Quick Overview of Achard Thiers Syndrome

 


Achard-Thiers syndrome is a rare disorder which can be usually seen in women who are in the postmenopausal period with disease like type 2 (insulin-resistant) diabetes mellitus and also it has some signs of androgen excess. Achard-Thiers syndrome also called as diabetic bearded woman syndrome.


Researchers and scientists are still working to find the root cause of this ATS disorder and also this disorder will be seen in most womens with family histories experiencing the same medical condition. In the world around 50% of the women with blood relation like mother or siblings with PCOS also form the same syndrome.


Signs & symptoms of Achard Thiers Syndrome


Below some signs and symptoms are appear in women with Achard Thiers Syndrome hyperinsulinemia such as:


  • More frequent urination

  • Excessive thirst and hunger

  • Sudden Weight loss

  • Lots of cravings for sugar

  • Difficulty in concentrating

  • More of Feeling like anxious or panicky

  • Lack of focus or motivation

  • Severe Fatigue


Signs of postmenopausal bleeding during Achard Thiers Syndrome include:


  • Vaginal dryness

  • Decreased libido

  • Insomnia

  • Stress incontinence

  • Increased urinary tract infections

  • Weight gain


Some other symptoms are likely related to the overproduction of androgens, these may include:


  • Increased body hair

  • Receding hairline

  • Deepening of the voice

  • Enlargement of the clitoris

  • Infertility

  • Obesity


Causes


Main cause of this type of Achard-Thiers syndrome seems to be generally transmitted within families. Around the world 50% of sisters of women who have PCOS will likely have some form of syndrome. The exact cause of transmission within families is unknown.


Diagnosis


Diagnosis of this syndrome starts with an examination of post-menopause complications with high sugar levels and excessive hairs on the body, especially having excess growth of facial hair. 


Hence, most of the women who are affected with ATS syndrome are diagnosed with hyperinsulinemic and also perform oral glucose tolerance tests of two hours to examine abnormal levels of glucose in the blood.


Treatment


Usually the method of treatment is designed by symptoms the patient shows. The most common symptoms are usually in postmenopausal period with type 2 diabetes mellitus and other signs of excess androgen.


Management of type 2 diabetes mellitus:


Healthy eating


There is no specific diet to cure type 2 diabetes. Healthcare professionals believe that some minor deity alterations such as wholesome low fat and calorie, fibre foods. You can take these in small and frequent portions along with replacing artificial sugar with natural sugar will keep your diet plan on a healthy life.


Regular exercise: 

Every individual needs 30 mins of moderate to extensive exercise for a healthy life, especially for diabetic patients to control the production of excess sugar levels. You must consult with a physician for an appropriate exercise plan.


Weight loss: 


People who are obese or weigh more than body mass index which trigger an increase in cholesterol and sugar level. Managing your weight will help you to achieve normal sugar levels.


Possibly, diabetes medication or insulin therapy:


You can use medicines like Metformin, Sulfonylureas, Glinides, Thiazolidinediones, DPP-4 inhibitors, GLP-1 receptor agonists, and SGLT2 inhibitors which are prescribed by your physician to control the insulin and blood sugar levels of the body.


Blood sugar monitoring:


For an effective treatment, you must monitor your sugar level. Your physician will plan your whole regime which is based on your blood sugar level only.


Treatment for postmenopausal bleeding people which revolves around the hormonal imbalance of patient facing during menopause and postmenopausal bleeding, some of the methods are:


Estrogen and progestin therapy: 


To treat vaginal and endometrial atrophy which involves the intake of artificial hormones like estrogen and progestin. This can be possible by using different ways like vaginal pills, vaginal creams, and rings which can be inserted usually by your gynaecologist only.


Hysteroscopy


This type involves the removal of thickened parts of the uterine lining by inserting a hysteroscope in your vagina which helps to make room for surgical equipment for the procedure.


D&C (dilation and curettage)

This is similar to hysteroscopy, dilation and curettage also help you to remove the thickened areas of the uterine lining, but this time, your physicians use a process called dilation which widens up the vaginal walls for the procedure.


Hysterectomy

Hysterectomy is a surgical process which involves the procedure of removing some or all parts of the uterus. This procedure is usually recommended for severe cases like cancer.


Medications

Your doctor must prescribe you some medications like antibiotics, hormone regulators, and other medications which are helping you to treat any possible infection or underlying illness.




Cosmetic procedures have been used for removing uncomfortable hair growth, Doctors can suggest you some methods are:


Shaving: 


The best way to remove excess hair growth from every part of your body. This method is very safe for womens. Because they use it everyday to remove the body and facial hairs with no specific side effects. But the results do not last more than three days.


Topical prescriptions: 


There is no proven prescribed topical cream to remove hair but medicines like Vaniqa are highly recommended by your medical provider. These medicines need regular and routine application to work until it works. You have to use other hair removal products to keep your hair removed. Medications need constant application to work but if the patient discontinued the application, hair growth may grow back.


Depilatory creams: 


Depilatory creams are commonly called hair removal creams. Depilatory creams are good alternatives for removing facial hairs. This cream has the combination of chemical compounds such as sodium, titanium dioxide, and barium sulfide which is used to break down the protein of hair growth which makes it easy to remove from the roots. The results are much better when compared with the shaving method.


Waxing


Waxing method is a very painful and complicated method of removing body hairs but it is the most effective and natural way of removing body hair from roots. People with Achard Thiers Syndrome face a hard time while they go to the salon for hair removal. Hence to save time and energy, you can use home waxing remedy and strip kits.


Frequently Asked Questions


Q1. What is the treatment for Achard Thiers syndrome?

Ans: Treatment for Achard syndrome includes diet therapy and/or insulin or other diabetes medications and oral contraceptives to control androgen overproduction in young women.


Q2. What causes Achard Thiers syndrome?

Ans: Achard-Thiers syndrome is a rare disorder which usually occurs in postmenopausal women and is characterised by type 2 diabetes mellitus and symptoms of androgen excess. 


Q3. When do menopause symptoms stop?

Ans: Symptoms can last for months or years, and can change with time. 


Q4. What are the cosmetic methods for removing hair?

Ans: Methods are Shaving, Topical prescriptions, Depilatory creams, Shaving, Waxing.


Q5. At what age does menopause start?

Ans: The menopausal transition most often begins between ages 45 and 55. 

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