WOMENS-HEALTH Messages for January, 1998: Re: thinning hair/ low libido

Re: thinning hair/ low libido

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Fri, 30 Jan 1998 17:13:09 -0600 (CST)

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In reply to: AMD: "thinning hair/ low libido"

At Fri, 30 Jan 1998, AMD wrote: >
>I started taking Demulen about 7 years ago. After the 1st year I told
>my doc that my hair seemed to be getting thinner and was told that the
>Demulen couldn't cause this -- that my hair just seemed thinner because
>my perm had grown out. I have mentioned this problem to several docs
>since and have been told the same thing. I am only 27 and my scalp is
>clearly visible in my bangs and around a cowlick on the top-back of my
>head. I keep taking the Demulen because no one has suggested anything
>else (or even taken me seriously). Is it at all reasonable to think
>that this BCP might be causing me hair loss (or poor regrowth)? What do
>I say to a doctor to get them to take my concern seriously?

You're going to the wrong doctor. Find someone comfortable with this, like a gyn endocrine, medical endocrine or a gyn knowledgable in this problem. The thinning is occurring despite the Demulin, not because of it. You need to look into adding spironolactone to the medication. That combo is what we frequently use for your problem.

>In addition, I have also had almost no sex drive since my son was born
>three years ago. Could this be connected to my thinning hair?

You nedd hormone levels including but not limited to thyroid function testing and anti thyroid microsomal antibodies (to check for subclinical thyroid problems that the first set of tests might miss). Also the standard tests any good gyn should know.

>I have
>trouble with vaginal dryness, but the only suggestion I get from my
>doctor is to use lots of KY, but even the KY burns. It just seems like
>my body should work better than this at my age. Could I have some sort
>of hormonal imbalance? How do I pursue this with my doc?

As above. If your doctor doesn't feel comfortable with this, you may need to consult another. Heck, it's your body.

>Thanks

Hope this helps. Good luck.

--
Harvey S. Marchbein, M.D. FACOG
OBGYN.net U.S. Representative, New York
Great Neck, New York
http://www.obgyn.net/states/bios/marchbein.htm
http://www.obgyn.net/women/advisors/harveym.htm

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

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