Doctor insights on:
Treatment Of Virilization
Can be Complicated: Complete ais isn't usually discovered until a girl fails to menstruate & has little or no pubic/underarm hair. No uterus, but those w/cais have intraabdominal testes which are removed because of cancer potential. Female by default as they can't respond to androgens in utero. Partial ai: babies are born with variable degrees of virilization. Assigning sex can be complicated. ...Read moreSee 1 more doctor answer
A patient 21-hydroxylase deficiency displays virilization and a high lab value of 17-oh-progesterone, what does that mean?
Non-classical CAH: Hi. That's the most common cause of non-classical congenital adrenal hyperplasia, non-classical CAH). Because of the sluggish enzymatic step mediated by 21-hydroxylase, adrenal androgens are made via side pathways. In women, these can cause virilization. The treatment is low dose dexamethasone to suppress the pituitary drive of the adrenals. Good luck! ...Read more
I agree with Dr. Fox: Cognitive behavioral therapy is excellent for dealing with anger problems. Anger management classes can teach you healthier ways to express anger. Getting physical through aerobic activity is an excellent way to help keep anger in check. There are more serene ways to do it – including tai chi, qi gong, acupuncture, massage & meditation. Avoid drugs & don't look alcohol as a solution. ...Read moreSee 2 more doctor answers
Therapy vs repair: Not all rotator cuff tears are treated the same. Factors such as age of patient, age of the tear, size of tear, location of the tear, and most importantly the symptoms of the patient all help determine the best course of treatment. A trial of nonoperative management with therapy and perhaps an injection is the usual 1st line of treatment. Surgery may be indicated if nonoperative treatment fails. ...Read moreSee 2 more doctor answers
Sex Addiction?: Not everyone considers "sex addiction" a useful diagnosis, in the first place. Read Dr. Marty Klein's thoughtful perspective on it: http://www.martyklein.com/why-sexual-addiction-is-not-a-useful-diagnosis-and-why-it-matters/ Suggest consulting w/ a sex-positive therapist to understand concerns you may have about yourself (or other person) in relation to compulsive sexual behavior. ...Read moreSee 1 more doctor answer
How can I help my fiancee get mental health treatment without making it seem forced? He needs help bad...
Eye to eye: It can help, when discussing it, to find things you mutually agree on that might benefit from consultation. Then approaching it curiously together, and perhaps offering to go with him, may be helpful. Also, there are some good websites that can help dispel certain myths about mental health treatment if that is applicable. Nami is good organization run by patients/"consumers" that provides info. ...Read moreSee 2 more doctor answers
I feel tensed almost all the time and sometimes get aggressive too.What can I do?What treatment could help?
Relax, see a doctor: More information is needed to answer. But in general, try to do healthy stuff first: eath heatly, exercise, have good sleep hygiene. If that doesnt work, see you primary care doctor or a psychiatrist to be evaluated for anxiety or depression. Treatment options are therapy or medications, or both. ...Read moreSee 1 more doctor answer
Community-Based: During the 1970s, there were multi-disciplinary community mental health centers established. These centers had therapists and groups and often offered occupational and recreational therapy to a broad range of individuals within their catchment area. On the other hand, there were far fewer options in terms of psychiatric medications than there are now. ...Read moreSee 1 more doctor answer
Bradycardia: It depends on the cause and severity of your bradycardia. Some people have bradycardia but have no symptoms. 43 is low but not critically low and if it is only once or twice but the rest in upper 40s and lower 50s, you may not even need treatment. Your cardiologist will need to go over that with your and advise you on that. ...Read moreSee 1 more doctor answer
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