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Dr. Karnikar

Gynaecologist, Delhi

800 at clinic
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Dr. Karnikar Gynaecologist, Delhi
800 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Karnikar
Dr. Karnikar is a popular Gynaecologist in Bapa Nagar, Delhi. You can consult Dr. Karnikar at KOLMET HOSPITAL in Bapa Nagar, Delhi. Book an appointment online with Dr. Karnikar and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 36 years of experience on Lybrate.com. You can find Gynaecologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Hindi

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KOLMET HOSPITAL

7-B, Pusa Road. Landmark: Near Karol Bag Metro Station, DelhiDelhi Get Directions
800 at clinic
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I had a delivery three months ago exactly. Now what should I do to avoid pregnancy without taking any pill or nasbandi. Will you please help me?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I had a delivery three months ago exactly. Now what should I do to avoid pregnancy without taking any pill or nasband...
Hello, you should opt for a copper-t 380a as an intrauterine contraceptive device to avoid pregnancy and also to space children. Its safe and non-hormonal.
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I have sex with my wife 3 times in a day without any protection after that I give her e- pill before 72 hr sex is there is any chance of pregnancy? She's periods date is 13 and periods come 1 day earlier but its not same as previous periods its lighter than before periods.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I have sex with my wife 3 times in a day without any protection after that I give her e- pill before 72 hr sex is the...
Hello, Using ipill regularly is not advised as it is a high dose hormonal pill. She can start taking regular oral contraceptive pills which also regularises pregnancy
1 person found this helpful
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Do You Know Excessive Hair Growth in Women is Hirsutism

MBBS, MS - Obstetrics and Gynaecology
IVF Specialist, Delhi
Do You Know Excessive Hair Growth in Women is Hirsutism

There are women who feel their looks are spoilt because of the presence of excessive body hair. While hair on women's body is common, excessive body hair isn't a normal condition and must be taken seriously. Women are generally unaware that the condition is known as Hirsutism.

What is Hirsutism?

Hirsutism can be defined as growth of excessive facial and body hair in women. With the world obsessed with flawless skin, such changes from feminine hair pattern (soft, fine, vellus hair) to masculine hair pattern (hard, dark, terminal hair) in a woman is generally unwelcoming and, hence, very distressing for the woman.

Why do some women develop Hirsutism?

In order to understand the reasons for such excessive growth in some women, it is important to understand the differences in the physiology of men and women. The male or female appearance of one's body is dependent on a delicate balance between male and female sex hormones. There is a predominance of the hormone estrogen in a woman's body, whereas androgens (testosterone) are the predominant sex hormones among men. However, some amount of androgens is secreted by the ovaries and adrenal glands (located next to kidneys) in women also. But, an excessive production of these hormones results in Hirsutism. Hormonal imbalance is by far the most common cause of Hirsutism.

Causes of Hirsutism

The common causes of hirsutism include:

1. Endocrine causes

  • Polycystic Ovarian Syndrome (PCOS) - PCOS is a condition of hormonal imbalance in the body, which can result in an irregular menstrual cycle, enlarged ovaries with a cystic appearance on USG, infertility, obesity and hirsutism. For more information on the causes and management of PCOS.
  • Cushing's syndrome - Excessive production of hormone Cortisol by the adrenal glands can lead to symptoms such as high blood pressure, abdominal obesity, skin discoloration, muscle weakness, irregular menstruation, and hirsutism etc. This syndrome is known as Cushing's syndrome.
  • Congenital Adrenal Hyperplasia (CAH) - CAH is a condition of excessive production of hormones Androgens and Cortisol by the adrenal glands and generally manifests in childhood in the form of virilization. In such cases, CAH can present with symptoms such as ambiguous genitals, obesity, hypertension etc. However, sometimes the manifestation of CAH is deferred to early adulthood and results in milder symptoms, hirsutism being one of them.

2. Tumors - Tumors in ovary or adrenal glands can again cause hirsutism due to excessive production of androgens

3. Medications

4. Idiopathic - the woman may be having hirsutism despite normal hormone levels

Treatments

There are essentially two lines of treatment for hirsutism - one is medical management and the other is a cosmetic treatment.


Medical treatments for hirsutism -

A. Birth control pills - It's possible to reduce the severity and intensity of hair growth using birth control pills- the most commonly prescribed medical intervention! The birth control pills help by decreasing the production of androgens by ovaries. Besides this, estrogen present in the pills also helps the liver to produce more of sex hormone binding protein- these proteins bind to circulating androgens, thereby reducing their action on the body. Both these actions help in reducing the growth of hair on the body.

B. Anti-androgen medications - There are three categories of anti-androgen medications, which are commonly used for the treatment of hirsutism.

  • I. Spironolactone - Spironolactone is a diuretic medicine, which blocks the effects of androgens on the hair follicles, thus controlling hair growth.
  • II. Finasteride - Finasteride works by blocking the conversion of body testosterone into its more potent chemical entity, thereby limiting the effect of testosterone on hair growth.
  • III. Flutamide - Flutamide is a potent anti-androgen, which blocks the actions of androgens and helps in controlling the hair growth.

However, we have to ensure that the woman is not pregnant when taking any of these three medications. These medicines are often combined with oral contraceptives, which also have a synergistic effect in reducing the severity of hirsutism. One should also seek an expert opinion before starting these medications as there can be serious side effects, especially on liver.

C. Steroids - Low dose dexamethasone can be used to control the overactive adrenal glands when used carefully. However, long-term steroid therapy has got its own side effects and this therapy should only be considered under expert care and guidance.

D. Insulin sensitizing medicines - Medicines such as Metformin and Pioglitazone (Basically these are anti-diabetic medications) help in reducing insulin resistance in the body, which, in turn, helps in controlling the effects of excessive circulating androgens.

Cosmetic treatment for hirsutism -

One very important aspect of cosmetic management of hirsutism is self-care. This can include shaving, waxing, use of depilators and bleaching creams. All these measures help to reduce the amount of visible hair in undesired parts of the body. But, this needs to be done very frequently for a sustained visible effect.

Permanent hair removal is also possible using electrolysis or LASER treatment. In electrolysis treatment, electric current is passed into the hair follicle using a needle, which damages the root of the hair permanently. Similarly, LASER treatment uses LASER to destroy the hair follicle. Both these are effective methods to get rid of the undesired hair. However, we do not yet know if there are any long-term complications or side effects of these methods and these methods are not yet approved by the US FDA.

Related Tip: How Safe is Laser Surgery for Facial Hair Removal??

4808 people found this helpful

We are planning to postpone our pregnancy.So for that what we have to do ?We want a natural process.

DNB (Obstetrics and Gynecology)
Gynaecologist, Bangalore
The day on which periods start is considered as Day 1 of the cycle. If periods are regular, with bleeding happening every 28 to 32 days, calender method of contraception can be used. According to this method, Days 1-7 of a woman's menstrual cycle are considered infertile, Days 8-19 are considered fertile; considered unsafe for unprotected intercourse and Day 20 through the end of the cycle are considered infertile.
1 person found this helpful

I have one of problem related to my vagina from there white blood is coming which smell is very bad .can you help me why?

Advanced Aesthetics
Ayurveda, Gulbarga
use these ayurvedic medicenes for 15day 1.gandhaka rasayana 1_1tab 2times 2. lukol syrup 10ml 2times a day
1 person found this helpful
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Know The Differences Between IVF And Tubal Ligation Reversal!

MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Udaipur
Know The Differences Between IVF And Tubal Ligation Reversal!

In vitro fertilization (IVF) includes empowering the woman with medicines, taking various eggs from her ovaries, fertilizing them with her partner’s sperm, and inserting a portion of the subsequent embryos into her uterus with the trust that one will form into a fetus. 

Tubal ligation reversal, on the other hand, requires a laparotomy, which needs a much bigger entry point on the abdomen, usually around four to six fingers long. Since the skin, each of the muscles, and different tissues of the stomach must be sliced through, there is extensively more uneasiness and a longer recovery time required after the surgery, when compared with a laparoscopic surgery, for example, with a tubal ligation. 

Here are a few common differences: 

  1. Sperm quality: The male partner needs a sperm test before basic procedures of either of the two. In case that the sperm quality is great, then the couple could consider proceeding. In case that the sperm quality is poor, in vitro treatment is the better alternative. With IVF, poor sperm quality is effectively overcome. 
  2. Tubal status: The length of the remaining tubal stumps after tubal ligation is an important aspect. The more extended the two remaining stumps are on each side, the better and more effective is the pregnancy. The shorter the stumps, the lower are the odds for pregnancy. 
  3. Status of other pelvic conditions: Pelvic endometriosis or any scar tissue in the range of the tubes or ovaries would diminish the chance for accomplishment after tubal ligation reversal. Although, IVF pregnancy achievement rates are usually not influenced by these conditions. Along these lines, in vitro fertilization is most likely a superior alternative in women with noteworthy endometriosis or pelvic scar tissue. 
  4. Female age: Chances for pregnancy with either tubal ligation or IVF decrease in the mid to late thirties and significantly reduce at the age of thirty-eight. By age forty-three or forty-four, not many women will have the capacity to have a baby using either approach. 
  5. Egg amount and quality: A few women have a decrease in either egg amount or quality prior in life than anticipated. In this manner, the woman’s ovarian capacity needs to be tested before a choice is made in regards to whether to continue with either tubal ligation or in-vitro fertilization. AMH levels, ovarian antral follicle number, and day 3 FSH levels are generally done to evaluate ovarian capacity or hold. 
  6. Doctor intervention: The greatest favorable position of tubal ligation reversal over IVF is that once the woman has experienced the surgery she ideally will not require any medication through the doctor, for example, medications or systems, keeping in mind the end goal to get pregnant.
3845 people found this helpful

I am 22 years female married. I am having pcod and difficulty in getting pregnant need some home remedy for pcod.

bams
Ayurveda,
I am 22 years female married. I am having pcod and difficulty in getting pregnant need some home remedy for pcod.
Take ayurvedic medicine like phalaghrita 1 TSF with milk Aswagandha churna+ yowana churna 1TSF withmilkafter food Kanchnaar guggulu tablet 1 tab thrice a day aftr food.
1 person found this helpful
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Hi! Doctor After delivery how much time can I use 1. Birth control pills or injection or loop which is suitable for me or plz zip explain side effects also R

Doctor of Medicine, F.C.P.S.(Mid. & Gynae)
Gynaecologist, Mumbai
You can start using pills or lUCD after three months after delivery if there has been no problem during or after delivery. Birth control pills have to be taken regularly without fail. The low-dose pills have hardly any side effects such as break-through bleeding, mild headache, mild weight gain which usually disappear with time. Failure of contraception may occur. With IUCD and injections there may be spotting or bleeding, painful periods and excessive bleeding during menses. The IUCD may fall off. The side effects may become less as time passes. Regular check-ups to see that IUCD is in place are necessary. But overall side-effects are tolerable and benefits far outweigh the side-effects.
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Sir good evening. My wife got pregnant 45 days. But which food she should take at this time. Please give me suggestion for her. Please advise.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Sir good evening. My wife got pregnant 45 days. But which food she should take at this time. Please give me suggestio...
Nausea is very common in early pregnancy. She is best eating homemade food with a good balance of vegetables/ dal/ roti/rice/ fish /chicken and fruits. She should also try to drink lots of water; can have fruit juices and milk/ yoghurt. It varies based on her personal taste and choice.
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