Figure 1a shows the appearance of a 27-year-old woman's face before treatment with desiccated thyroid. She had puffiness around her nose and eyes. Her menses gegan at age 16 and were irregular with scant flow. She had no interest in the opposite sex. There was an absence of pubic hair. She was constipated, gained weight easily, had dry skin and hair, had anemia, and she tired easily.
Figure 1b shows the patient's face after 10 months of desiccated thyroid. She was about to be married. Her anemia was resolving. Her periods were every 26 days and the flow had improved.