Effective Ways To Remove Pubic Hair

Need No Hair

Need No Hair is a comprehensive guide to getting rid of unwanted body hair. One of the important aspects to getting rid of unwanted body hair for good lies in identifying certain key ingredients and blending them together in such a way as to create a Natural, Safe And Effective Remedy. The results are rooted in scientific principles and these are explained in the guide. Need No Hair shows you how to remove body hair safely but equally as important it shows you how to ensure that the problem will stay away for good. Forget corrosive and potentially harmful bleaches and other nasty chemical concoctions. Need No Hair shows you the best way of getting rid of body hair without having to deal with all that stuff. It shows you how to produce your own easy, totally natural and totally effective way of getting rid of unwanted body hair.

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Hirsutism and Unwanted Hair Growth

Complaints of unwanted hair growth or clinical evidence of hirsutism are important predictors of an androgen excess disorder. In studies of large populations of hirsute women seeking care, 50-75 demonstrate PCOS (12,25,27,28). It is also important to note that the sole complaint of unwanted hair growth in the absence of frank hirsutism on physical examination may also signal the presence of PCOS. In one study, approximately 50 of 288 women complaining of unwanted excess facial or body hair growth with minimal hair growth on examination (i.e., a modified Ferriman-Gallwey mFG score of 5 or less) demonstrated PCOS on further evaluation (29).

Summary of Predictive Value of Clinical Markers

Overall, between 50 and 75 of women with evidence of hirsutism or the complaint of unwanted hair growth will have androgen excess, notably PCOS. Alternatively, only 20 and 40 of patients with acne as their sole presenting complaint and only about 10 of women complaining of hair loss will have androgen excess. Between one-fourth and one-third of women with oligo- amenorrhea have androgen excess, and only about one-fifth of women with polycystic ovaries on ultrasonogra-phy will have androgen excess.

Read that toxins can cause MS Is this true Can I be detoxified

One continuing concern is whether mercury in dental amalgam, the material used in dental fillings, is a health issue for MS. Although industrial mercury pollution was a major health problem in Japan and elsewhere, mercury in dental amalgam is a very different issue. There are inconsequential differences in serum and tissue levels of mercury in MS patients as compared with normals. We have found no differences in urinary excretion of mercury in MS patients. In studies of edentulous MS patients who had never had any dental repairs, we found they had higher levels of mercury simply because they consumed more fish. Thus, there is no medical justification for removal of amalgam dental fillings, and the concept of detoxification has no place in the management of MS. Increased excretion of metals after chelation with drugs does not mean toxic levels were present in the person prior to chelation. Many of the measurements reported by laboratories are unreliable. Hair analysis is preferred, but...

Medical History and Physical Examination in Patients With Possible Androgen Excess

Modified Ferriman Gallwey Score

The timing and pace of pubertal development and its relation to complaints of unwanted hair growth, hair loss, acne, and or obesity should be established. The onset and progression of these complaints should also be established. Drug or medication use and exposure or use of skin irritants should be elicited. A detailed menstrual history should be obtained, with an emphasis on determining whether evidence of ovulatory function (e.g., premenstrual molimina) is present. Change in skin pigmentation or texture, extremity or head size, and changes in facial contour should be noted. A detailed family history of endocrine, reproductive, or metabolic disorders should be obtained. A family history of similar hyperandrogenic signs and symptoms is a powerful clue to the inherited basis of the disorder, although a familial association can be noted for PCOS, HAIR-AN syndrome, NCAH, and IH patients. Clinicians should note that the etiology of hirsutism can often be suspected from the history alone....

Anovulation Is A Characteristic Feature Of Pcos. It Manifests As Menstrual Disturbance 80 Amenorrhoea Oligoamenorrhea

Peripubital Obesity

Patients with PCOS may present complaining of irregular or unpredictable menstrual cycles, unwanted hair growth, acne or scalp hair loss, or unexplained weight gain or overweight (see Section 2.1.4.). Another frequent presenting complaint of PCOS may be infertility, possibly associated with recurrent first trimester miscarriages. Approximately 30-50 of PCOS patients will complain of infertility at the time they are seen for their first visit (1,2). The timing of the development of symptoms is important in assessing the etiology of hyperandrogenism. As such it is helpful to have the patient's mother present for at least initial part of the evaluation. A history of perimenarcheal changes in skin quality, such as the development of seborrhea or acne, the darkening and coarsening of hairs, or the appearance of new unwanted hairs, is common in patients with PCOS. A history of premature adrenarche or early pubarche may also be elicited (3) as well as a history of low birthweight (4,5)....

Anatomy And Examination Of External Genitalia

External examination requires good lighting. A magnifying glass is also a useful tool for the examination of small lesions. The skin is observed for presence of inflammation, excoriation, ulceration, integrity and pigmentation changes. Pubic hair is inspected for signs of infestation and the presence of any warts or other skin tumours is noted. Skin texture is inspected and any thickening or atrophy noted. The inguinal lymph nodes are palpated and swelling or discomfort noted. The contents of the scrotal sac are examined by palpation. The structures are identified and any pain, discomfort, thickening or abnormalities are noted.

Background 21 Cosmetic Procedures

Cosmetic procedures may be very helpful in controlling mild-to-moderate degrees of unwanted hair and are virtually always required as an adjunct in women being treated medically to remove existing terminal hair. Reduction in the frequency with which women use cosmetic procedures is also reliable evidence of drug efficacy. In general, these procedures are time-consuming and may be expensive. Complications include pain, discomfort, dyspigmentation, and scarring. Electrolysis and laser photothermolysis appear to be the most effective procedures, although with these methods hair removal should not be considered permanent. Moreover, multiple treatments are usually necessary because of the nature of the hair growth cycle. Electrolysis uses an electric current transmitted through a fine needle inserted into the hair follicle. This results in destruction of the follicle. There are different electrolysis techniques using direct (galvanic), high-frequency alternating current, or a combination...

Background On Polycystic Ovarian Syndrome Among Adolacents

Circulating levels of androgens are similar in male and female children prior to adrenarche. The pubertal changes in androgens in females plotted as a function of Tanner pubic hair stage are demonstrated in Fig. 2 (6). As can be seen, plasma levels of DHEA achieve adult levels at an earlier stage of development than do those of testosterone. The changes in circulating levels of A4 are intermediate. The pattern of increase in DHEAS levels (not shown) is similar to those of DHEA. A similar discordance in the chronological evolution of DHEA DHEAS compared to that of testosterone also occurs during adolescence in both girls and boys. The striking increases in plasma levels of DHEA and DHEAS in children coincide with the appearance of the zona reticularis in the adrenal and its progressive broadening during adolescence (7).

Eflornithine

Eflornithine is an irreversible inhibitor of ornithine decarboxylase. This enzyme catalyzes the conversion of ornithine to polyamines, which are involved in the regulation of cell growth and differentiation in several tissues. The enzyme is modulated by androgens and takes part in the physiology of hair growth, regulating the proliferation of matrix cells in the hair follicle. Studies have indicated that blockade of this enzyme activity in hair follicles slows hair growth, and the drug has recently been licensed for topical treatment of facial hirsutism. Percutaneous absorption of the drug is negligible. In short-term clinical studies, eflornithine 11.5-15 cream was better than placebo in reducing hair growth in women with unwanted facial hair, as demonstrated by objective and subjective methods (11). However, hair growth returned to pretreatment rates within a few weeks after stopping treatment. Mild irritation and folliculitis may affect the skin with treatment. Anecdotal evidence...

Preventive Measures

In any surgical practice, policies and procedures should be in place pertaining to the making of a surgical incision and the prevention of infection. These policies and procedures should govern the following (1) skin disinfection and hand-washing practices of the operating team, (2) preoperative preparation of the patient's skin (e.g., hair removal and use of antiseptics), (3) the use of prophylactic antibiotics, (4) techniques for preparation of the operative site, (5) management of the postoperative site if drains, dressings, or both are in place, (6) standards of behavior and practice for the operating team (e.g., the use of gown, mask, and gloves), (7) special training of the operating team, and (8) sterilization and disinfection of instruments. Hair Removal An infection control program should have a hair-removal policy for preoperative skin preparation see 1 2 Prevention of Postoperative Infection .

Spironolactone

The largest study concerning this drug reported an improvement in about 85 of more than 300 subjects with hirsutism. However, this study was uncontrolled and short-term. Two small controlled studies assessing this drug as a single agent were not able to recognize statistically significant differences vs placebo in posttreatment hirsutism measures. More recently, in a 6-month randomized, double-blind, placebo-controlled comparative study including spironolactone, flutamide, or finasteride as active drugs (18), we found a 12 reduction in hair shaft diameter and a 41 reduction in the hirsutism score in women receiving spironolactone. These changes were statistically significant as compared to placebo. Interestingly, the improvements observed with spironolactone were similar to those seen with flutamide or finasteride (Fig. 2). These conclusions were supported by the patients' self-evaluations and their use of less frequent cosmetic measures for hair removal.

The Examination

The nurse should take a gentle but confident approach to the examination, examining all areas (including the outer labia majora and inner labia minora, the clitoral hood, the introitus, the pubic hair, the tops of the legs buttocks, and perianal and anal areas) carefully and checking in skin folds. A dialogue should be maintained with the woman, with care taken to examine and feed back to her on any areas that she may be concerned about.

Female circumcision

At the introitus before passing the speculum allows for the patient to register the fact that the examination is about to begin at a physiological level. A gentle but confident approach should be taken. The speculum is passed slowly and smoothly, taking care not to trap the pubic hair or labia. Unless the uterus is known to be retroverted, the speculum is introduced according to the physiological tilt of the vagina (upwards at an approximately 45-degree angle). Once fully inserted, the blades are opened slightly, and if necessary minor adjustments are made until the cervix is in view. Once the cervix is visible, the blades can be opened further to bring the cervix fully into view. Care should be taken to avoid pressing against the urethra during the process of adjustment. If the uterus is retroverted, it may be necessary to remove and reposition the speculum accordingly.

Nabothian follicles

Removing the speculum after the examination should be approached with as much care as insertion so as to avoid unnecessary discomfort. The speculum should be moved away from the cervix before beginning to close the blades. The blades are then closed smoothly and slowly and the speculum withdrawn, taking care to avoid trapping the vaginal walls, the labia or the pubic hair in the blades.

Adrenal Glands

Zona Reticularis Cortex Medulla

The adrenal glands are positioned superior to the kidneys and are divided into the adrenal cortex and the medulla. The cortex has three layers. The most superficial layer is the zona glomerulosa, which is deep to the adrenal capsule and responsible for the secretion of mineralocorticoid hormones. The next layer is the zona fasciculata which mainly secretes glucocorticoids, hormones responsible for the breakdown of proteins and lipids and the synthesis of glucose. The zona reticularis is the deepest layer of the cortex and it secretes androgens (male sex hormones) and small amounts of estrogens (female sex hormones) in both sexes. The most prevalent male hormone is DHEA (dehydroepiandrosterone) which is responsible for the development of the sex drive, pubic hair, and axillary hair. The effects of DHEA are minimized in males as the testes secrete greater amounts of testosterone. The adrenal medulla is the deepest part of the adrenal gland and it secretes epinephrine and norepinephrine....