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.
Book Clinic Appointment with Dr. Sunita Fotedar
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
Pap Smear Procedure
Urinary Incontinence (Ui) Treatment
Submit a review for Dr. Sunita FotedarYour feedback matters!
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
- 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
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??
Hello Dr. .meri age 27 hai. marrige ko 2 saal ho gaye .baby hum log abi 5 month se try kar rah h but concieve nai ho pa rah h mujhe thyriod h mera T3 99.88 hai T4 6.25 hai and tsh 5.8 hai .mai 25 mg ki medicine le rahi hu .dr ne sonografy karwaya to ovary me toda swelling nikla .to Dr. ne pcod bola hai. But mujhe period ekdam normal aur time se aate h .mera weight 68 h .dr ne kaha mera weight jyada h isliye concieve nai ho payega abi 3 month aur .mujhe Dr. ne hormony F aur angolica medicine khane ko kaha hai .kya mujhe such me baby concieve nai ho payega.
I missed my period (last it got on 17 of April. I am sexually not active. But I got physical with my fiance. (We didn't have sex yet). Every time we get physical. My lower becomes lifeless and there is some kind of dizziness in me for at least a week. But the point is we met on 26 th of may. And I should get my period on 17. It was already late by 10 days before meeting him. I generally use ladies shaver to remove my pubic hair and after removing. I apply hand sanitizer over there. My fiance use to give me blow job and also do fingering. There is some kind of very small brasser (diane) on my vagina and I feel continuous itching there. Is it a some kind of disease I am suffering through! What to do!
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.
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:
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.
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.
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.
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.
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.
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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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!