIGNS OF EXCESS ANDROGENS OTHER THAN HIRSUTISM
  • 6. IS PCOS HIRSUTISM REVERSIBLE? HOW LONG DOES IT TAKE TO REVERSE HIRSUTISM?
  • 7. HOW TO REDUCE ANDROGENS IN PCOS? •Manage Insulin Levels •Exercise •PCOS Diet: Do’s & Don’ts •Be Patient • Anti Androgens
  • 8. WHEN TO GIVE ANTI ANDROGENS IN PCOS? •Mild •Moderate •Severe
  • 9. DOES HIRSUTISM GO AWAY WITH WEIGHT LOSS? YES/NO
  • 10. HOW TO TREAT FACIAL HAIR WITH PCOS? TEMPORARY • Shaving • Waxing • Bleaching cream • Threading • Plucking PERMANENT • Electrolysis • Laser hair reduction
  • 11. SHAVING? IS IT THE RIGHT CHOICE FOR YOUR UNWANTED HAIR? Least painful, Daily, ingrown facial hair, razor bumps, mild skin irritation Use sharp blade & moisturising cream
  • 12. H O T W A X I N G : P R O S & C O N S R E D N E S S S W E L L I N G PA I N F U L I N G R O W N H A I R , E V E R Y 3 W E E K S
  • 13. BLEACHING CREAM? IS IT THE RIGHT CHOICE FOR YOUR UNWANTED HAIR? Removes pigment, Patch test, Chemical - Redness
  • 14. THREADING? IS IT THE RIGHT CHOICE FOR YOUR UNWANTED HAIR? Not on chin, sidebran painful
  • 15. PLUCKING/ TWEEZING? IS IT THE RIGHT CHOICE FOR YOUR UNWANTED HAIR? Tedious, Not practical for large areas
  • 16. ELECTROLYSIS? IS IT THE RIGHT CHOICE FOR YOUR UNWANTED HAIR? Multiple sittings for darker & thicker hair, Redness &
  • 17. LASER HAIR REDUCTION Why should we opt for laser hair removal? Intense beam light, qualified & trained Dermatologist
  • 18. WHAT TYPE OF HAIR CAN BE REMOVED BY LASER? D R N U P U R G U P TA & D R E K TA N I G A M
  • 19. . WHAT KIND OF RESULTS CAN WE EXPECT? HOW MANY SITTINGS? D R N U P U R G U P TA & D R E K TA N I G A M
  • 20. . DOES IT SAVE TIME AND MONEY? D R N U P U R G U P TA & D R E K TA N I G A M
  • 21. . WHAT ARE THE SIDE EFFECTS? D R N U P U R G U P TA & D R E K TA N I G A M

Editor's Notes

  1. Hyperandrogensim – biochemical or clinical (PCOS – free testosterone is high Acne, oily skin & seborrhoea, female pattern balding (hair thinning but hairline is normal) or male pattern balding (hairloss occurs at the hairline or hair recession) Androgen – ovary, adrenal & fat cells Rule out Cushing syn & CAH
  2. Insulin is a hormone produced by the pancreas to control the amount of sugar in the blood. It helps move glucose from blood into cells, where it is broken down to produce energy.Insulin resistance means the body’s tissues are resistant to the effects of insulin. The body therefore has to produce extra insulin to compensate.High levels of insulin cause the ovaries to produce too much testosterone hormone, which interferes with the development of the follicles (the sacs in the ovaries where eggs develop) and prevents normal ovulation.Insulin resistance can also lead to weight gain, which can make PCOS symptoms worse because having excess fat causes the body to produce even more insulin.
  3. 75 to 80 % women with hirsutism have PCOS but not all women with PCOS will have hirsutism
  4. We know that hirsutism is a symptom of high androgen or testosterone levels in women with PCOS.  (1) We have to address those high testosterone levels if we want to see an improvement in this symptom.   So, how can you do that? Well, in a number of ways:  
  5. Chemical or heat energy, Painful, Multiple needle pricks over & over again
  6. Discomfort is like a rubber band being snapped against your skin