INTRODUCTIONHirsutism is defined as excessive male pattern hair growth in a female. 1 The prevalence of hirsutism is 10% in women of child bearing age and is influenced by genetic and racial factors.2 It is cosmetically concerning for women and can affect the self-esteem significantly. 3Women with hirsutism have social phobia, insecurity about interpersonal relationships, shattered confidence and profound psychological sequlae. 4 Quality of life is defined as "the individuals" perceptions of their position in life in the context of culture and value systems in which they live, and in relation to their goals, expectations, standards, and concerns.3 Several indices are available in the form questionnaires to measure the effect of diseases on the quality of life. One such questionnaire is Dermatology life quality index (DLQI), which is valid, simple and practical and is designed to measure the extent of disability caused by various skin diseases. 4ABSTRACT Background: Quality of life is an individual perception of physical, psychological and social functioning. Hirsutism is excess male pattern hair growth in females. In women, hirsutism causes significant psychological and social problems. It impacts quality of life negatively. So, this study was undertaken to determine the quality of life of women with hirsutism using dermatology life quality index (DLQI). Methods: Hirsutism was assessed quantitatively by Ferriman-Gallwey score (F-G score) and qualitatively by selfadministered questionnaires of DLQI. Other parameters such as age, occupation, co-morbidities, socio-economic status, marriage status, religion, educational status were assessed. Results: DLQI of 100 hirsute women, 12% had no effect, 34% had small effect, moderate effect in 37%, had very large effect in 17% and no patients had extremely large affect. Daily activity had highest mean DLQI followed by symptoms and feelings. The mean DLQI score of 100 hirsute women was 6.67±4.57. Mean DLQI score of hirsute women with polycystic ovarian syndrome (PCOS) was 9.96±5.62 which was greater than the patients without PCOS and it was statistically significant (p=0.03). DLQI score was not affected by severity of hirsutism, age, occupation, socio-economic status, marriage status, religion and educational status. Conclusions: Hirsutism had a moderate effect on the quality of life of Indian women. Impairment of quality of life was greater with the presence of PCOS. Daily activity of the Indian women was affected the most due to the presence of hirsutism.
WHO has proposed that mental health is - ' A state of well-being in which the individual realizes his or her abili- ties can cope with the normal stresses of life, can work productively and fruitfully and can make a contribution to his or her community.’ Mental disability has become one of the most dreadful conditions across the world. It is prevalent in almost every society and creates an enormous social and economic burden. Mental illness is charac- terized by disturbance in person, emotion, thoughts, or behaviour. The term mental illness (Mental behaviour) includes a wide variety of disorders, ranging from mild distress to severe impairment of social and occupational functioning. In 2017, 197.3 million people had mental disorders in India, including 45.7 million with depressive disorder and 44.9 million with anxiety disorder. A significant, but modest, correlation between the prevalence of depressive disorder and the suicide death rate at the state level for females and males. Medhya Rasayana affects the human psyche and mainly work at the level of neurotransmitters. Daily use of Medhya Rasayana is not only good for memory but also promotion of mental health. So, these media rasayan (Yashtimadhu, Guduchi, Shankhpushpi, Mandukaparni) drugs are effective in the treatment of mental disorders. Keywords: Medhya, Rasayan, Anxiety, Neurotransmitters.
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