Hirsutism and polycystic ovaries

Thank you for replying.

1. Age -22
2. Male or Female or other -female
3. Single/Married -single
4. weight 50 kgs and stable since 9 years  
5. Height 5ft and 5.5 inches
6. country India
7. climate both extremely hot and cold

8. List of your complaints 

1)painful periods with symptoms of gastric, nausea and cramps
-since 9 years

2)excessive black and thick hair on face , neck, armpits, long and thick hair around nipples, stomach and legs and ofcourse genital areas - since 12 years

3)suffering from acne vulgaris. Painful large clusters were suppressed after a course of isotretonoin but there are still breakouts around the cheeks, chin, side burns and neck especially 10 days before menses
- this also started 9 years ago but got worse with age  

4)very oily skin and scalp usually in summer months - since always

5)also I'd like to mention that since past 3 years my eye sight has been rapidly getting worse. It was constant from the age of 6 to 19 years (left was - 0.25 and right - 0.75)but gradually over a period of 3 years increased to - 2.25 and - 2.00. There hasn't been any change of diet or environment neither have I grown taller since 9 years.
9. Since how long are you suffering from each complaint 

10. Diabetic or non-Diabetic -non diabetic

11. Desire sweets/sour/salt - rare cravings for sweets 

12. Thirst - average thirst but water intake is slightly less than what is usually recommended.

13. Tongue and Taste -normal taste. No disease in the oral cavity

14. Current Blood Pressure (without medicine and with medicine)
112/78.usual range for me is 105-120 systolic and 65-80 diastolic.  

15. One situation that had a 
big effect on you? 
Can't think of such a situation


16. Important Question. 
Current and previous remedies/medicines you are taking or took in the past? 

Not on any medication since 3 months
In the past -
doxycycline and minoz alternatively for acne vulgaris

Benzoyl peroxide face wash

Zole for fungal infection in toe nail

Retino - A topically

Clindac - A typically

Isotretonoin for acne

Yasmin - part of hormonal therapy

Spironolactone for hirsutism.

Ultrasound positive for polycystic ovaries and prolactin levels fluctuate but mostly are increased.

17. Educational Qualifications of the patient 
-currently in final year studying dentistry

18. Nature of work, what do you do for living? -dentist

19. Important Question. 
Mind-behavior, anger, irritability, hurry, 
impatient…and so on.. How are you different from other persons, public speaking or not, you can describe all of the details about your behavior, love and affections.

-occasional mood swings, heightened irritability around the cycle.

At times short tempered, otherwise calm and very patient, occasional crying spells, cold hands and feet - sometimes clammy with cold sweat, slightly anaemic, diagnosed with mild iron deficiency anemia 5 years ago but now I've recovered, single child, shy, introvert, very affectionate towards animals. Extremely RARE suicidal thoughts associated with anger or used to be a side effect  of Isotretonoin maybe? I'm not sure about this one.

20. Color of the secretions/discharges e.g 
Pus, urine, stool, sputum, Saliva etc. 

Saliva - normal
Urine and stood - normal except sometimes on the constipated side
.
For Females Only
 
21. When is the period during the month approx. date? 
Any monthly cycle issues? Regular, early, late, before problems, after problems, 
pain, any other discharges? 

-at the moment around 17th - 18th, lasts for 6 days with heavy flow and dark clot discharge for first 3 days.

Pain lasts upto 4 days. Severe in nature
Periods are regular and usually on time.

22. Are you pregnant? If yes, please give pregnancy start date? Any current issues?
- not pregnant but sexually active since 4 years.

Once again thanks a lot.

Last period completed on 24-06-15
There is slight white-yellow or just plain white discharge once in a while that I notice. Never in a large quantity, just small amount, sometimes its there, sometimes it isn't. Consistency is medium to a bit thick. I can't be precise about it since it doesn't seem to have a pattern and never bothered me much.
However, my cycle was completed 4 days ago and acne has returned and at the moment is spread all over the lower half of my face. My face and scalp is also exceptionally oily this month.

Sure.
Many many thanks...

Hi sir
I started taking pulsatilla as you advised from 01-07. Today I took the 3rd dose.
What is the next step sir?

Sir, after a day of taking pulsatilla- I felt an outburst of emotions. There was aggression in my nature and I was slightly over reacting yesterday. After feeling over emotional I ended up crying twice. Once because I was having an argument with someone and I said things that I wouldn't have so easily otherwise.

Physically-
Im feeling nauseous ever since i took the medicine.
Abdominal discomfort, aches- stomach and back and recurrence of my already existing gastric problem due to which my stomach was upset from the night of the 2nd day till this evening. I had to relieve myself thrice within 10 hours. Stool was improper and lacked density. Discomfort is still there as well as nausea.
I hope Im not making it sound like all the symptoms are due to the medicine. I have a little serious cervical condition too and it makes me nauseous so maybe pustilla alone isn't the reason.

Thank you for your time and advise.

Sir, how long do I have to continue taking the medicine?
I started to notice some change in my skin 4-5 days back. Skin of my cheeks and chin area has started flaking out. It's also making my red acne scars look less prominent than before.

Doctor,

What are the current mind symptoms in detail?
-dry flaking skin on and around the area of my previous acne scars(cheeks, lower facial areas) . Though this area is flaky, suggesting dryness, my entire face is quite oily. Especially the area around the nose.
-Indigestion since 3 days. Apparently I have esophagitis.
-mild radiating pain in lower part of my abdomen comes and goes at different times of the day.


All other physical symptoms will help in arriving at a correct remedy(s).
-sir there's another massive thing I'm worried about. I've been trying to console myself just so that I don't stress over this matter much and make it worse. It's been 5 weeks, I was facing oily skin and scalp. I traveled out of station to visit my grandmother. There I noticed that my hair had started falling off too much. I thought it would pass and waited all this while.
Sir, it's like chunks of hair uselessly come out of my scalp every time I brush it, touch it wash it. Anything. I was almost in tears today, the hair fall is too evident. I have literally (and I swear I wish it was untrue) lost pretty much half of my hair volume in just a matter of 5 weeks.
I've had hair fall before but it has never been so extreme.
Apart from change of water for 6 days, there has been no other changes in my diet, environment, water, hair products. Nothing. Oh, and yes how can I forget, I've been through much more stressful times and I've never faced such hair fall before. I really wish to know the underlying cause. It's killing me to see myself go bald at this age.


What remedies have been taken for the last 3 days?
-no remedy except for pulsatilla 200 once a day.

How is the pain, if any?
-pain in lower abdomen, mild but at times causes too much discomfort.
-cervical pain.

Any discharges at this time?
-No discharges really. Same as before.

Thank you.