The Ultimate Hair Removal Guide

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. More here...

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Factors affecting healing

Removal of hair allows better visualisation of the wound. It also facilitates application of adhesive dressings and suture removal. However, evidence has shown that shaving of skin at an early stage preoperatively increases bacterial counts in the area, and shaving more than 12 h before incision can significantly increase the rate of wound infection. Hair removal should therefore be performed where necessary just prior to surgery (see Ch. 8).

Key theoriesstages of physical development

Physical development shows a significant change at puberty - defined as the point where sexual maturity is reached. In girls this is easier to define as it is marked by the first menstrual period (menarche) and increased breast size, while in boys it is more subtle and marked by growing penis and testicles, change in voice and, in both cases, growth of pubic hair. A growth spurt will also occur in both sexes, although this will generally be later in boys than girls and takes the form of increases in both height and weight.

Structure and function of the hair follicle

The main functions of mammalian hair are insulation and camouflage. These are no longer necessary for the naked ape, although vestiges of this remain in the seasonal patterns of our hair growth (Randall and Ebling 1991) and the erection of our body hairs when shivering with cold. Mammals often have specialised hairs as neuroreceptors e.g. whiskers and this remains slightly in human body hair with its good nerve supply. However, the main functions of human hair are protection and communication. Eyelashes and eyebrow hairs prevent substances entering the eyes and scalp hair may protect the scalp and back of the neck from sun damage during our upright posture. During puberty the development of axillary and pubic hair signals the beginning of sexual maturity in both sexes (Marshall and Tanner 1969 1970 Winter and Faiman 1972 1973) while the male beard, like the mane of the lion, readily distinguishes the sexes.

The treatment of androgenpotentiated hair disorders

Once a serious underlying pathology has been eliminated, a range of treatments is available for hirsutism (Azziz 2003). Cosmetic treatments such as bleaching, depilatory measures such as shaving, waxing, electrolysis or laser are common. Electrolysis with the aim of permanent removal by killing the dermal papilla and germinative epithelium stem cells is the most established long-lasting treatment, but it is expensive, time consuming and may cause scarring removal by laser Androgen receptors are necessary for all androgen-dependent hair growth and 5a-reductase type 2 for most, but not for female patterns of axillary and pubic hair, even in men. gender induction of hair follicles. Nature 402 33-34 Saitoh M, Sakamoto M (1970) Human hair cycle. J Invest Derm 54 65-81 Sanchez LA, Perez M, Azziz R (2002) Laser hair reduction in the hirsute patient a critical assessment. Hum Reprod Update 8 169-181 SawersRA, Randall VA, IqbalMJ (1982) Studies on the clinical and endocrine aspects...

Emergency Department Treatment And Disposition

Treatment is preceded by forensic evidence gathering, consisting of a Wood lamp examination to identify semen for collection, pubic hair sampling and combing, vaginal and cervical smears (air-dried), a cervical and vaginal wet mount to identify sperm, vaginal aspirate to test for acid phosphatase, and rectal or buccal swabs for sperm. A prepackaged kit with directions may be available to facilitate the collection of evidence.

Palpate the Femoral Pulse

The femoral pulse is evaluated with the patient lying on the back and the examiner at the patient's right side. The lateral corners of the pubic hair triangle are observed and palpated. The femoral artery should run obliquely through the corner of the pubic hair triangle inferior to the inguinal ligament at a point midway between the pubic tubercle and the anterior superior iliac spine. Both femoral pulses may be compared simultaneously. The technique is demonstrated in Figure 15-9.

Hypopituitarism Simmonds disease

Causes include chromophobe adenoma, tumours of surrounding tissues (e.g. craniopharyngioma), skull fractures, infarction following postpartum haemorrhage and infection. Clinical features include loss of axillary and pubic hair, amenorrhoea, features of hypothyroidism and adrenal insufficiency, including hypotension, but with a striking pallor, in contrast to the pigmentation of Addison's disease (see p. 447).

Abnormal Puberty Key Points

*The Tanner stages of puberty in girls are based on breast size and shape and pubic hair distribution. Mean age of milestone attainment is shown in parentheses for the reference population of Marshall and Tanner. Actual age at milestone attainment may vary among individuals and among different study populations. 9 years in boys is considered precocious puberty. The Lawson Wilkins Pediatric Endocrine Society guidelines recommend that breast development or pubic hair in white girls before age 7 and black girls before age 6 should be evaluated for precocious puberty. Boys of all races should be evaluated for precocious puberty with signs of secondary sexual development at age 9 or younger (Kaplowitz and Oberfield, 1999). These guidelines are under some debate as setting perhaps too early an age for defining precocity. Some child endocrinologists believe that defining precocity as only those children with sexual development younger than 7 years will lead to missing some conditions that...

Epidemiology and etiology

Operative characteristics are based on the actions of both the patient and the operating staff. Shaving of the surgical site prior to operating can produce microscopic lacerations and increase the chance of SSI and is, therefore, not accepted as a method of hair removal.5 Maintaining aseptic technique and proper sterilization of medical equipment is effective in preventing SSI. Surgical staff should wash their hands thoroughly. In clean surgeries, most bacterial inoculums introduced postoperatively are generally small. However, subsequent patient contact between contaminated areas (nares or rectum) and the surgical site can lead to SSI. Finally, the appropriate use of antimicrobial prophylaxis can have a significant impact on decreasing SSIs.

The mechanism of androgen action in the hair follicle

Men with 5a-reductase deficiency also contribute to our understanding because they exhibit axillary and female pattern pubic hair, but very little beard growth they are not reported to have male pattern baldness either (Griffin and Wilson 1989) (Fig. 6.3). A role for 5a-reductase in male pattern baldness is also supported by the ability of oral finasteride, a 5a-reductase type 2 inhibitor, to promote hair regrowth (Kaufman et al. 1998 Shapiro and Kaufman 2003). This suggests that the formation of terminal pubic and axillary hair can be mediated by testosterone itself, while that of the secondary sexual hair of men requires the presence of 5a-dihydrotestosterone. This demonstrates a third paradox in androgen effects on hair follicles. Why does the stimulation of increasing size in some follicles e.g. beard require 5a-dihydrotestosterone formation, while follicles in the axillary and pubic regions carry out the same changes in the absence of 5a-dihydrotestosterone Since androgens are...

Masculine secondary sexual adornments a comparative perspective

Nasalis Larvatus Skica

Very little is known about the origins of the human beard, or of male pattern baldness, and the marked reduction of human body hair. One suggestion is that male pattern baldness might have a function in heat loss and in thermoregulation, especially in bearded men (Cabanac and Brinnel 1988). The argument is not convincing. Body hair is sparse in human beings its reduction during human evolution, together with increased sweat gland activity, has been linked to specializations for thermoregulation in tropical savannah environments (Wheeler 1984 Jablonski 2006). It has also been suggested that hair reduction may have been adaptive in lessening ectoparasite loads (such as lice) in ancestral humans (Rantala 1999 Pagel and Bodmer 2003). Indeed, of

Chimpanzee Reproduction Genitals Penis

Gorilla Male Genitals

Of the penis as a visual signal (Short 1980 Diamond 1997) is very difficult to evaluate. It is certainly the case that the human penis is more prominently displayed than in many non-human primates, especially because humans are bipedal, and loss of the surrounding body hair renders the external genitalia and pubic hair more conspicuous. Cross-cultural studies have shown that altering the length of the non-erect penis in images of the human male does influence female ratings of attractiveness, although it is not necessarily the largest penis which is rated as most attractive (China Dixson et al. 2007a Cameroon Dixson et al. 2007b). Stulhofer (2006) has also reported that many women rate penile length and girth as being a significant factor in judgements of their male partners. Thus it

The Radial Artery Forearm Flap Phalloplasty

The nondominant forearm is used in all patients having checked the vascular competency of the superficial and deep palmar arteries with an Allen test followed by a duplex ultrasound study when there is doubt. Patients can have pre-operative laser hair removal from the forearm in order to improve the cosmesis if they wish.

Physical Appearance

Aortic rupture or dissection in Turner syndrome was mentioned earlier (see Fig. 8-9).7,64,80,129,218,219,241 The typical XO Turner phenotypic female (see Fig. 8-10) is of short stature with webbing of the neck, absent or scanty auxiliary and pubic hair (ovarian dysgenesis), broad chest with widely spaced hypoplastic or inverted nipples, low anterior and posterior hairlines, small chin, prominent ears because Thirteen-year-old girl with 45XO Turner syndrome and coarctation of the aorta. Physical appearance is characterized by short stature, webbing of the neck, absent pubic hair, wide-set nipples, and small chin. Bangs obscure a low anterior hair line. Thirteen-year-old girl with 45XO Turner syndrome and coarctation of the aorta. Physical appearance is characterized by short stature, webbing of the neck, absent pubic hair, wide-set nipples, and small chin. Bangs obscure a low anterior hair line.

The paradoxical effects of androgens on human hair growth

Normal Man Body

One of the first signs of puberty is the gradual appearance of a few larger and more pigmented intermediate hairs, firstly in the pubic region and later in the axillae. These are replaced by longer anddarker hairs (Fig. 6.2) and the area spreads. In boys, similar changes occur gradually on the face starting above the mouth and on the central chin, eventually generally spreading over the lower part of the face and parts of the neck, readily distinguishing the adult male (Marshall and Tanner 1969 1970). The adult man's pubic hair distribution also differs from the woman, extending in a diamond shape up to the navel in contrast to the woman's inverted triangle. Terminal hair on the chest and sometimes the back is also normally restricted to men, though both sexes may also develop intermediate terminal hairs on their arms and legs, with terminal hairs normally restricted to the lower limbs in women (Fig. 6.3). In all areas the responses are gradual, often taking many years. Beard weight...

Pubertal Growth and Development

The first sign of puberty in boys is an increase in growth of the testes and scrotum, with reddening and wrinkling of the scrotal skin. Pubic hair appears within 6 months, followed by phallic enlargement in 12 to 18 months and peak height velocity 2 to 2.5 years after testicular enlargement (Copeland, 1986). Axillary hair usually appears 2 years after the beginning of pubic hair growth (stage 4 pubic hair), but there is considerable variability. Some boys may have enlargement of the breasts midway through adolescence. Following the attainment of peak height velocity, boys develop mature spermatozoa, full facial hair, and voice change. However, breaking of the voice is a late and often gradual process. In girls, the breast bud is the first sign of puberty, and the pubertal growth spurt typically occurs concurrently, peaking at stage 3 breast and pubic hair. The uterus and vagina develop simultaneously with the breast, but menarche usually does not occur until stage 4 breast and pubic...

Normal Sexual Development

Sexual maturation in females starts with breast development (thelarche) at a mean age of 11 years, followed by pubic hair development and menses (menarche). In males it starts with scrotal corrugation and testicular enlargement at a mean age of 11.5 years, followed by growth of the penis and pubic hair. uterus and proliferation of endometrium. In addition, estra-diol enhances development of, and increase in, the ducts of the breast and body fat. Estrogen in low levels enhances linear growth, and high levels increase the rate of fusion of epiphy-ses. Testosterone is responsible for the increase in muscle mass, sebaceous glands, and voice changes seen in pubertal males and is a linear growth accelerator. In females, testosterone accelerates linear growth and stimulates pubic and axillary hair development. Progesterone in females is responsible for development of a secretory endometrium and plays a role in breast development. Linear growth and pubic hair development in both males and...

Patient preparation

Shaving the skin in the area of the operation on the night before surgery has now been shown to increase wound sepsis rates. Tiny nicks in the skin acquire bacterial contamination, which is at a much higher level than in the unshaven skin. Hair removal by clipper is advised, or it should not be done at all. Certainly, if shaving is to be performed, this should be done in the anaesthetic area immediately before surgery is about to take place.

Infection

Shave It is impossible to carry out a shave without causing injury to the skin. Bacteria flourish and multiply rapidly in these minute cuts. The clean wound infection rate was found to be 2.5 in shaved patients compared with 1.7 for those who had had their pubic hair clipped and 0.9 for those who were not shaved (Cruse & Foord, 1980). Mishriki et al. (1990) and Moro et ai. (1996) also found shaving to be a significant factor in the development of infection. Mishriki et al. suggest that this is particularly so when contaminated and dirty procedures are undertaken and bacteria are shed on the skin. It is generally recommended that if a patient needs to be shaved preoperatively, it should be done just prior to surgery.

Complications

Two minor side effects of beam therapy are pubic hair loss and fatigue. The hair loss may be temporary or permanent, but the radiation does not affect hair on the head. Fatigue, which may be marked, usually begins three to four weeks after the treatment course begins. Exercise can help one study reported that men who walked for thirty minutes each day during the treatment period experienced less radiation fatigue.6

Case history

Julie is a 15-year-old girl, who has participated in gymnastics at a national competitive level since the age of 8 years. Currently, she is active in sport 6 hours a week. Julie is healthy and takes no medication. There is no indication of anorexia. Julie's birth weight and length were 3.0 kg and 49 cm. Her mother experienced late puberty with menarche at age 15 years. At the age of 15, Julie is in breast stage 2 and pubic hair stage 1 with sign of early pubertal growth spurt (Fig. 3.4.4). Note that weight for height is well within the normal limits, between the 25th and the 50th percentile. Marie is also 15 years old and she has been active in swimming at a competitive level since the age of 8 years. She is swimming 9 hours a week. She is healthy, takes no medication, and has normal eating habits. She is in breast and pubic hair stage 5, and Marie had menarche at the age of 11.4 years. Marie's birth weight and length were 3.4 kg and 52 cm. Her mother had menarche at the age of 12...

The Road to Truth

However, there has been relatively little detailed experimental or cross-cultural work conducted on the significance of masculine facial hair. The origins of the human beard, whether via inter-sexual selection (via attractiveness) or intra-sexual selection in relation to status and dominance, are still unclear. It may be significant that beard growth accentuates the appearance of another masculine trait the larger size and length of the lower face and jaw (Barber 1995). Because beard growth is stimulated by testosterone, it could provide yet another potential cue concerning physical maturity and reproductive condition. It may be a very ancient trait indeed, representing part of a suite of specializations inherited from australopithecines, or the earliest members of the genus Homo. Although Darwin drew attention to the occurrence of beards in some non-human primates, the degree of homology is questionable. This is because growth of human facial hair, like pubic hair, is stimulated by...

Precocious Puberty

Normal pubertal development requires activation of the hypothalamic-pituitary-gonadal axis (see Figure 19-3). In girls, the first sign of puberty is typically breast development, occurring between ages 8 and 13 years, followed by the appearance of pubic hair and menarche. In boys, the first sign of puberty is usually testicular enlargement, occurring between ages 9 and 14 years, followed by the appearance of pubic hair and penile growth. Generally speaking, pediatricians and pediatric endocrinologists consider the appearance of secondary sex characteristics to be precocious in white girls prior to age 8 years, in black girls prior to age 7 years, and in boys of any race prior to age 9 years (Rodriguez and Pescovitz 2003).

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