Tag Archive | endocrinologist

Hirsutism = Avoidant Personality Disorder?

I already wrote a post about hirsutism and depression and how the two are related when dealing with hormonal problems. It is quite the expectation to have lowered self-esteem when dealing with such health issues.

I have come to the conclusion that most hirsute girls are quite normal but they choose to deal with their hurt and depression in the dark. And that is probably another reason why there are not many books and medical reports on hirsutism when compared to other hormonal health concerns.

I was looking at personality disorders and something I might suffer from and do not even know it. My hirsutism has not helped at all in dealing with life in general!

I was so used to being upset and angry about it, I found a crazy way to equate it to everything wrong in my life.

“He dumped me….because I’m hirsute.”

“I didn’t get that job….because I’m hirsute.”

“She went off on me for no damn reason…because I’m hirsute.”

“My ankles are ashy…because I’m hirsute.”

“The world stop spinning on its axis…because I’m hirsute.”

“I am not beautiful….because I’m hirsute.”

Trust me when I say I OBSESSED about my extra body hair. To the point it affected how I dealt with social issues.

Even to this day, I am quite shy and introverted in certain social settings and it takes me some time to open up because I am scared someone will see my hyperpigmentation from all the tweezing and yanking I have been doing to my skin for many years because of the hair.

So when I cam across the disorder, Avoidant Personality Disorder, I could not help but to equate myself to this.

According to the A.D.A.M. Medical Encyclopedia, “avoidant personality disorder is a mental health condition in which a person has a lifelong pattern of feeling very shy, inadequate, and sensitive to rejection.”

If this is not me, even as I have found ways to deal with my hirsutism, I don’t know what is!!

People with this disorder exhibit the following, according to the article linked above:

  • Be easily hurt when people criticize or disapprove of them (Check!)
  • Hold back too much in intimate relationships (Partial Check!)
  • Be reluctant to become involved with people (Double Check!)
  • Avoid activities or jobs that involve contact with others (Partial Check!)
  • Be shy in social situations out of fear of doing something wrong (Double Check!)
  • Make potential difficulties seem worse than they are (Triple Check!)
  • Hold the view they are not good socially, not as good as other people, or unappealing (Partial Check!)

The article states that antidepressants and just having someone to talk to are the best treatment options.

That’s why I firmly believe many women with hirsutism may have this disorder. I know women who are “happily” married with children and feel so upset and alone dealing with their hirsutism, even while having an understanding spouse.

I don’t have a spouse yet and I feel I will not be a good wife some days. Although I do not obsess about my hirsutism nowhere near as bad as I did several years ago, I feel I have programmed myself to be too isolated, making friends and being a socialite towards potential mates a huge challenge.

Seriously, I can count one less than one hand of the REAL friends I have remaining in my life! That is probably my own fault; but then again, I know how to give an asshole the dueces real quick!

But the bottom line is, if you suspect you have this disorder, as you can see, it’s nothing alarming in a life-threatening way, but it is quite possible it may affect your quality of life. You really need to find someone to talk to, even if it means chatting with folks online if you are too intimated to chat with people in your personal surroundings.

Hey, feel free to talk to me too!

And try chatting with someone who knows you well or wants to get to know you well. If you don’t know anyone, write about it! Simply take some time out to write about your sadness with hirsutism and then simply put your notebook down and take a nice walk, go out to eat or just go do something out of the norm. You will feel better, trust me!

You could try talking to a professional but I personally believe these conditions can be self-treated. Plus not may professionals really know how to deal with hirsutism and its associated depression. I had to go to a couple endocrinologists before finally getting a satisfying reply myself.

Don’t let your thoughts be alone in your isolation before they literally start eating away at your life. Let it be known, even if it means blogging about it!

Thanks for reading!






The Beauty of Seeking a Second Opinion With Hirsutism!

Cute chic shaving her beard. Courtesy of americanslideshow.org

So I recently sought a second opinion about my idiopathic hirsutism.

My first endocrinologist was very proactive at measuring my hormonal levels. She tested me up the wahzoo: insulin, androgen, follicle stimulating hormone, thyroid, pituitary, testosterone, progesterone….you name it, she tested me for it!

When it was discovered I had idiopathic hirsutism and not hirsutism from another cause, particularly PCOS, she basically told me to hit the road.

I cannot stand doctor’s that think about themselves more than their patients!

I say this because when I talked to a second endocrinologist, she prescribed me with spironolactone right away! Spironolactone is the main medication for women with hirsutism because it is a water pill that acts as an anti-androgen. It is probably the strongest in the U.S. market. In the U.K., they may prescribe cyproterone acetate which may be slightly stronger than spironolactone.

The second endocrinologist was quite confused as to why the first one did not prescribe me spironolactone. It is true: if taken while pregnant, spironolactone may have adverse effects on a male fetus.

But considering my tubes were tied and did not intend on getting pregnant nor was I trying to get pregnant and informing the first endocrinologist of this, she still did not prescribe me the medication, stating she only gives that to patients with some type of underlying condition.

I told her that I have been researching this medication for a while and it appears to show a great deal of promise in managing abnormal hair growth on a woman; this article came to mind.

So the first endocrinologist told me to take a weak estrogen birth control and advised me to get laser hair removal…bottom line…useless! Me and the second endocrinologist felt she was looking out more for herself than me!

So I was not in the office for more than 30 minutes before the second endo have me a very quick physical exam and sent me on my way….with a prescription for Spironolactone! I was elated! Finally, my 15 year battle with hirsutism may be coming to an end!

If nothing else, I have a way to manage it! I actually purchased some Spironolactone from India, but when I saw it came wrapped in Indian newspaper, I was quite reluctant to put it in my body! Needless to say, that regimen of “spironolactone” ended when I received it!

I have read many forums about spiro not working for many women. I guess it is like any other medication…side effects may simply be different for folks. I have been taking my official spironolactone for a week now and I have not seen any adverse changes. (knock on wood!)

So here’s to successful hirsutism management for me! And YOU!


The study of Hirsutism: Dermatology, Trichology, Endocrinology?

I am so passionate about hirsutism and its management, I considered going to school for it! But then I thought against it when I remember the horrific student loan debt I have right now!

But when doing a little research on studying hirsutism for an educational path, it dawned on me that there are a few fields one could venture into.

They can go into dermatology (the study of skin), trichology (the study of hair and the scalp) and endocrinology (the study of hormones.)

I like that hirsutism is covered in these three respected fields of doctoral study. While hirsutism is more so often a hormonal condition, it affects how one feels about their skin appearance of course. Tweezing and shaving and waxing can lead to ingrowns and scars and such and sometimes an endocrinologist is not in the position to prescribe such medications to clear those conditions up.

Now if your condition is caused by a deeper source, such as PCOS, thyroid issues or adrenal issues, an endocrinologist is the way to go in my opinion. They can order MRIs and such to really look at your internals to see where the problem is, if one even exists. I believe MRIs should be done for all suspected hirsutism patients because too often, it is an ovarian cysts or tumor issue. And those things can be painful as hell if not treated!

I never had them but my sister needed to have one ovary removed for that very reason.

Now if your issue, like mine, is idiopathic, a dermatologist may be the best option. A dermatologist can help clear your skin of blemishes from ingrowns as well as medications to help slow or maybe even gradually stop the hair growth. They can even suggest better methods of hair removal that may stop your blemishes and ingrowns all together.

I have only chatted with one endocrinologist who basically did a whole lot of nothing. Just told me to get laser hair removal done. Thanks alot, lazy ass.

Now the study of trichology is the study of hair and/or the scalp. Now, I do not know if a trichologist studies only the hair on the scalp or hair in general. I am going to assume hair in general and just believe that the disorders of the hair are typically hair loss and related conditions. A trichologist may be able to prescribe some medications to reduce your hair growth as a dermatologist would but not so much an endocrinologist.

I am not a doctor but I MOST DEFINITELY believe in the theory of “seek a second opinion.” From personal experience, not all doctors are not that damn bright and if they are, some are simply too occupied or they don’t want to be occupied with your issues. Sorry PhD holders, but it’s true! Some of ya’ll, while deserving of respect in your field, are some straight up DICKS!

So, if your hirsutism bothers you that bad and your general doctor doesn’t give you a satisfying answer or even refer you to the right doctor, then seek other options, because as you can see, they exists!