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Dr. Nirmala M Hirani

Gynaecologist, New Delhi

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Dr. Nirmala M Hirani Gynaecologist, New Delhi
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Nirmala M Hirani
Dr. Nirmala M Hirani is one of the best Gynaecologists in Vasant Kunj, Delhi. She is currently practising at Dr Nirmala M Hirani's Clinic in Vasant Kunj, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Nirmala M Hirani on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 41 years of experience on Lybrate.com. Find the best Gynaecologists online in Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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PCOS: What You Should Know About It?

Fellowship in Reproductive Medicine, MS - Obstetrics and Gynaecology, MBBS
IVF Specialist, Ghaziabad
PCOS: What You Should Know About It?

PCOS or polycystic ovary syndrome is an endocrine disorder in women, in which the female hormones, progesterone and estrogen, are imbalanced. This imbalance leads to the formation of cysts (benign masses) in the ovaries. PCOS tends to affect your heart functions, fertility, menstrual cycle and appearance.

PCOS is a complex condition because it is not entirely clear why some women have such high androgen levels. What is clear is that many women with PCOS also have issues relating to obesity, insulin resistance (a condition where insulin is not effective in lowering blood sugars) and diabetes.

The complexity of PCOS is compounded by the fact that some women with PCOS do not have visible cysts on their ovaries, and some women with cysts in their ovaries do necessarily have PCOS.

How Does PCOS Affect Fertility?

If you’re living with PCOS, the excessive male hormones that your body is creating can interfere with the production of the female hormones that your body needs in order to ovulate. Because your body is not ovulating, progesterone (the hormone that causes the lining of the uterus to thicken) is not being produced. This results in an absence of periods or irregular menstruation. When there is a lack of ovulation and menstruation, conception just isn’t possible.

There are certain symptoms, which can be indicative of PCOS; these symptoms tend to begin as a woman's menstrual cycle starts. In certain cases, however, PCOS may also affect a woman in her mid age. PCOS can also cause excessive hair growth in unwanted places like above the upper lip, chin, arms and chest like a male.

The symptoms are:

  • Increase in the production of male hormone, leads to development of male characteristics
  • The size of the breasts may reduce
  • The tone and the texture of the voice may change and become similar to a man's voice
  • Hair may start to fall
  • You may suffer from acne and pimple breakouts on your face
  • It can lead to sudden weight gain
  • It may affect a woman's fertility
  • It may lead to pain in the pelvis

Other symptoms: Apart from these symptoms, a woman may also experience other health complications such as high levels of bad cholesterol, high blood pressure and diabetes.

Causes: The causes of PCOS are not well known, however, the likely causes are genetics and hormonal complications. If someone in the family has PCOS, then the risk of being affected by PCOS rises significantly. The other likely cause is the overproduction of the male hormone androgen in the female body. Although androgen is a male hormone, the female body also produces it in trace amounts. However, in some cases, when it is overproduced, it might impair the ovulation process.

Diagnosis and Treatment: Once the condition is diagnosed, there are certain treatments, which are recommended for the patient. The condition in itself does not have a cure, but the symptoms can only be controlled.

There are a number of options available, depending on the main issue you are experiencing.

  • Weight loss can be more difficult because of the higher levels of testosterone, but it has a very beneficial effect on balancing hormones and restoring regular periods in obese women. So exercise and a change of diet could have a significant impact.
  • Insulin sensitizers, such as Metformin, reduce the impact of insulin resistance and can also assist in weight loss.
  • Ovulation-inducing drugs such as Clomiphene (Serophene or Clomid) can stimulate the ovaries.
  • If you do not respond to Clomiphene, injectable drugs (FSH) can be used, but these require specialist facilities and close monitoring of the response to avoid severe side effects and multiple pregnancies.
  • IVF treatment may be necessary for very difficult situations.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2810 people found this helpful

I am 35 year old, I have pcod and my menstrual cycle is irregular, suggest for my regular menstrual cycle.

Advanced Aesthetics
Ayurveda, Gulbarga
I am 35 year old, I have pcod and my menstrual cycle is irregular, suggest for my regular menstrual cycle.
PCOS is a condition associated with hormonal imbalances (abnormalities in the function of the HPO axis), which causes lack of control in the production of androgen (male hormone) The diagnostic criteria that confirms a woman has PCOS is if she has any two of these three conditions ? Androgen excess ? Inability to release an egg from the ovaries on a regular (monthly) basis (chronic anovulation)Ovulatory dysfunction (oligomenorrhea or oligovulation) ? Polycystic ovaries (multiple cysts on the ovary) Other symptoms include ? Hirsutism (growth of hair in areas where hair is normally minimal or absent, such as the face, chest, and breasts) ? Acne ? Obesity and metabolic syndrome ? Infertility ? Obstructive sleep apnea ? Diabetes Here are some common causative factors ? Vitamin D deficiency ? Iodine deficiency ? Hormone disrupting toxins ? Abnormal thyroid function ? Problems with intestinal bacteria ? Adrenal Stress ? High Lutenizing Hormone (LH) levels (often as an aftermath result of the pill) ? Eat a low glycemic load PCOS diet ? Foods with a low glycemic load keep blood sugar levels consistent and improves insulin sensitivity. This is basically what the drug metformin does except that we are approaching it in the natural way. Here are some benefits of a low GL PCOS diet. ? It makes weight loss easier ? Keeps blood sugar level more constant ? Helps to prevent insulin resistance ? It aids in burning calories ? It lowers the risk of heart disease. Supplement with Minerals and Vitamins Rich Diet Chromium: Magnesium: Deficiency in magnesium can lead to diabetes and cardiovascular diseases. Examples of magnesium rich Calcium: for ayurvedic treatment ask privately for medicenes
2 people found this helpful
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When is the correct time to take anti-Di injection as we are planning to have a baby.

MBBS, MD - Obstetrics & Gynaecology
Gynaecologist, Pune
When is the correct time to take anti-Di injection as we are planning to have a baby.
If you are rh-ve and your baby is rh you should take anti d injection within 24 hrs after the delivery
1 person found this helpful
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Hi. Am 30. Past 3 cycles am experiencing pain differently to my left side of abdomen. And even though am a short tempered person, recent incidents proved that am get more angry on everyone. Is it a sign of imbalanced hormones or something else? Pls any gynecologist suggest a solution for my doubt.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Hi. Am 30. Past 3 cycles am experiencing pain differently to my left side of abdomen. And even though am a short temp...
Yes it is a sign of hormones imbalance. And if you want to correct the imbalance then take Homoeopathic treatment. Taking hormonal tablets will not help and it has many complications. Still choice is your.
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My husband iz 24 years old v r planning for baby but my husband iz a frequent smoker wil it cause any problem to get me pregnant.

BHMS
Homeopath, Surat
My husband iz 24 years old v r planning for baby but my husband iz a frequent smoker wil it cause any problem to get ...
If you are planning for pregnancy and do not get result then go for your husband's Semen analysis test. As smoking is directly related to low sperm count.
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On krimson 35 pill. Did not miss any, usually take it within a gap of max 2 hrs (early/late. Taken it daily. Pill pack ended on 24th night. On 25th afternoon partner rubs unprotected penis in between buttocks, did not ejaculate. He went to toilet before the act. Moreover no vaginal intercourse was done. It wad my pill free week. And I got my menses on 28th night and its continuing still now (5 days). Is there still a risk of conceiving?

MBBS, MD - Obstetrtics & Gynaecology, PhD(breast diseases)
Gynaecologist, Chandigarh
On krimson 35 pill. Did not miss any, usually take it within a gap of max 2 hrs (early/late. Taken it daily. Pill pac...
No if you have taken the pills properly there is no chance of conceiving in the pill free week. Please start the next pack in time .You are protected in the pill free week.
3 people found this helpful
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All About Sex Toys

MD - General Medicine
Sexologist, Nashik
All About Sex Toys

A little bit of extra spice has never really known to harm anybody. Thus, to enhance the thrill and the excitement of your life in bed, there are an entire range of products available in the markets. One need not approach these products as a competition but rather a complimenting aid to your performance in bed. Some of the most popular sex toys promise heightened pleasure and endow you with some of the best of those intimate memories. Kinder on your calorie counts without compromising on your moments of ecstasy, sex toys bring an extra dose of delight to your bedroom. Effective for either sex, there are multiple options that you may surf through and cull out the best for your significant other.

For her:

  1. Magic Wand Rechargeable: For an orgasm on the go, this is the perfect choice. This does not tether you to the wall, but instead enables you to navigate around freely. The vibrations you feel are not too stark, but just the right degree and for further stimulation, you may attach the removable head. There is an additional plug in option in case the device runs out of charge. 
  2. Womanizer: This imparts arguably the best oral stimulation that you could have asked for. Creating a seal around your clitoris, this device gently sucks and massages you to give you a feeling that might just surpass the real standards. While it has an appearance of an epilator, make no mistake that this is the perfect cunnilingus machine for you.
  3. Iris: Designed to appease the aesthetic sensibilities of a woman, Iris is perhaps the best looking masturbating aid that you can get yourself. The flowery design and the crafty curves feel brilliant inside your vagina. It is nine inch long and thus leaves you with no scope of complaint regarding the length. 

For him:

  1. Male Masturbators: Usually for self stimulation, men themselves come 'handy'. But why settle for the simple when with these sleeves, you can get the feel of the real contours and the ridges? These male masturbators sometimes act as girth enhancers while intensifying your hard-on. 
  2. Prostate Massager: Made of firm plastic material, these slender prostate massagers are great for anal stimulation. Designed to titillate your G spot, this can bring some of the most exhilarating sensations.
3029 people found this helpful
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