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Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
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Puberty brings hormonal changes which affect the body in a number of ways and the skin is one of the main affected organs. While acne is the more common issue, there are also other lesser known skin lesions, which can bother teenagers. The less common trichoepithelioma is one such disease.
In this health condition, multiple hair follicle tumors are seen on the face after attainment of puberty. These are benign, but not very common. They form small hair shafts, but do not develop into full fledged hair follicles. While the exact cause of these lesions is not identified, they are related to a syndrome called Brooke-Spielger Syndrome. There is also a genetic component where the CYLD gene is affected, and the proteins required for self-protection of the skin are missing. There is also a theory which states this condition to be an autosomal dominant condition. In such a scenario, multiple lesions are seen, and it is also the most common variant of the disease.
The lesions are small, less than 1 cm, isolated, firm, round, and shiny. Their color can vary from brown, to blue, yellow, or pink. The face is first affected, starting from the cheeks, and then slowly moving to the eyelids, and the nose. Multiple lesions are easier to diagnose, while individual lesions can be confused with basal cell carcinoma. The lesions grow very slowly and when multiple lesions are present, they can cause aesthetic concerns. There could be ulceration and recurrence in these patients. The genetically correlated ones have a higher incidence of aggressive behavior both in terms of severity of the lesions and the rate of recurrence.
Treatment: Though they are benign, aesthetic concerns may mandate treatment. The treatment is usually multipronged and includes the following genetic counseling, drug therapy (mostly topical creams and lotions), and minor invasive procedures.
- The best solution is to let them run their natural course, as they usually subside with age, both in terms of numbers and the severity of the lesions.
- Dermabrasion or carbon dioxide laser is useful in improving facial appearance too.
- In more severe cases, surgical removal may be done, which is partial and does not cover the entire depth of the lesion.
- However, in some cases, if there is a concern for malignancy, the lesions are completely excised (excision biopsy) and then sent for biopsy to confirm their benign nature.
Trichoepithelioma is also known by the name hereditary multiple benign cystic epithelioma, which explains the nature of the disease quite well. Other than cosmetic concerns, more so because if affects females, these are harmless in nature. But a detailed discussion with your dermatologist is suggested to confirm the state of the condition.
I want to conceive and get pregnant so can you suggest me a helpful plan. And I have irregular periods. I have under gone many doctors treatment.
Hello doctor I want to be pregnant My cycle is irregular always I think it is 32-34 days long cycle! My last period was 25th march and today is 5th April I haven't got my period yet. We tried to conceived on my last period. I usually get my period under (after) 10 days from the exact date of my period. But I am not yet got my period it's 12 days late today. I took a pregnancy test on Sunday morning 2nd April but the result was negative. Should I have to recheck again after some days? And how long it take to confirm pregnancy in irregular period?
Dear Dr's hello Dr. meri wife ko 24 Oct 2016 ko baby hua hai. So Ab hum yeh janana chatai hai ki ab hum kab Sex kr saktai hain aur Sex krtai huai kin baton ka dhiyan rakhai kiyon abhi meri wife ki delivery hui hai. Please ans thoda detail mai dijia ga thanks.
Polycystic ovarian disease (PCOD) or syndrome (PCOS) is a condition where there are multiple cysts in the ovaries and as a result there are several symptoms in various body parts. One of the significant things to note is that there is a strong correlation between diet and PCOD/PCOS. Read on to understand some of the common symptoms of PCOD and also some nutritional do’s and don’t’s.
Symptoms: Understanding symptoms of PCOS helps in planning a diet in a more rational manner.
- The excessively produced male hormone (androgen) in the body promotes weight gain around the belly area. This needs to be controlled or else, can lead to increased cholesterol, diabetes, hypertension, and heart disease.
- Skin problems such as acne
- Increased insulin resistance, leading to increased sugar levels
- Hirsutism (excessive hair growth)
- Male pattern baldness
While not every problem associated with PCOD can be managed through diet, nutrition changes in a woman can have a significant effect on the overall health and well-being. Some common dietary changes to make when diagnosed with PCOD are listed below.
Higher levels of insulin make the body produce more androgens. PCOD women often have higher levels of insulin, meaning high androgen level, which increases their weight (builds muscle mass). Therefore, to control the level of insulin, high fiber diet like greens, nuts, berries, pumpkin, almonds, whole grains, etc. should be included. These ensure that digestion process is prolonged and blood sugar levels do not rise rapidly.
- Protein-rich food items like tofu, soya, and chicken are also highly beneficial for PCOD women. They do not contain fiber, but provide a full feeling and help in avoiding binge eating. They also do not pack in calories and are helpful in weight management.
- Food items which are generally anti-inflammatory including tomatoes, spinach, olive oil, fruits, and Omega-3 fatty acids are highly beneficial in controlling cholesterol and heart disease.
- Eat good fat. Reduce trans and saturated fats, increase unsaturated fats. Use vegetable and nuts oils to get these benefits.
What to avoid: Anything that can lead to increased sugar levels should be reduced.
- Avoid whites, such as pasta, rice, and bread which are made of refined flour and have absolutely no fiber content.
- Baked and processed foods should be avoided.
- Curb your intake of candies, chocolates, snacks, which are just calories and are of no nutritional value.
- Avoid salty snacks, which again are just calories and not beneficial.
- Do not consume aerated drinks and soda, which are just laden with sugar.
A diet rich in protein, N3 PUFA And MUFA can help reduce inflammation and control diabetes, heart disease, and hypertension. All these are a result of chronic inflammation and can be managed through this approach as also reverse PCOD and its complications. If you wish to discuss about any specific problem, you can consult a Dietitian/Nutritionist.