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Overview

Hair Growth: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Hair growth can be hampered due to many reasons. An imbalanced diet without all the vital nutrients, harsh, chemically laced hair products used a little too often, dandruff, split ends, rough hair, and too many hair styling treatments over a short period of time can all drain your hair of its vital oils and nutrients, and hamper hair growth. Fortunately, there are many ways to ensure that your hair continues to grow and look healthy.

The treatments that are designed to enable hair growth need to focus on the individual cause for the lack of growth. For instance, if your hair does not grow due to an abundance of split ends, then it makes sense to treat the split ends. This can be done by either trimming your hair or using products that address the issue.

The market is saturated with a plethora of hair products that can help your hair grow longer, thicker, and much faster. From organic shampoos and conditioners, to the latest hair serums, there isn’t a dearth of treatment options that you can choose from. Hair oils and essential oils have proven themselves against the test of time and are one of the oldest ways to ensure that your hair grows. Once you have determined by it isn’t growing as well as you’d like it to, you can give any of these treatment options a go. Finding the treatment method that suits you the most may take some time but it’s certainly worth the wait.

How is the treatment done?

To start your treatment, you need to first assess your hair’s needs and problems. Begin by first categorizing whether your hair is oily, dry, frizzy, damaged, or filled with split ends in order to treat it properly. If you are unsure of how you can understand your hair better, you can either visit a competent professional at a salon or go to a special hair clinic where medical experts can help guide you better. Once you know what your natural hair type is, and what is causing it to grow insufficiently, you can begin treating it effectively.

One of the most common ways to address any hair care concern is through the shampoos and conditioners that you use. You need to be aware of the kinds of chemicals that are present in the shampoo you use and switch to products that are more organic. This is because chemicals can strip your hair of all its natural oil and even clog the pores in your scalp, making it harder for your hair to grow properly. It is also important not to wash your hair too frequently as you can further strip it of its essential nutrients.

Hair oils can be used an hour before you shampoo or overnight, depending on your preference. They add nutrition to your hair follicles, enabling them to not only look healthier but also grow faster, which is why oiling your hair can be a great way to boost hair growth. Almond, coconut, and amla hair oils are the leading oil types when it comes to hair growth. Others can be used to get rid of dandruff or address any other problems.

Hair serums are usually applied after the hair is washed, and usually on damp hair. They work especially well for hair that has been damaged due to over styling, and can help restore its natural lustre.

Who is eligible for the treatment? (When is the treatment done?)

If you are concerned about the rate at which your hair is growing, then you should seek out treatment to boost its overall health and address any issues you may be facing that could be hampering the growth.

Who is not eligible for the treatment?

If you are underdoing intense medical treatments, such as chemotherapy, then boosting hair growth will be a huge challenge. This is because the chemicals injected into your body during chemotherapy are known to induce hair fall. This is not the right time to make your hair grow.

Are there any side effects?

Using chemically laced products can strip your hair of its essential oils and nutrients. This can lead to dry, rough, and damaged hair.

What are the post-treatment guidelines?

Hair care is an essential part of the beauty regimen and is something you should focus on for the rest of your life. In order to maintain hair growth, you should continue with the treatments that you are employing.

How long does it take to recover?

It takes about a month for your hair to fully benefit from all the treatments you are giving it, though you may be able to start noticing small changes right from the first application of shampoo or hair oil.

What is the price of the treatment in India?

Going to a hair clinic can cost anywhere between Rs 1,500 – Rs. 5,000 per session, depending on where you are going.

Are the results of the treatment permanent?

As long as you continue to use products and treatment options that are good for your hair, the results of the treatment will show.

What are the alternatives to the treatment?

The main home remedy for hair growth is to use oils on a regular basis. You can also make hair masks using ingredients you can find in your kitchen to boost the growth and vitality of your hair. For instance, rinsing your hair with vinegar boosts its growth tremendously. You should also refrain from drying your hair with a towel or rubbing it vigorously with one as it aids in stripping oils from your hair and also facilitates breakage.

Safety: High Effectiveness: High Timeliness: Medium Relative Risk: Low Side Effects: Low Time For Recovery: Medium Price Range:

Rs. 1,500 – Rs. 5,000 per session

Popular Health Tips

Hair Weaving vs Bonding - Know What They Are!

Dermatologist
Dermatologist, Delhi
Hair Weaving vs Bonding - Know What They Are!

Hair weaving is a procedure of hair addition to the scalp through synthetic hair, braiding or weaving. This process is also known as hair integration. The hair strands are woven to the root so that natural hair grow out of the scalp. To be more precise, it is a procedure through which artificial human hairs are mixed with a person’s natural hair to give an illusion of long and thick hair strands. Any part of the hair can be weaved or woven. Although a complex technique, hair weaving when done by professionals, can prove to be a rewarding procedure for many.

Who is suitable for this procedure?
This procedure can be performed on any individual irrespective of any sex and body color. Folks who are suffering from a critical condition such as carcinoma, high blood pressure, kidney diseases should refrain from this procedure. The type of hair that can be grown through this technique include straight, curly, soft and wavy.

Hair weaving technique:
While there are a lot of hair weaving techniques, the one that is most popular is sewing hairs on the artificial scalp. The fact that no surgery is involved and there is no involvement of any medication, makes it a force to reckon with. Flexibility and adaptability are another advantages of this procedure. The hair can be combed, oiled, shampooed without harming the scalp.

What is hair bonding?
Hair bonding is a non-surgical procedure of hair replacement. It involves shaving off the bald region of the scalp. This is followed by appending silicon bond on the scalp. A person can wash, comb, oil or shampoo the hair without any apprehension of hurting the scalp. Since silicon soft bond is utilized in this process, it is also referred to as hair silicon bonding.

What are some of the advantages of hair bonding?
This is one of the low-cost procedures that provides flexibility to a person. Snug is used for this procedure. Apart from being a medically approved procedure, this can ensure a 100 percent outward flow of the hair strands. The volume of hair that can be grown with this procedure has no bounds. A patient can grow any type of hair or formulate any type of style that he wishes to achieve. The procedure is applicable or both male and female.

Things to keep in mind for hair bonding:
This procedure requires monthly maintenance of the hair and can be time-consuming. Serum needs to be employed in the hair that is being fixed to the scalp. This procedure also requires a person to maintain the hair oil. For instance, timely use of oil, shampoo etc are a must.

Therefore, before you decide to go for any one of the techniques do consult a specialist and only get it done through a professional.

5737 people found this helpful

Follicle Transfer - Know The Benefits!

MBBS Bachelor of Medicine and Bachelor of Surgery
Trichologist, Delhi
Follicle Transfer - Know The Benefits!

What is Follicular transfer (FT) is also known as follicular unit extraction (FUE).

It is a type of hair transplant procedure which is less invasive than the other types. It is performed when the person has a good hair growth at the back or side of the head which becomes the donor’s area.

How is it performed?

  1. The procedure is performed by specially designed instruments under a high powered microscope which provides precision for best and natural results. When the part gets numb the follicles are isolated with a specialized punch device which extracts the follicular units completely with necessary glands. This method is used to separate the surrounding tissue from the follicular unit which results in minimal injury and undetectable scarring.
  2. Then the follicles are removed without any damage to the area. If the scar is left behind it takes few days to heal proceeded by hair growth which takes about weeks.
  3. Then the extracted hair is prepared and sorted for treatment.
  4. Then the follicles are implanted in the scalp by making small incisions by microsurgical needles generally in a group formation of 1-4 to give a natural and recognizable look.
  5. To create a natural hairline transacted hair are used, which will start to grow within weeks naturally. The length of your hair depends upon the follicular units grafts. Approximately 12 months later you will have re-grown hair.
  6. You can get the discharge immediately after the treatment. In 5-7 days the healing takes place after which the redness and swelling disappear.

Advantages of Follicular Unit Extraction

  1. Easy recovery: As there were small incisions made in the procedure which lowers the risk of widening which generally occurs in FUT procedure. This is the reason there are fewer limitations on exercise post-procedure.
  2. Less scarring: FUE doesn’t produce linear scarring on the donor's area because it doesn’t require any sutures, scalpels; due to which you can wear your hair short too.
  3. Quick healing: As there is less scarring, the time required for healing is very less as compared to FUT where the scarring is more, therefore, the healing is slow.

Disadvantages of follicular unit extraction

  1. It’s expensive: As the cost is decided on a number of sessions required for the procedure. FUE requires more sessions than FUT, as this transplants individual follicle units which are more time-consuming.
  2. It’s temporary: In most of the cases it doesn’t last longer than FUT. because in this the follicular units are taken from a various area which leads to thinning of the donor zone and visible scarring.
  3. Shaving: The one who doesn’t like shaving can have a problem. Because FUE requires shaving of donor’s area. Only in advanced procedures like long hair FUE, shaving is not required.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4 people found this helpful

Thinning Of Hair: Should You Get Your Hormones Checked?

MBBS, MD - General Medicine, Certification In Diabetes
Endocrinologist, Delhi
Thinning Of Hair: Should You Get Your Hormones Checked?

Thinning hair, noticeable bald spots, large clumps of hair in the hairbrush or shower drain are indications of hair loss. This loss of hair is an effect of hormonal imbalance.

Have You Seen these Signs of Hair Loss?

  • A widening part of the scalp
  • A ponytail becomes noticeably thinner
  • Large clumps of hair in the hairbrush or shower drain and on your pillow after a night’s sleep

Why does it happen?

  1. Play of Hormones: Hormonal imbalance is seen in women during menopause, perimenopause, pregnancy, and in endocrine disorders, such as polycystic ovarian syndrome (PCOS). Progesterone and estrogen are two important female hormones. Progesterone keeps a check on estrogen levels. When progesterone levels are too low, it leads to a state of hyperestrogenism which triggers excessive hair shedding and hair loss. Dihydrotestosterone (DHT) is a potent form of testosterone that normally leads to hair loss. Women, who produce high levels of male hormones (androgens), have increased testosterone levels which can convert to DHT, leading to hair loss.
  2. Stress: When a woman experiences any stressful condition, her adrenal glands increase the release of cortisol (stress hormone). This leads to secretion of adrenaline which leads to increased levels of testosterone and DHT.
  3. Under or over performing thyroid: An overactive thyroid and lack of sufficient parathyroid hormone can also result in thinning of hair. Accompanying symptoms are fatigue, unexplained weight gain, aching joints, constipation, dry skin, feeling cold all the time, and poor sleep.
  4. Pregnancy and childbirth: Pregnancy and childbirth change a woman’s hormonal balance and can result in hair loss. Therefore, it is normal for postpartum mothers to experience thinning of the hair and even bald patches. Such hair loss is temporary and heals itself within several months.
  5. Menopause: Menopause also leads to hair loss. During menopause, a woman’s estrogen levels fall and are no longer in balance with DHT levels. This low estrogen level and high DHT lead to hair loss.
  6. Nutrient deficiencies: Low levels of certain nutrients within the body, for example, vitamins A, E, and iron may result in hair loss.

How Can You Help Yourself? 

  1. Consume omega 3-fatty acids: Omega-3 and omega-6 fatty acids are kinds of essential fatty acids (EFAs). They increase hair growth. Sources are walnuts, flax seeds, cold-water fish, such as salmon, sardines, herring, and mackerel.
  2. Get plenty of sleep: Lack of sleep causes increased stress levels, higher production of cortisol, and ultimately hair loss. Good amount of sleep will lead to harmonious functioning of the body.
  3. Take dietary and hair supplements to prevent hair loss: Certain supplements can help minimize the production of DHT, prevent DHT from binding to hair follicles, or stimulate inactive follicles to encourage hair growth.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2108 people found this helpful

Hair Regrowth - How Acupressure Can Help You?

Dermatologist
Dermatologist, Delhi
Hair Regrowth - How Acupressure Can Help You?

All of us desire to flaunt long, voluminous and beautiful hair, but all our efforts are thwarted due to factors that are beyond our control. Many suffer from hair damage and hair fall even after using the best hair care products. There are several anti-hair fall products that are available today, but how effective are they? Hair fall is a deep-rooted common problem and needs the right diagnosis to help treat it. So what is the solution? Acupressure is the answer to your concern and can help you with your hair woes.

What is acupressure and how can it help?
Many people rarely think of alternative medicine when it comes to hair fall treatments, but it can be an effective solution for your problems. Alternative medicine is time-tested and adopted from traditional practices of medicine, and one such treatment is that of acupressure. Popularly used by the Chinese culture, it dates back to decades of years ago. It involves a deep massage of the scalp to prevent hair fall woes. It is just like a hot oil massage and is referred to as the Shiatsu massage. Here are some benefits of acupressure for hair fall:

  • Stimulates blood circulation in the scalp
  • Eradicates toxins including dandruff and dead cells from the scalp
  • Relieves stress that can be a cause of your hair fall problems
  • Improves blood flow and helps nutrients reach to your scalp

Acupressure massage – how is it done?
Acupressure uses various special pressure points, which lie along the meridians or channels in our body. It is believed that the vital energy of life flows through these invisible channels. Out of these, the Paihui Spot located on the head is vital. To boost hair growth, this pressure point is stimulated and rubbed several times during the day, followed by a relaxing head massage. This entire process creates a benign environment for hair growth. Some of the other acupressure points for hair growth is located on the stomach, back and abdomen. These can also be used to alleviate hair fall problem.

Is acupressure safe?
People from all ages can try this except for pregnant women or people who have high blood pressure since it can trigger specific points that can be detrimental. There are no potential side effects of this type of therapy as it is all-natural. Following a good acupressure treatment from a licensed and experienced professional in this field will aid to nurture the scalp from within. Of all the non-conventional ways to treat hair loss, acupressure is probably the most effective method as it does not use any chemicals and is definitely worth a try. In case you have a concern or query you can always consult an expert & get answers to your questions!

5310 people found this helpful

Alopecia In Men And Women - Causes Of It!

MBBS, DHMS-Harvard, Masters in Clinical Dermatology
Dermatologist, Chandigarh
Alopecia In Men And Women - Causes Of It!

Hair fall is not a problem as long as it is within the healthy range. In fact, as part of a normal cycle of hair growth, a person loses between 50- 100 strands of hair per day. The problem arises when the daily hair fall is more than 200 with little or no hair growth. In some cases, the hair growth may be slower than usual. All these factors may trigger thinning of the scalp, a condition commonly known as Alopecia. In some cases, the situation gets so bad that it results in baldness (both in males and females).

Alopecia can be of two types:

  1. Scarring Alopecia: Here, chances of a hair regrowth is next to impossible as scarring alopecia results in complete destruction of the hair follicles.
  2. Non-Scarring Alopecia: This is less severe with a strong possibility of hair regrowth as non-scarring alopecia does not destroy the hair follicles.

What triggers severe hair fall or Alopecia in men and women?
Hair fall or Alopecia is no longer a problem associated with old age (Diffuse Alopecia). Young adults (both men and women), in their mid 20's and 30's are suffering from Alopecia. While there may be many factors responsible for alopecia, some of the common and critical triggers are

  1. Genetics and hereditary: In some people, Alopecia may be more of a genetic and hereditary problem, a condition that is medically known as Androgenic Alopecia. Androgenic Alopecia can affect all and sundry, irrespective of their age and sex. Androgenic alopecia in males is known as Male Pattern Baldness and in females as Female Pattern Baldness. While the hair fall is rapid and severe, the hair growth is slow. In some cases, the hair follicles cease to grow beyond a certain length, resulting in short hair.
  2. Pregnancy: Many women suffer from a type of alopecia called Telogen Effluvium during their pregnancy. The condition is often a reversible and temporary problem that improves with time. Hormonal changes, stress, fatigue, insomnia and related pregnancy woes may trigger the severe hair fall during pregnancy. Some women also suffer from postpartum hair fall. The trigger here can be an imbalance in the estrogen level, the use of birth control pills, or even stress.
  3. Hormonal Imbalance: Hormonal imbalance can wreak havoc, giving rise to serious health complications with alopecia being one of them. Androgen (male sex hormone) is one such hormone whose imbalance can trigger Alopecia. The elevated levels of Androgen in the hair follicles are known to inhibit the hair growth. Hair loss can also be an outcome of Estrogen (female sex hormone) deficiency. Some women who had their menopause are likely to suffer from Alopecia.
  4. Certain medical conditions such as Alopecia Areata (an Autoimmune disorder that triggers sudden and rapid hair fall with the appearance of bald patches on the scalp), Scalp infections, Dermatological problems ( Lichen Planus, Sarcoidosis), PCOS, Thyroid problems, to name a few, are often responsible for severe hair fall.
  5. Some other factors that may result in alopecia include, excessive use of hair styling products, rapid weight loss, surgery, trauma, or a person undergoing radiation therapy.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2679 people found this helpful

Popular Questions & Answers

Hello sir I am 25 years old. I have my hair very thin and weak. I suddenly noticed that I have two patches of baldness just on the forehead. I am very scared about my future and my hair. Pls suggest me what to do. I want to stop this progressive baldness. Pls sir guide me. Thank you.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Trichologist, Gurgaon
Hello Dear, Go for PRP therapy, for improve hair quality, Baldness can be recovered only by Hair Transplant. I recommend you, go for PRP therapy as soon as possible. Regards.

I am continuously loosing hair, especially in tge front part of my head. I use general shampoo once a week. Till the age of 20 I had thick and straight hair. Now my hair is silky and dropping continuously now an then. Very much tensed. Help me please.

MD, MBBS
Dermatologist, Chennai
You are suffering from hormonal changes causing Androgenetic alopecia causing hair fall. It's completely stoppable even regrowth of hair is possible with certain medications without any side effects. Treatment depends on the grade of hair loss. So, it's a must for diagnosing which grade, you are in for an effective treatment. Please send photos of your head, by direct online consultation for accurate diagnosis and proper treatment.
12 people found this helpful

My age was 25 doctor and I am suffering for hair fall problem for last 2 years. I don't understand what should I did. Please doctor give me a strong suggestion which make my life better and my hair grow again. Please doctor.

MD, MBBS
Dermatologist, Chennai
You are suffering from hormonal changes causing Androgenetic alopecia causing hair fall. It's completely stoppable even regrowth of hair is possible with certain medications without any side effects. Treatment depends on the grade of hair loss. So, it's a must for diagnosing which grade, you are in for an effective treatment. Please send photos of your head, by direct online consultation for accurate diagnosis and proper treatment.
2 people found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Hirsutism (Hypertrichosis)
Male Pattern Hair Growth in Females
Play video
Hair Transplant
Hi, I am Dr Anuj Saigal, consultant Dermatologist and a Hair Transplant expert.

Whenever someone thinks of getting Hair transplant done, there are multiple questions that comes to the mind starting from where should I get it done? which technique should I choose? What will be the side effects? What will be the post of period like?

The most commonly encountered type of hair loss thata a practising hair transplant surgeon sees these days is Androgenetic alopecia which is otherwise called as male pattern or female pattern baldness.

Why do we get it?

Apart from the genetic factors, theer are other factors like lifestyle changes, the stress related factors, the diet, exercise, sleeping factors etc all these affect your hair loss.

Coming on to the treatment, there are lot of non-surgical treatments as well as surgical treatments available for treating the hairloss.

The non-surgical treatments include;

Mesotherapy
Stem cell therapy
Platelet Rich Plasma Therapy (PRP)
Laser
Also we have Hair Restoration procedures or Hair Transplantation procedure.
Sometimes people come and ask me, whether "I am a candidate for hair transplant as I am too young" or "too old". So, the answer is yes. Anyone above the age of 18 or 19 till the age of 80-85, depending on the medical conditions, can go ahead for transplantation.

Whenever you visit a consultant plastic surgeon or a dermatologist, ideally first a scalp should be analyzed, certain investigations should be done for you to look into the cause of hairloss. If all is done and you are found to be a candidate for hair transplantation, then another question comes that which technique is suitable?

Your doctor should explain you both the techniques with the benefits and drawbacks of both the techniques. And we choose the technique according to the patient or according to the hair loss he or she is facing.

There are two techniques;

FUE - Follicular Unit Extraction (Punch technique)
FUT - Follicular Unit Transplant (Strip technique)
FUT is usually done for covering larger areas. The donor areas preserved for future settings. The transaction rate is very less because we separate each and every hair follicle under the microscope, taking care of that we don't damage the hair root.

While we talk about FUE, FUE is usually doen for smaller areas. It has other benefits like, it is a stitchless surgery. The post of period is much more comfortable as compared to the FUT technique. Although in FUT is an old techniquen and FUE is a latest technique. It doesn't mean that FUT is out dated. We select the technique acoording to the patient's condition. At times we do both the techniques together if the requirement id more.

How the procedure is done?

Procedure is done under the local anaesthesia. It takes around 7-8 hours to complete the procedure. The harvesting of the follicles is different in both the techniques. In FUT, we take a strip. In FUE, we punch out each and every hair follicle separately whereas the implantation remains the same in both the techniques.

How would be the post of period be like?

You can join your work the next day. We won't recommend any kind of bed rest post procedure. Swelling can be there for 2-3 days, you just need to wear a head band such as a tennis stars wear. BUt the head band is taken off after 2-3 days and the normal shampooing of hair is started. You can take the bath the next day. So, regarding the post of period, it is pretty much comfortable.

Which doctor should I choose? or which centre should I choose?

This is the another question that comes to patient's mind because these days its a big market and everyone is claiming that they are the best. So, in this case,

First check the qualification fo the doctor. The doctor should be a plastic surgeon or a qualified dermatologist with an experince in Hair Transplantation.
Secondly, look at the centre whether that centre has all the facilities required to deal with the emergency which might come up during the procedure.
Thirdly, you should look at the pre-op investigation which doctor has done or not because the Pre-op investigation will cater to what will happen post surgery or during the surgery. If you have been investigated well, nothing wrong is going to happen.
It is very safe and completely painless procedure. Even after the surgery, we will give you pain killers and anti-biotics and you will not face any kind of pain post procedure.
If you have any query regarding hair transplant, you can contact me via Lybrate or you can visit my clinic.



Play video
Thyroid Disease in Pregnancy
Hello everyone, I am Dr Archana Prabhu. I am an Obstetrician and gynaecologist, practicing in MUmbai. Today I will like to discuss about Thyroid Problems.

What is Thyroid?

Thyroid is a small endrocrine gland situated in front of the sound box, in the middle of the neck.

Why is it so important?

The importance of thyroid gland is that it controls our metabolism. It controls the heart rate, skin thickness, texture. It controls our brain, mood, nervous systems, hair and so many other things are controlled by Thyroid. Any thing goes wrong with thyroid. If secretion becomes more, we call it as hyperthyroidism or if secretion become less, we call it as hypothyroidism. THere are problems, out of these problems, 75% of the problems are Hypothyroidism. THat means the secretion through thyroid glands are sub normal. So, I would like to discuss Hypothyroidism.

What happens in Hypothyroidism and how do we come to know that we are suffering from this problem?

Usual problems are;

Excessive weight gain
Sudden weight gain
Swelling in the feet or legs
Depression
Irritation
Lethargic
Constipation
Dry skin problem
Hair loss
Difficulty in conceoption
Menstrual issues
What happens when patient's thyroid levels are not under control or they are Hypothyroid during pregnancy?

In this case, th baby at its very early stage are exposed to the level of hypothyroidism. There are chances of abortion. In case the pregnancy continues, the baby may develop many complications like, at birth, this baby might be having growth issues i.e, growth retardation.

This baby may have jaundice.
This baby may develop short stretcher
Poor growth
Cardiac issues
The very important part here is that mental development of the baby gets affacted by thyroid level. It has been seen when the baby is exposed to low secretion thyroid level in the early months, they develop mental retardation or low IQ.

I dont think that any of the mother would liek to have this kind of baby, that too because of the small thing which she could have checked and be treated and could easily escape from such a complications. Now, they are certain problems which can go really wrong with the mother also if she has hypothyroidism and the levels are not under control. LIke the blood pressure, she may get into preeclampsia. The mother who is suffering from Hypothyroidism are at risk of developing some kind of cardiac problems.

So, friends the important point here is to check thyroid level in your early month of pregnancy. There are levels which are T3, T4 and TSH. Check thema nd if they are shwoing any kind of abnormality, the tablet is started immediately. It is a very small tablet can be taken anytime empty stomach. Throughout the pregnnacy, every 4-6 weeks we have to keep checking thyroid levels and according to pregnancy month, the levels of thyroid are different for the three trimesters.

We have to keep the levels in that particular level. So the dose adjustment and regular checkup are really important. THis can control teh complications and can save the baby and the mother.

If you need any other information, you can contact me through Lybrate.

Thank you.

Play video
Polycystic Ovarian Syndrome (PCOS)
Good morning, I m Dr Nidhi Agarwal, I am a consultant gynaecologist, based in Gurgaon. Now today I ll speak on Polycystic Ovarian Disease that is PCOD which is very common in women in recent years.

PCOD actually occurs in young women. They usually present to us with irregularity with their periods. The ovaries in PCOD patients actually become bigger and denser. As the name suggests, poly means many that is many cysts are formed in the ovaries. This lady usually presents with a disruption in the normal menstrual cycle.

Now, what happens in a normal lady who menstruates every month?

There is one egg which is selected by nature which increases in size, and when it becomes bigger and appropriate in size, it is ruptured in the ovary which is then taken up by the Fallopian tube. And if it doesn t meet the sperm and pregnancy doesn t occur, then the lady menstruates. This should happen monthly up to 35 days. In PCOD patients, this natural selection of the egg every month doesn t occur. Instead, many small cysts are formed in the ovaries. So that is why there are many cysts formed in the ovaries, and then the patient does not have normal periods. That is why we say it a Polycystic Ovarian Disease.

Now how does a patient of PCOD present to us?

A patient of PCOD, if she is a young girl in her teens or in the early twenties, she usually comes to us saying that she is not having her monthly periods. She menstruates at one and a half months, two months, two and a half months, and when she menstruates, she usually has excessive bleeding with clots. If a lady is in her late twenties and has got married, and she is not able to conceive, then also the patient presents with the problem in conceiving. Also, there is usually an excess of hormones produced by the ovaries, that is an excess of estrogen as well as androgen which is the male hormones. The lady usually presents with male like pattern of hair growth that is hair growth on her chin on her face, around the nipples of her breasts, in her lower abdomen, especially over her thighs and she says that along with excessive hair growth, she has developed excessive acne and things also appear all over her scalp. These are basically because of an excess of androgens, which are the male hormones. This change in the hormonal value occurs because of Polycystic Ovarian Disease. Also, very often, patients come to us saying that she is gaining weight excessively. A patient comes and says that in the last 5 months, I have gained 10 kgs of weight. So patients usually present to us with symptoms of insulin resistance, in which there is overweight. Now, PCOD has actually become very common and patients who are as small as 11-12 years of age come to me, young girls presenting with PCOD. And the incidence is very very very high; 1 out of 10 women are now having PCOD.
How do tackle this PCOD?

See, there are three criteria which are very important. As I have told you, first is a presentation, that the lady is not ovulating, that is the egg which is formed every month is not released. Instead, multiple eggs multiple cysts form which we call in their ovaries. So, if the ultrasound shows that they are polycystic ovaries if the patient presents to us with less ovulation, or anovulation which we say which occurs when the patient is not having her regular periods, or there are signs of excess androgen that is male hormone with features of hirsutism. Then, out of these three, if two criteria are there in the lady someone is having PCOD.

Very often patients ask me, Why do we, why am I suffering from PCOD? So if you ask me, there is no one particular cause which I can see, that this is the reason you have got. There are so many factors, it could be just genetic- your mother or sister has been suffering from PCOD, then your chances of having PCOD are always higher. There could just be low-grade information in her ovaries, which has disturbed the ovaries to an extent that it is releasing more of male hormones, making them bigger in size and that is causing the ovaries not to ovulate. Or it could just be because of obesity and high insulin levels. Again, because of high insulin in the body, it puts stress on the ovaries and they don t ovulate.

So there are so many causes, you have to investigate the patient, there are a lot of investigations that have to be done and we can come to a diagnosis, it is possible. So, I ll just conclude by saying that PCOD is very very common nowadays.

If you are having problems with your menstrual cycle, if you are gaining weight abnormally, if you have excessive hair growth anywhere which is not expected in females, face acne or hair loss, please do see us, see your local gynecologist, so if there is any problem, it can be sorted out in time. I m Dr Nidhi as I already told you, I am based in Gurgaon, and you can contact me for any queries for PCOD or its treatment at LivWell clinic which is at Galleria Market and also you can contact me through Lybrate.

Thank you.
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Hair Transplant Procedures
Hi, I am Dr PK Talwar. I am a cosmetic surgeon previously at Apollo Hospital, Max Hospital. And currently, I am working in Fortis Hospital, Nehru Place, New Delhi.

Today's topic is Hair transplant. I would like to inform you that for hair loss we have got 2 types of treatment.

First is through medication. To take medicines whatever are prescribed by a dermatologist and try to delay the process. Suppose after taking all the medications, PRP therapy, you lost your hair significantly, then the treatment is Hair transplant.
Hair transplant is the second procedure for hair growth. In this treatment, we take the hair from behind the neck and put them on the balded area. In hair transplant also there are two techniques.
1) One is the strip technique in which the strip of hair is taken from the back of the head and then the follicles are put inside the balded area. In this technique, the scars are left.

2) Second is the Follicle unit extraction which is the latest technique all over the world. In this technique, each single graft is plucked by using the motorised equipment. Each graft consists of 1-2-3-4 follicles. The grafts are plucked from behind and the small holes type are created in the balded area where the same grafts are implanted. The process usually takes 8-10 hours. And the hair which we implant starts to grow after 3-4 months after the procedure. And the full growth may take around 8-9 months. But within 6 months you will find your head full of hair and you will be able to see the drastic changes in your hair growth. The full hair length will some time.

The next question which is frequently asked by the patients is that this implanted hair may also fall. So I would like to answer that this hair usually does not fall. As this is a male pattern baldness which is hormone dependent. The male pattern baldness is the hair loss from the crown area. But we transplant the hair from the back of the head or any other body area where occurs minimum hair loss. If the hair from the back of the head is not available then we take the grafts from the beared, chest, back or anywhere from the body. As the hair from these body parts is not dependent on hormones. So we have not seen any such case of hair loss after this transplantation. It will not last a lifetime but it will last for a quite long time. Throughout the youth, there should not be any problem.

Secondary thing is that usually, patients ask if there is any need to take a medication during the period. The medications are not required to be taken throughout the life but take antibiotics for few days and some medications like mentop or any such things which are usually taken for a year or 2 years. And after that, your hair will be as normal as they were before and you will forget everything. And you will live a normal life as you have overcome from the problem.

If you need any solution or suggestion for such problems, you can contact me through Lybarte for online consultation or book an appointment. Or you can take a direct appointment at my clinic which is in E34, Greater Kailash, New Delhi.

Thank you very much.
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