Diagnosis of hirsutism

If you suspect that you have hirsutism, consult a doctor as soon as possible. It is a common disorder, the symptoms of which is quite easy to control, and the beginning of treatment is better not to delay. During the examination the doctor, first of all, evaluate the amount of hair on the face, chest, thighs, buttocks, and other parts of the body. Because some women have hair on the body by nature more than others, there are no clear criteria to distinguish between a surplus of unwanted hair from hirsutism. However, if the hair appear on areas of the body where there were none before, or instead of thin and blond hair begins to grow dark and hard, with high probability it comes to hirsutism.

Origin

• constitutional hirsutism - occurs in healthy women, most of southern nationalities; usually scant body hair, but if you pull your hair and shave their growth is enhanced and they stiffen; this kind of treatment of hirsutism requires;
• hirsutism caused by the introduction of the male sex hormones to treat (for example, cancer of female genital mutilation); hirsutism arising in neuroendocrine diseases, such as certain tumors, climacteric disorders Climacteric disorders - can you avoid them? , Cushing's disease, adrenogenital syndrome, and so on;
• hirsutism that occurs when lesions of the central nervous system (brain tumors, encephalitis, multiple sclerosis, epilepsy);
• hirsutism that occurs when the local effects on the skin or skin diseases.

Determining the severity of hirsutism

The doctor determines the degree of hirsutism, estimating growth of unwanted hair on different parts of the body. To do this:

• To study the growth of hair in nine different areas of the body, including - on the skin above the upper lip, chin, chest and forearms;
• Assess the degree of individual sections of hair distribution on a scale of zero to four points. Zero points assigned if at a particular site do not have hair, four points - if there is a strong body hair (usually a large number of dark and coarse hair).

The total number of points can be from zero to a high of - 36. If the physician evaluated the degree of body hair by 15 points or more, usually diagnosed moderate to severe hirsutism.

Determining the cause of hirsutism

An important step in the diagnosis of hirsutism is to determine the causes of its development. To do this, your doctor may ask you the following questions:

• Do you have other symptoms, such as irregular periods or weight gain (this may indicate polycystic ovary syndrome);
• Are there any signs of hirsutism a sudden (it might say that it was the cause of the tumor);
• Do you take drugs that could lead to the development of hirsutism.

If the doctor has a reason to believe that hirsutism caused any other violation, he may designate additional diagnostic procedures, such as:

• Blood test to determine the level of male sex hormones;
• Ultrasound examination - for suspected polycystic ovary syndrome;
• Urine test to determine the level of the stress hormone How to beat stress? Create an oasis   - Cortisol, if the doctor suspects that you have Cushing's syndrome.

If any symptoms, in addition to excessive growth of hair are absent and hirsutism expressed weakly or moderately additional diagnostic procedures are generally not required.

The manifestations of hirsutism in various diseases

With the introduction of women suffering from breast cancer or ovarian cancer, medications male hormones (androgens), simultaneously with the appearance of hirsutism have been a violation of menstruation and the appearance of other male characteristics, such as a low voice. After the cancellation of androgens these phenomena gradually disappear.

When adrenogenital syndrome (a disease that occurs at elevated adrenocortical function with the release of large amounts of androgens), associated with the growth of the tissue of the adrenal cortex with age in women have beard and mustache, hair growth over the body, on the head of the hair falls out. Application of this disease corticosteroids which suppress the production of androgens, reduces hirsutism. If hirsutism is associated with a tumor of the adrenal cortex (androsteromoy), it will just delete it.

In some diseases ovaries hirsutism combined with primary infertility and obesity uniform. Thus, in polycystic ovarian they increase in size and begin to produce increased amounts of androgens, which contributes to the appearance of hirsutism, obesity, and infertility. After treatment, the female sex hormone progesterone Progesterone - norm and pathology   or surgery resection of the ovary, these effects are reduced. A pronounced hirsutism can also occur when a tumor of the ovary Ovarian cysts and tumors: diagnosis and treatment .

Hirsutism often appears when Cushing's disease (disease of the hypothalamic-pituitary region of the brain responsible for the operation of all endocrine glands, in which under the influence of pituitary hormones dramatically increases the allocation of adrenal hormones, including androgens). Hirsutism in this disease is significantly weaker than in tumors of the ovary or adrenal cortex and passes only the suppression of the hypothalamic-pituitary system.

Inflammation of the appendages - antibiotics

In acute inflammation of appendages of antibiotics should be administered as soon as possible. Therefore, antibiotics for inflammation of appendages shall be appointed immediately. First appointed by the broad-spectrum antibiotics that are active in most of the pathogens that cause infectious inflammation of the urogenital organs. At the same time before starting treatment take scrapings from the mucous membranes of the genital discharge and urine for crop - it allows you to accurately set the causative agent of the disease and its sensitivity to various drugs.

According to the results of laboratory tests, if necessary (if the treatment is not sufficiently effective) the correction of treatment - originally assigned to the antibiotic is replaced.

Today, very often inflammation of the appendages caused by intracellular microorganisms whose livelihoods are actively suppressed by the three groups of antibacterial drugs: tetracyclines, macrolides and fluoroquinolones. These groups of antibiotics suppress the livelihoods and other pathogens of bacterial origin. If you suspect gonorrhea appointed antibiotics penicillin group, cephalosporins.

Therefore, antibiotics to treat inflammation of the attempt to use a long half-life. Patients with severe inflammation and the risk of its spread to surrounding tissues, with a combination of Gram-positive and Gram-negative microflora prescribed several antibiotics. The drugs of choice in this case are cephalosporins II and III generation, tetracyclines, macrolides and fluoroquinolones. If you suspect a combination of aerobic and anaerobic flora (microorganisms that develop only in the presence of air or, on the contrary, without a) prescribe antibiotics together with metronidazole (Trichopolum), suppress the vital activity of anaerobes.

Severe inflammation of the appendages: the treatment of injections of antibiotics and metronidazole

Injections with the inflammation of the appendages are not always appointed, during erased during antibiotics sometimes can be administered in dosage forms for oral administration. For example, in the Moscow Medical Academy named after Sechenov regimen was developed inflammation of the drug tsifran, which includes a broad spectrum antibacterial action of the group ftorhinolornov ciprofloxacin and tinidazole, which is the same as metronidazole, active against anaerobes .

It is believed that the inflammatory process erased during a seven-day course of treatment is sufficient tsifranom.

Inflammation of the appendages - treatment of NSAIDs

Nonsteroidal anti-inflammatory drugs (NSAIDs) are used mainly for the treatment of inflammatory processes or acute exacerbations of chronic processes, since they are perfectly removed fever, pain, help reduce inflammation. With this purpose in inflammation appendages prescribed Nurofen, ibuprofen, diclofenac, nize and some other preparations. In most cases, they are administered in a dosage form for oral administration.

At very high temperatures and severe pain use candles diclofenac - to treat inflammation of the appendages, they fit more. Active ingredient is rapidly absorbed in the rectum and misses as in general blood stream, and to nearby vessels directly in the inflammation that leads to a rapid decrease in temperature and reduction of pain. NSAIDs are applied in the form of injections.

During the chronic inflammation of the NSAID treatment is used rarely, mostly in exacerbations, accompanied by severe pain.

Treatment desensitizing drugs

They called desensitizing drugs that prevent or attenuate allergy - swelling of the tissues, which in turn causes pain and increases inflammation. To this end, the group used drugs - antihistamines and corticosteroids.

By antihistamine widely used in inflammation of the appendages are tavegil, suprastin, astemizole, fenistil, Claritin Claritin - histamine receptor blocker   and others. Many of these drugs have a calming effect, and that is also important in the treatment of inflammation of the appendages.

Corticosteroids (betamethasone, prednisolone Prednisolone - against inflammation, allergy and pain, but with complications   etc.) are used in extreme cases. These products contribute to a rapid decrease in inflammation and pain, but it dramatically reduces immunity. Therefore, they are administered only with long flowing, untreatable inflammation and often combined with the appointment of antibiotics.

Desensitizing therapy reduces inflammation of the appendages, the treatment of this group of drugs restore function.

What other drugs are used

As the inflammation of the appendages are almost always accompanied by a decrease of immunity in the complex treatment includes immunomodulators and restorative drugs - viferon, tsikloferon TSikloferon - restores the body's defenses , Polyoxidonium, likopid, Immunal, tincture elekterokokka and so on.

Today, in the treatment of acute and chronic inflammatory processes in the complex therapy is increasingly included enzyme preparations (enzymes) which are absorbing effects, helps cleanse the body of toxic substances produced during inflammatory reactions and tissue decay, and improve metabolism. For example, inflammation of the appendages often prescribe Wobenzym. The use of this drug can significantly reduce the time of recovery.

As biodegradable substances lidazu often prescribed, in the form of injection or in the form of physical therapy (e.g., electrophoresis).

For the treatment of chronic inflammation of the appendages are often used biostimulants - substances of animal or vegetable origin, has a stimulating effect on the body, which contributes to including rapid recovery. For drugs in this series include aloe Aloe - its amazing healing properties , Torfot, FIBS, placenta extract and others. All these drugs are administered by injection.