How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask DocPhilMD Your Own Question

DocPhilMD
DocPhilMD, Medical Doctor
Category: Endocrinology
Satisfied Customers: 54800
Experience:  Endocrinology Expert
55099014
Type Your Endocrinology Question Here...
DocPhilMD is online now

I have a diagnosis of polycystic ovarian syndrome . I am

Resolved Question:

I have a diagnosis of polycystic ovarian syndrome . I am not overweight and hence was told it was 'slim' version. My sister has the same. My symptoms are acne and hirtuism. My question is in relation to the hirtsuism-i have had laser hair removal on my face for 12 years. The hair always grows back, so i keep topping up laser treatments. This.is v expensiVe. I've tried eflornathine with no results. What can i do about this? my doctor won't prescribe hormones like birth control due to my history of severe anxiety and OCD. However, years ago.i took a diannete with no results to hair growth (but with mental health side effects ). There must be something else? I've never had blood tests, my diagnosis was on the basis of a scan of ovaries which.showed cyts, and the.hair growth. Also, as a second question, if i wanted to get laser hair removal on my legs, would they respond in a 'pcos way' with the hair always coming back, or in a 'non pcos' way with lasting results as the area is not a place that only pcos women grow hair (therefore it's not hair growth caused by imbalanced hormones). Thank you
Submitted: 2 years ago.
Category: Endocrinology
Expert:  DocPhilMD replied 2 years ago.
still need help?
Customer: replied 2 years ago.

Hi. I haven't actually received an initial response yet?

Customer: replied 2 years ago.

I'm not sure I understand. I haven't received an initial response, but then I got a message saying 'your expert needs more information', but in the message it just says 'still need help'??.

Expert:  DocPhilMD replied 2 years ago.
what does birth control have to do with anxiety and OCD?
Customer: replied 2 years ago.

Birth control pills can induce mood disturbances such as low mood which isn't a good idea for me as I am on anti depressants for my OCD

Expert:  DocPhilMD replied 2 years ago.
have you ever tried them?
I don't find that to be a common side effect at all
Customer: replied 2 years ago.

Yes. I got very low and cried a lot. Many friends have told me they get those symptoms too. I now have the mirina coil as my GP says it's v common for oral hormones to cause mild mental health problms

Expert:  DocPhilMD replied 2 years ago.
have you tried aldactone and metformin?
Customer: replied 2 years ago.

No. What are they?

Expert:  DocPhilMD replied 2 years ago.
aldactone is med that is used to combat the hirsutism effects and the acne of PCOS
ask your doctor
the combination of this and metformin are powerful agents against PCOS
Customer: replied 2 years ago.

Ok, and you don't think they have any side effects that may cause me any problems? Would you be able to answer the part of my question about the laser hair removal on my legs, before we finish please?

Expert:  DocPhilMD replied 2 years ago.
No I don't think they will
they have other side effects potentially but nothing to do with mood
As for your legs, no matter what you do you will need to do it again. The laser removal never sticks. Not even on people without PCOS
Customer: replied 2 years ago.

Yes, I know it' s not actually permanent for anybody, but I'm willing to pay the price if my legs responded like a non-pcos person. Does my hormone imbalance affect the hair on my legs or is it just affecting the hair in pcos places like face and chest? If it responded in a non pcos way I could have a top up treatment once a year, however, if it responded in the way my face does, the amount of treatments I'd need to top up would be too expensive.

Expert:  DocPhilMD replied 2 years ago.
It affects the hair on your legs but less so than everywhere else.
It might help better than on your face. There is a chance
Customer: replied 2 years ago.

Ok, thanks. So, just to clarify (last question). . . . am I right in concluding that the places on my body that I'm pretty much wasting my money on getting laser are face, chest and other 'male area' regions, but that places where it is normal for women to have hair such as legs, under arms, bikini line are possibly going to respond less well than non pcos women, but do stand an ok chance of responding well to laser.

Expert:  DocPhilMD replied 2 years ago.
Yes, that is correct
I agree with that statement Laura
DocPhilMD, Medical Doctor
Category: Endocrinology
Satisfied Customers: 54800
Experience: Endocrinology Expert
DocPhilMD and other Endocrinology Specialists are ready to help you
Customer: replied 2 years ago.

Thanks

Expert:  DocPhilMD replied 2 years ago.
I appreciate the good rating.

I would be happy to help you in the future. Just ask for feedback. Thank you. :) Dr. Phil in your question opening or bookmark this page http://www.justanswer.co.uk/medical/expert-irondoc/

I greatly appreciate a positive rating in the customer satisfaction survey that you will receive via email. It is important for me to get your feedback. Thank you. :)

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Dr Adi

    Dr Adi

    Professor

    Satisfied Customers:

    284
    Director of the Pediatric Diabetes Clinics at UCSF.
< Previous | Next >
  • http://ww2.justanswer.com/uploads/AB/AbouSteif/2011-3-21_2189_SA.64x64.jpg Dr Adi's Avatar

    Dr Adi

    Professor

    Satisfied Customers:

    284
    Director of the Pediatric Diabetes Clinics at UCSF.
  • /img/opt/shirt.png Dr Eisenbud's Avatar

    Dr Eisenbud

    Board Certified Physician

    Satisfied Customers:

    166
    Endocrinology and metabolism practice for 35 years
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    300
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
 
 
 

Related Endocrinology Questions