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Dr. Sunita Fotedar

Gynaecologist, Delhi

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Dr. Sunita Fotedar Gynaecologist, Delhi
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Sunita Fotedar
Dr. Sunita Fotedar is one of the best Gynaecologists in Dilshad Garden, Delhi. You can consult Dr. Sunita Fotedar at Swami Dayanand Hospital in Dilshad Garden, Delhi. You can book an instant appointment online with Dr. Sunita Fotedar on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 43 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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Swami Dayanand Hospital

Swami Dayanand Hospital HOD, Gynaecologist Dilshad Garden Delhi - 95Delhi Get Directions
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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

  • Long term steroid consumption (commonly used for immunosuppression, rheumatoid arthritis, and multiple sclerosis)
  • Performance enhancing drugs (often used by athletes)

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

Praganacy k kitne din baad pet and chest m changes aane lgte h mene sex k time condom use kiya tha and period time 6 feb ka h but pet and chest m halka sa changes h to koi chance h kya pregnancy ka.

BHMS
Homeopath, Indore
Praganacy k kitne din baad pet and chest m changes aane lgte h mene sex k time condom use kiya tha and period time 6 ...
If you want complete assurance thn you hve to wait for you r expected date. If you use precaution thn no need to worry. But still you can go for pregnancy test in lab.
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Childbirth - How Should You Take Care of Your Body After It?

MD
Gynaecologist, Mumbai
Childbirth - How Should You Take Care of Your Body After It?

Childbirth is a very strenuous procedure, one has to undergo. Just like pregnancy, vaginal childbirth can take a toll on your health. But, there are certain simple tips and tricks you can have up your sleeves which can ensure you stay in optimal health post child birth.

Listed below are a few steps one can undertake to take care of your body after childbirth:

  1. A healthy meal: Since childbirth, both vaginal and Cesarean Section (C-Section), are strenuous procedures, you should choose to eat healthy and balanced meal which provides your body with the necessary nutrients and energy. Since, you are also breast-feeding, you need the required nutrients to pass off to your child.

  2. Good rest is a must: You need to sleep on time and rest to relax your body. If you do not rest enough, you will be able to see the negative effects on your skin, manifesting in the form of puffy eyes and reduced energy levels. This puts extra strain on your body. Hire a nanny if you must; but, make sure you sleep on time to give your body the desired rest.

  3. Work-out: You definitely cannot work-out in full flow after you have just had a child as your body is still healing. However, what you can do is engage in mild forms of Yoga stretches and breathing exercises to relax your body. Working out will help you relax your muscles and lose the fat, your body has gained during pregnancy. It also releases ‘endorphins’, the ‘happy hormones’ which make you feel better, both physically and psychologically.

  4. Drink a lot of fluids: It is advisable for you to consume fluids after childbirth. The fluids relieve your body from toxin build-up and help in detoxifying and relaxing your body. Opt for vitamin based drinks and smoothies which impart sufficient nutrition to your body.

  5. Heal your perineum: The best way to take care of your perineum is by cleaning it with lukewarm water and  a few drops of aromatherapy oils or bath salts. Invest in a hazel pad if required as the gentle squirts of water help in cleaning the bacteria and blood off your perineum. If you wish to discuss about any specific problem, you can consult a gynaecologist.

2624 people found this helpful

I have delayed periods. It had always been an issue since last 4 years. How do I go about it?

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Haldwani
I have delayed periods. It had always been an issue since last 4 years. How do I go about it?
Hello- Hello- Your symptoms suggest that you might be suffering from PCOD. Symptoms include irregular or delayed menses, unwanted hair growth etc. PCOD is caused by improper food intake and improper routine specially done in the time of menses. a) Avoid spicy food fast food during the bleeding and take fresh Indian food. B) Use wet sponging instead of taking bath on those days. C) Avoid running, skipping and other exercises on those days. D)Start ayurvedic medicines ASAP.
1 person found this helpful
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My wife is pregnent t. I do not want baby so solve it what can I do? Please answer.

BHMS
Homeopath, Murshidabad
My wife is pregnent t. I do not want baby so solve it what can I do? Please answer.
Dear Lybrate user....Combine 30 ml of Homeopathic Mother Tincture PULSATILLA Q, with 30ml of Homeopathic Mother Tincture GOSSYPIUM Q along with 30ml of another Homeopathic Mother Tincture SECALE COR.....advise your wife to take 20ml of this mixture with water twice daily after meals....wait for 7 days .....in 70% of cases it is observed that menstrual flow has started
1 person found this helpful
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Why Should You Never Miss Taking A Shower?

MD-Internal Medicine , MBBS
General Physician, Delhi
Why Should You Never Miss Taking A Shower?

While many of us wish we could stay under the shower all day in the summers, winters and lazy Sundays find many of us making excuses to skip a shower. However, having a shower not only keeps you clean, it also plays an important part in keeping you healthy and fit. According to Ayurveda, a morning shower is an essential part of the daily routine and is considered as a therapeutic activity. Here are a few reasons you should never skip a morning shower.

  1. It calms your muscles: A shower reduces tension in your muscles and can help relax sore muscles. It also helps increase flexibility and muscle elasticity. If you’ve slept awkwardly and woken up with a stiff neck, a shower can help ease the stress and make you more comfortable. 
  2. Showers boost circulation: Showering with warm water increases blood circulation and ensures that even cells in your extremities receive nutrition. Increased blood circulation also reduces pressure on your heart and protects you against a number of cardiovascular ailments.
  3. It boosts the immune system: The core function of taking a shower is to clean the body. This reduces the number of bacteria and fungal cells that can infect you. A cold shower also stimulates the vascular and lymph system and promotes the production of white blood cells that fight infections. Showering also helps eliminate toxins that are released along with sweat.
  4. Elevates the mood: If you’re feeling blue, a shower may be what you need. Having a cold water shower activates the nervous system and increases the amounts of chemicals such as beta-endorphins and noradrenaline in the blood. These chemicals help fight depression and elevate the mood. Additionally, a cold water shower also sends electrical impulses that have an anti-depressive effect on the brain.
  5. Improves lung functionality: When you put your head underwater, you are forced to breathe differently. Showering makes you take a deep breath and hold it in for a few seconds before exhaling. This action opens up your lungs and increases your oxygen intake.
  6. It makes you more sociable: It’s simple; when you bathe, you smell good. This makes people want to be around you and boosts your confidence. You’re also less worried about your hair looking oily or your shoulders being dusted with dandruff when you’ve taken a shower and hence can focus your attention on conversations.

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

6306 people found this helpful

Hi, Is it safe in 9th month of pregnancy to take Omnix-O for urine infection please tell. Doctor told me to take. Is it safe?

MBBS
General Physician, Greater Noida
Hi, Is it safe in 9th month of pregnancy to take Omnix-O for urine infection please tell. Doctor told me to take. Is ...
Yes, drug is cefixime which is comparatively unsafe but consult a gynaecologist alongwith symptoms for a final decision.
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Hello, I have used morning after pill in my previous menstrual cycle. Im planning to use one again tomorrow. Do the use of these pills that much affect my hormones or health in a bad way? I also want to know whether It is reliable or not to conduct a pregnancy test at home after the day after the intimacy? My pharmacies claims that It gives right results even the following day after the intimacy but I could not be sure. Thanks.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine, CFN
Sexologist, Karnal
Hello, I have used morning after pill in my previous menstrual cycle. Im planning to use one again tomorrow. Do the u...
These pills contain almost 10 times more hormones than a contraceptive pill. This results in hormonal imbalance in your body. Insist your partener yo use condom for tge sake of your health. Best time to do pregnancy test is after uou miss your periods. All the best.
1 person found this helpful
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