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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

Yes, Your Hormones Are Responsible For Boosting Hair Growth!

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - General Medicine, Certificate Course in Management of Thyroid Disorder, Post Graduate Course In Diabetology
Endocrinologist, Delhi
Yes, Your Hormones Are Responsible For Boosting Hair Growth!

Hormones play a vital role in keeping our mind and body healthy. There are several disorders which are caused by and related to hormonal imbalance i.e. presence of too much or too little of any hormone in the body. They can lead to hair loss or excessive hair growth. Both of these are symptoms as well as effects of endocrine disorders.

Hair growth, either too much or too little, is more than often related to hormonal issues. Some of the most common ones include-

  1. Hypothyroidism: It is a disorder which occurs when there is insufficient production of hormones by the thyroid gland. It leads to the thinning of hair and hair loss. Individuals suffering from hair loss due to hypothyroidism must take medication to optimize hormone production to improve hair growth.
  2. PCOS: Poly Cystic Ovarian Syndrome or PCOS is a disorder seen in women. It is often associated with high levels of male hormone or testosterone in the body. PCOS leads to excess facial hair growth and loss of scalp hair. Controlling PCOS involves bringing about a change in lifestyle, eating healthy and taking medications as prescribed by a gynaecologist or endocrinologist to balance hormone production.
  3. Low Oestrogen Levels in Women: Low level of a reproductive hormone called Oestrogen among women is a leading cause of hair loss in them. Women in their mid and late 40s often face hair growth issues because of an imbalance of this hormone during menopause. Hair growth can be improved during this time by following a balanced diet and ensuring that hair is nourished well. High Cortisol levels: Also known as the ‘stress hormone’, cortisol is that hormone which is produced by the adrenal glands. Excess stress in life increases the production of the cortisol hormone which triggers hair loss by reducing the production of two important skin elements hyaluronan and proteoglycans which are associated with hair growth.

Hair growth in the human body is regulated by hormone production. Thus, excessive hair growth and hair loss are both mostly related to some hormone imbalance. One must visit an endocrinologist to deal with the root cause of these problems.

4 people found this helpful

PRP Therapy For Hair Loss - How Is It Useful?

MD - Dermatology, MBBS
Dermatologist, Delhi
PRP Therapy For Hair Loss - How Is It Useful?

Hair Loss is a major concern for each and every individual, as it hampers one’s style and has a major impact on the self-confidence. Male-pattern hair loss has a combination of male hormones and genetics, while on the other hand, the cause behind hair loss in females is supposed to be autoimmune in nature. Platelet-Rich Plasma is one of the many treatments for hair loss, which people can try out and get desired result. The plasma contains white blood cells and platelets, which are rich in growth factors. Let’s go deep into what exactly Platelet-Rich Plasma is and its role in hair growth.

What is Platelet-Rich Plasma?
Platelet-Rich Plasma or PRP is a concentration of platelet-rich plasma protein, which gets derived from whole blood, with the aim to remove red blood cells. There is a fairly greater concentration of growth factors than whole blood and it is generally used to encourage a swift healing response to different specialities. Using PRP is a great option for treating the problem of hair loss as it has numerous scientifically based articles showing:

  • Its effectiveness in increasing hair count
  • Improves thickness of the hair

Platelet-Rich Plasma Treatment Procedure
Like most procedures, a careful process is involved in using Platelet-Rich Plasma for re-growth of hair. A standard amount of blood is drawn from a patient’s arm. The tube, containing the blood is put inside a machine, known as a centrifuge, which helps to spin the blood tube and get the red blood cells separated from the plasma. Then the plasma, which is rich in platelets, gets injected directly on to the scalp, right at the level of the hair follicles. The process is carried out meticulously, starting off with injections across the scalp, which is injected approximately at every half inch over the area, having thin hair as a result of hair fall. The whole process takes less than 30 minutes. 

Results

  • Maintaining consistency is the key towards achieving the best results of this treatment.
  • People need to undergo this treatment ideally once a month for three to four months in the initial phase and then gradually increase it to every six months thereafter.
  • The extent of treatment depends upon how an individual patient responds and results it shows.
  • If the treatment procedure is maintained on a regular basis, the desired results can be seen within the first two to three months.

Risk Factors

  • There is no risk involved in being part of this treatment.
  • Most of the patients receive injections without getting the areas numbed, as there is minimum discomfort.
  • In case, a patient comes across any sort of pain, cool air or ice packs can be used to minimize it.
3591 people found this helpful

Laser Hair Removal For Men - Beard Shaping!

Fellow of ACSI , Fellow of IADVL , MD - Dermatology, Venereology & Leprosy, MBBS
Dermatologist, Ghaziabad
Laser Hair Removal For Men - Beard Shaping!

Hair removal through the use of laser is slowing becoming exceedingly popular not only for women but also for men. Nowadays, a number of men look for permanent solution to get rid of unwanted hair on wide areas of the body. There are also some men, who opt for this laser treatment to use upon their faces. The reason being, they have become tired of shaving the same areas every single morning .

Men can make use of the laser hair removal to get rid of the burn from razor, eliminate the trouble of shaving and also get the chance to sculpt their beards in their desired style.

How Can Men Shape Up Their Beard with the Help of Laser Hair Removal?
Men do not always opt for laser hair removal in their faces to get rid of their beards, giving them a completely shaved look. Some only want to reduce the beard, so that it becomes easier for them to shave from the next time. Then there are some categories of men, who use this laser hair removal in order to get their beards neatly shaped. Through this they intend to grow facial hair in particular areas and get them removed from other parts.

Laser beard sculpting can help them get their desired look.

Beard Shaping includes:

  1. Hair getting removed only from the neck
  2. Specific lines might be created on the upper part of the beard
  3. Some men might look to get such treatment which would enable them to have their beards in the form of a goatee.

Advantages:
Some of the advantages related to beard shaping through laser hair removal are:

  1. Men would not require to carefully shave specific areas of their faces every single day while shaving
  2. Shaping up or sculpting the beard with laser hair removal gives a cleaner beard line, hence bringing up a more polished look on the faces.
  3. This procedure would also enable in reducing the thickness and coarseness of the hair of the beard of the person.
2868 people found this helpful

Cell Active Therapy - How Can It Help In Growing New Hair?

Dermatologist
Dermatologist, Noida
Cell Active Therapy - How Can It Help In Growing New Hair?

Cell Active Therapy is an effective form of treatment, which gets aimed at boosting the growth of new hair. Whether a person is male or female, whether he/she has long tresses or just a short crop of hair, no one really wants to even think of a situation where he or she might turn bald.

Loss of hair can be brought about by a number of factors, which could be due to someone’s genes, lifestyle or changes in hormone. The good thing is, people do not need to just sit back and watch themselves going bald. They can prevent such drastic situations and help their hair grow further.

What is Cell Active Therapy?

Cell Active Therapy refers to a kind of treatment that is mainly aimed towards providing the necessary boost for new growth of hair. This can prove to be extremely useful in treating harline, which is receding, certain bald patches, hair getting thinned and also Alopecia, which is a medical term for hair loss.

Cell Active Therapy also helps to activate cells in the scalp as well as on the hair follicles by way of stimulating the circulation of blood. As the hair follicles get energized, this leads to the growth of new hair. It also helps in stimulating the production of collagen, thus, improving skin tone along with its elasticity. This treatment of Cell Active Therapy does not require any candidate to get hospitalized.

Dermaroller

Dermaroller is what a person needs for this therapy. It is basically a simple device that tends to look a lot like a round bristled brush having a long handle. Instead of getting bristles to let the hair untangled, this carries metal pins, which can make small pinpricks on one’s scalp.

The width of a dermaroller ranges somewhere between 0.25mm and 0.5mm, with the 0.5mm one being more popular. This tends to go through only as far as the derma layer to help stimulate the circulation of blood and leading to the production of new cell.

Use of Dermaroller for Hair

The use of dermaroller is completely painless. It creates nearly thousands of small channels in the scalp that tends to increase the absorption of one’s hair restoration product by at least a hundred times. The Dermaroller can also be implemented by itself to help in stimulating production of fine hairs in the scalp or used in collaboration with a pharmaceutical product known as Minoxidil or Rogaine. It works through the enhancement of the penetration of the product and also brings forth improvements in the flow of blood on to the scalp and hair follicle.

1 person found this helpful

Hair Transplantation Surgery - Here Is All You Need To Know!

MBBS, Diploma of the Faculty of Family Planning (DFFP), Diploma in Practical Dermatology, MRCGP
Dermatologist, Bangalore
Hair Transplantation Surgery - Here Is All You Need To Know!

What is Hair transplantation?

Hair transplantation is a method of Hair restoration surgery used to treat baldness and hair loss. Follicular unit transplantation or FUT is the latest method of Hair restoration surgery whereby follicular units are transplanted from the donor area (i.e. area where there is abundant hair usually in the back of the head) to the recipient area( balding area usually front or top of scalp). The follicular units occur naturally in groups on the scalp and contain 1,2,  3or 4 hairs along with oil glands, nerve and blood vessel bundle and are enveloped by a sheath of tissue.

How many types of hair restoration surgery are available?

Follicular Unit Transplantation or FUT is of 2 types: Strip method and FUE ( follicular unit extraction). They both differ in terms of how the follicular units are harvested. In the strip method of harvesting, the strip bearing the follicular units is removed from the back of the head and this is dissected into individual units under magnification. After the strip is removed, the edges of the skin are sutured. This leaves a scar in the back of the head running from one ear to the other. In the FUE method, the units are harvested directly from the back of the head using a tool that makes punches. There is no scar with this method and the healing time of the wound is quicker.

What factors does the result depend on?

There are several factors that influence who will have better outcome from the transplantation. Not only the method of surgery chosen but factors like hair density, waviness of the hair, colour contrast between the hair and scalp, thickness of the hair, size of the donor area, elasticity of the scalp are all important. Besides this different practitioners have different results, so the skill of the surgeon is also a factor.

What does the surgery involve?

A. In the Strip harvesting method, after the strip is removed, it is sent for dissection to the team of technicians. Meanwhile, the skin is closed with stitches in layers. The surgeon then sits the patient upright and then designs the hairline in the front and on top of the head with a marker pen. After numbing the skin with local anesthetic injections he then makes tiny holes in the areas of balding. The team then starts starts inserting the follicles or grafts into the prepared holes in the recipient area.

In the FUE method , units are removed directly from the back of the head and are trimmed by the technicians. The rest of the steps are similar to that of the strip method.

How many Transplant sessions will I need?

This will depend on the amount of hair loss. Unless it is a small area of balding, usually there will be 2-3 sessions needed.

Will I have a scar?

With the strip method there will be a scar on the back of the head but with improved surgical methods used nowadays, it will be a fine scar. Whilst closing the wound, a Trichophytic type of closure is employed which allows hair to grow through the scar that will camouflage the scar. In the FUE method th,ere is no visible line like scar. There is tina dot like scars from the areas where the punches were taken but this is hardly visible.

What precautions should I take prior to surgery?

  • Make sure you have all your questions and doubts clarified in your consultation with your doctor. Write down on a piece of paper.
  • Get good sleep the night before the surgery
  • Get a cap with adjustable clasp with you on the day of the surgery
  • Arrive on time. Hair transplantation surgery takes plenty of hours, you don’t want to delay the whole team working for you into the late hours of the evening.
  • Wash your hair on the morning of the day of the surgery.

What happens after surgery?

  • You will be given instruction, painkillers and antibiotics by your doctor.
  • Get your hair washed at your doctor’s if you live locally
  • Redness in the donor and recipient area is common and will take time to resolve.
  • Avoid exposing your scalp to the sun too much.
  • Scabs will form and will remain for about 10 days after which they will begin to fall off.
  • Sutures are removed 10 days after the surgery.
  • Over the next few weeks, the hairs will shed . This means that the grafts are in resting phase and will remain so for about 3 months.
  • After this period over the next few months, the hair will start to grow from the grafts.
  • Take pictures regularly to note the developments.
3572 people found this helpful

Popular Questions & Answers

1: I have deep white heads in skin under my eyes. Kindly guide how to getrid of them. 2: My hair got very thin from a year. I used to wear helmet may be the cause. Aged 27 years. Kindly send any medicine.

MBBS, MD - Dermatology , Venereology & Leprosy
Dermatologist, Jaipur
Hello Get checked your skin with a dermatologist cause whiteheads are not seen under eye. They could be milia. For thinning of hair go for PRP therapy. Helmet is not a cause.

I am 25 year old male. I used turmeric on my face to get ride of pimples in my childhood. But that suppressed my facial hair growth. Every male in my family don't have problem in facial hair growth. Is there any way to regain facial hair growth?

MBBS, MD - Dermatology
Dermatologist, Bhubaneswar
That could be a co relation, but may not be the sole cause. You can do prp of the local area for growth of hair or can do beard transplant.

I am suffering from hair fall. I used to have thick hair and now my hairline is receding. 2 or 3 strands of hair falls of if I run my hand through my hair. There's also a lot of dandruff (not sure). A lot of white powder falls down if I comb my hair. What should I do? Is there a home remedy for this? Thanks.

MBBS, MD - Dermatology
Dermatologist, Bhubaneswar
Wash your scalp twice daily with a good antidanduff shampoo. Take biotin calcium pantothenate vitamin b6 vitamin B12 Iron folic acid supplements daily. Add green leafy vegetables pulses Rajma soybean milk in your daily diet. Drink plenty of water daily.
7 people found this helpful

I was having typhoid last year and I lost all my hair. Now how can I retain my thick hair which I was having. I want to retain all my hair without hair fall and damage in few months.

Diploma In Dermatology
Dermatologist, Visakhapatnam
Take follihair tablets daily for 6 months. Eat good protein rich food. Tests r needed. Consult dermatologist if no improvement.
3 people found this helpful

Hi I hv thin hair from my childhood becoz of hereditary of dad, too much hair fall, pls suggest some hair growth tonic and tablets pls urgent need for marriage.

MBBS, MD - Dermatology , Venereology & Leprosy
Dermatologist, Mumbai
There are many reasons for hairfall or thinning of hair on the scalp. So first and foremost we have to find the cause with the help of detailed history and examination. Some of the common causes are nutritional deficiency, hormonal causes like androgenic alopecia or patterned baldness, hypothyroidism, telogen effluvium etc. Unless we find and treat the cause there is no point in giving non specific treatment. Oils or shampoos do not have any effect on hair growth as they are not absorbed in the skin. Moreover, you should never self treat with anything. Please send photographs using online consult option for proper diagnosis and detailed prescription.

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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