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Endocrine Perspective

IN THIS ISSUE of International Hair Route, instead of answering a question in the usual way, I want to use this column to inform electrologists about an important organization, the Polycystic Ovarian Syndrome Association (PCOSA). There has been a great need for an organization to meet the needs of women with PCOS, but until recently there has not been any. For those of us who spend a large part of our time working with women with this condition, the situation has been a demoralizing one. There are associations for diabetes, heart disease, arthritis, even alopecia areata but none for PCOS. Fertility organizations have had some involvement, but fertility is only one of the concerns of women with PCOS. This lack of advocacy, together with the general lack of public awareness, has made the condition even more frustrating. Amazing for a disorder that affects at least five percent of women!
Now, I am glad to be able to report that the situation has changed. The PCOSA, successfully launched in 1996 and granted non-profit status in 1998, is growing rapidly. I have been very favorably impressed by the energy level and enthusiasm of this new organization. Their dual goal is to provide education for women with PCOS and their families, and to educate physicians: All electrologists know how necessary this last component is!
The PCOSA also provides peer support that can transform the life of a PCOS patient by showing her that she is not alone. Many of the effects of PCOS are embarrassing – increased hair growth, acne, loss of scalp hair, weight gain – and strike directly at self-esteem. Electrologists have often provided the only support that women with PCOS ever get. Women with hirsutism often find it hard to discuss their plight even with close friends and family members.
I know from first-hand experience that the PCOSA does a wonderful job. It is a valuable resource for electrologists to refer their clients to. For a woman to meet others with PCOS – or even chat with them on the Web – does a lot to take away the stigma of the condition and to decrease the terrible isolation experienced by so many women who suffer from it. Although I see several patients with PCOS every day, I am always amazed at how many of them will look at me on their first visit and say, “Doctor, have you ever seen anyone else like me.” It is very satisfying to know that we now have an organization to which we can refer these women for education and support.
Though I have been aware of the PCOSA for some time, I got to know the organization well in June, when I attended its annual meeting, in San Diego. Two hundred people attended an excellent scientific program, chaired by my good friend Walter Futterweit, MD, of Mt Sinai Hospital in New York City, who is the medical advisor to the organization. Many electrologists know Dr. Futterweit’s book, Polycystic Ovarian Syndrome, the first substantial medical text on this condition and still the most comprehensive review of the literature.
Because Dr. Futterweit was able to enlist many of the world’s leading authorities to serve as faculty, coverage of the conference was comprehensive, with skin aspects, gynecological issues, infertility and nutrition, being particularly well covered. I spoke on menopause and PCOS, as well as Vaniqa – the cream that slows hair growth – which will probably be introduced soon. I also conducted a workshop on PCOS and teens. I was pleased to see this attention to PCOS and life stages, because the experience of living with PCOS is different at different ages. Teens and menopausal women have had even less information available to them than others with PCOS.
The PCOSA plans to have a similar annual meeting every year; the 2001 meeting will be held in Philadelphia in the spring; exact dates have not been set. I recommend it to all electrologists as a very valuable educational event. The association also plans to have a series of regional conferences. I will be speaking at the one in New York City, at Mt Sinai Hospital, on September 10, 2000. (This is as good a place as any to announce to my readers that I am planning to move my practice to NYC sometime this fall.)
PCOSA was founded by a courageous woman, Christine Gray Dezarn, with help from Mary Clark. Christine has PCOS, but like so many women with this condition she searched in vain for explanations from the medical establishment. Finally, it was through the Internet that she was able to contact others like herself. All women are indebted to her for her work in founding PCOSA. I have no doubt that the organization will become an increasingly major presence among voluntary health organizations. They have successfully raised funds for excellent meetings. This year, the San Jose Padres Wives’ Charitable Foundation included PCOSA as one of its beneficiaries.
Some of the officers at PCOS are: Kristen Rencher, Executive Director; Corrina P. Smith, Director of Media Relations; and Lisa Weinstein, Chapter Development Coordinator for the Northeast. All can be contacted as described below.
I hope electrologists will make their clients aware of this valuable resource. The Polycystic Ovarian Syndrome Association can be reached through their toll free number 877-775-PCOS, or their website www.PCOSupport.org. The newest program is a series of chat sessions, started in July, with several board members as well as myself, participating. There are chats nearly every evening – check the schedule on the organization’s website.

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