Treatment FAQ

a 23 year old g0 woman with excess hair growth and irregular menses which treatment

by Kattie Stehr Published 3 years ago Updated 2 years ago

While not used as widely as in previous years, hormone replacement therapy can be a treatment for androgenic alopecia. It focuses on supplying the hormone estrogen to support a woman’s decreasing levels. Minoxidil is more effective, so it has taken over as the treatment of choice.

Full Answer

Why does the 23-year-old woman come to the clinic?

A 23-year-old G0 woman comes to the clinic because she is interested in becoming pregnant. She is in good health; however, she has not had any menses for the last two years. She had menarche at age 15, had normal periods until three years ago, when she started having periods irregularly every three months until it stopped two years ago.

What are the signs and symptoms of hirsutism in a 26-year-old woman?

A 26-year-old G0 woman presents with hirsutism and irregular menses. Her mother, who is diabetic, had similar complaints prior to menopause. On physical exam, this patient is noted to have terminal hair on her chin and a gray-brown velvety discoloration on the back of her neck.

Why does a 23-year-old woman with last menstrual period 14 days ago present?

A 23-year-old G0 woman with last menstrual period 14 days ago presents to the office because she had unprotected intercourse the night before. She does not desire pregnancy at this time and is requesting contraception. She has no medical problems and is not taking any medications.

Why is my hair falling out at 34?

In the non-pregnant state, asynchronous hair growth occurs such that a portion of hair is in one of the three hair growth cycles at all times. While genetic predisposition and stress can be causes of hair loss, they are unlikely explanation in this post partum woman. A 34-year-old G2P2 woman presents with concerns of hormonal changes.

How old is a G0 woman?

A 28-year-old G0 woman presents for an annual examination. She is in good health and not taking any medications. She had a history of normal cycles until six months ago, when she stopped having menses after starting an intense exercise regimen. She is 5 feet 6 inches tall and weighs 120 pounds.

What is the normal sequence of sexual maturation?

The normal and predictable sequence of sexual maturation proceeds with breast budding, then adrenarche (hair growth), a growth spurt and then menarche. In a minority of cases, pubarche (pubic hair growth) can occur before thelarche (breast/areolar development).

What is dyspareunia caused by?

The patient's symptom of dyspareunia is likely caused by vaginal dryness, which is associated with estrogen deficiency. Hypergonadotropic amenorrhea is the result of ovarian failure or follicular resistance to gonadotropin stimulation.

When does breast development begin?

Breast development begins around the age of 10 and average age of menarche is 12.7 years for Caucasian girls and 12.1 for Black girls. Menarche also occurs earlier for heavier girls and later for thinner, physically active girls. Click again to see term 👆. Tap again to see term 👆.

Is Down syndrome normal for women?

The average age of puberty in females with Down syndrome is not significantly different than normal females. Clinically, patients with Noonan syndrome typically have normal puberty and fertility. They may have short stature, webbed neck, heart defects, and abnormal faces.

How old is a G1 woman?

A 23-year-old G1 woman with last menstrual period 10 weeks ago presents with lower abdominal pain and vaginal bleeding two days after undergoing an elective termination of pregnancy. Her temperature is 102.0°F (38.9°C), and the cervix is 1 cm dilated. The uterus is eight-week size, tender, and there are no adnexal masses.

Why does a G0 woman present to the office?

A 23-year-old G0 woman with last menstrual period 14 days ago presents to the office because she had unprotected intercourse the night before. She does not desire pregnancy at this time and is requesting contraception. She has no medical problems and is not taking any medications.

How old is G1P1?

A 24-year-old G1P1 woman comes to the office requesting contraception. Her past medical history is unremarkable, except for a family history of ovarian cancer. She denies alcohol, smoking, and recreational drug use. She is in a monogamous relationship.

What is the pH of a vaginal exam?

The cervix appears normal and the remainder of the exam is unremarkable except for mild vaginal wall tenderness. Vaginal pH is 4.0. Saline wet prep reveals multiple white blood cells, but no clue cells or trichomonads.

Why do women lose hair?

There are numerous reasons why women might experience hair loss. Anything from medical conditions to hormonal changes to stress may be the culprit. It’s not always easy tracing the root cause, but here are some of the possibilities and what you can do.

What causes hair loss?

Many health conditions can cause hair loss. Some medical conditions lead directly to hair loss, whether through disruption to hormones, like with thyroid issues; scarring from skin conditions, like ringworm; or autoimmune disorders, like celiac disease, where the body attacks itself.

How long does it take for hair to grow back after alopecia areata?

Hair growth may be noticeable in as soon as four weeks, and treatment can be repeated every four to six weeks.

What causes baldness and alopecia?

Androgenetic alopecia is female-pattern baldness or hair loss caused by genetics, or family history.

Why does hair fall out?

Hair falls out and the follicle is replaced with scar tissue. Traumatic alopecias cause hair to fall out as a result of hair styling practices. The hair shaft may break after using hot combs, blow dryers, straighteners, or certain chemicals to dye or straighten hair.

What is the most common type of hair loss?

Gradual thinning on the top of the head is the most common type of hair loss. It affects both men and women. While men tend to see a receding hairline, women generally notice that their part broadens. Bald spots. They may be circular or patchy. They may resemble coins in size and usually appear on the scalp.

How long does it take for anthralin to work?

It can be applied at home, once a day, starting with just five minutes and working up to periods as long as an hour.

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9