Hey all:
I just bought a book called “The Hormonally Vulnerable Woman” and I recommend it to everyone. It discusses all these various hormonal issues that many women face. He’s been in the field for decades studying these issues. Included in his book are hirsutism, alopecia, and acne–which are all due to testosterone, whether the levels are too high or your skin is just vulnerable to the normal levels. Anyway, he also discusses effective treatments, which he himself uses. The main one being Spironolactone, which he recommends combining with an oral contraceptive. He also said that 50mg daily won’t do much for testosterone. He has found that the patients who were on that much before they came to him complained that it was ineffective. He said that 75mg may do some, but the doses to effect testosterone need to be 100-200mg daily. The side effects are not so common aside from the dehydration, which he said can subside by adding more water to you daily intake. Since Spiro was originally designed as a blood pressure medication, you might think that it can effect this, but in reality it was a very weak medication which is why it is no longer used to treat blood pressure issues.
I just thought everyone should know. I recommend reading this book b/c even if you have seen an endocrinologist, they may be undertreating you. Even though they specialize in hormones, they don’t know much about hair. Hair, alopecia, oily skin and acne that are effected by testosterone are pretty much diagnosed and treated in the same way. They are looked at as cosmetic problems not “real” problems. Which is WRONG! Whether it is because of society of not that we want to be “normal” isn’t the issue. This is how we feel and many women become extremely depressed, or they don’t live their lives, but simply go through the motions. Some women even commit suicide while others think about it often. This is a medical issue. We’re told to seek therapy, and while some women do, they say that the feelings won’t go away until the hair does, or until the hair on their head grows back.
Don’t be put off by a doctor who tells you this is an issue of vanity, not medicine. If these things started happening to them or one of their daughters, you better believe they are willing to seek medical help and foot the bill for laser treatments. Keep seeking help from other doctors! There is hope. Check this book out.