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Dr. Amish Doshi

Gynaecologist, Mumbai

Dr. Amish Doshi Gynaecologist, Mumbai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Amish Doshi
Dr. Amish Doshi is a popular Gynaecologist in Vile Parle, Mumbai. You can visit him at Ashish Maternity And Nursing Home in Vile Parle, Mumbai. Save your time and book an appointment online with Dr. Amish Doshi on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 42 years of experience on Lybrate.com. You can find Gynaecologists online in Mumbai 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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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??

4805 people found this helpful

Hello doctor, again same thing happening with me as last time. My period is due. I have to get my periods on 4 may. V had our intercourse on 16 April nd alternative days till may 1 nd last month I got on 4 April. Last month I got my periods delay for 12 days. Nd taken test it was negative. Nd this tym also not got my periods. My periods usually 30 to 33 days. Cycle. So please suggest me till how many days I have to wait for my periods. Nd take pregnancy test. My weight is 61 kg. Having hypothyroid taking tab 62 mg thyronorm. Daily. M worried please suggest me.

BHMS
Homeopath, Howrah
Hello doctor, again same thing happening with me as last time. My period is due. I have to get my periods on 4 may. V...
Hypothyroid may be the cause for delay in menses. If you have doubt of pregnancy perform your pregnancy test in 4 to 5 days of missed period. As it shows more accuracy. Today is 12, you can still perform, if negative wait for a week to appear menses normally. And if this irregularity remains persistent then get your ultrasonography done for pcod.
1 person found this helpful
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I am 6 weeks post-partum, breastfeeding, me and my husband had unprotected sex tonight, my doctor had given me n-ethi tabs to stop bleeding. I wanna know which pills I can take to avoid pregnancy?, would I really be pregnant, please prescribe a pill.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am 6 weeks post-partum, breastfeeding, me and my husband had unprotected sex tonight, my doctor had given me n-ethi...
While choosing a method of contraception, it is important that it not interfere with lactation or have negative effects on the infant. Iucd or copper t is more effective than condoms and progesterone only pills. Oc pills suppresses milk production. Estrogen containing contraceptive pill either it is standard dose or low dose, it reduces the volume of breast milk. Progestin-only contraceptives like cerazette for 28 days are safe for use by breast-feeding mothers if copper t is not acceptable.
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Hi doc my wife is pregnant less than a month now. Is it safe to travel in bike in this period ? Is it safe to have intercourse now?

MD - Alternate Medicine, DNHE, BHMS
Homeopath, Ahmedabad
Hi doc my wife is pregnant less than a month now. Is it safe to travel in bike in this period ? Is it safe to have in...
At least for first 3 to 4 months, she needs to take care for both bike travelling and intercourse, as its delicate period.
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Conditions When You Should Avoid Sex During Pregnancy

MS- Gynaecology, MBBS
Gynaecologist, Delhi
Conditions When You Should Avoid Sex During Pregnancy

Love making during pregnancy is less talked about because it is a customary to distance pregnant ladies from intimacy. Many women even find it very uncomfortable to have sex during the pregnancy period as their body gets bigger. However, there are other ways you and your partner can opt for to satisfy your needs like caressing, holding each other and kissing. There are some partners who feel sex during pregnancy is the best moment for sex, while there are others who are feared and have their own concerns.

Sex During Pregnancy
Sex during pregnancy should be avoided. If at all done should be gentle, it should avoid pressing abdomen. However, it is safe in second trimester if woman is comfortable. Yes, it is alright for partners to have sex from second trimester onwards, if the woman has had a healthy pregnancy.  This is because the thick mucus plug which seals the cervix in pregnant women safeguards the baby against any infection. The strong muscles of the uterus as well as the amniotic sac, keep the little one safe in the womb. NO damage can be caused by the penis of your partner to the baby while having sex. Women can feel some movement of their baby after orgasm. Couples need not worry about the baby, as in no case it would provide discomfort to the baby. The chances of having a premature baby are reduced at times by having sex regularly.

Conditions to Avoid Sex

  1. The conditions in pregnancy when it is better to avoid sex mainly include times when any spotting or bleeding occurs during early pregnancy. In such a case, the Doctors advise not to have sex for at least 14 weeks.
  2. Your doctor may even advise a pregnant woman not to have sex if she has a history of cervical illness, has had heavy bleeding, had a vaginal infection, and in case of low lying placenta.
  3. Pregnant woman experiencing frequent abdominal pain or cramps must also avoid sex during their pregnancy.


Sexual Behavior to Avoid During Pregnancy

  1. There are 2 ways that are not safe and must be avoided while having sex during pregnancy. The first way is oral sex. Any pregnant woman must not allow their spouse to blow air into the vaginal region. Blowing air into the vagina can cause air embolism, and this can be potentially serious for the mother as well as the baby.
  2. Pregnant women should not have sex with partners who have unknown sexual history as there are chances that he is infected with sexually transmitted diseases like HIV or Herpes. The diseases can be easily transmitted to the baby if you have sex with such a partner. It is better to avoid any complications and stay away from sex during the pregnancy period.

If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

2535 people found this helpful

Doctor am 5 months pregnant so can I eat jack fruit in my pregnancy? Is it safe to eat during pregnancy or it will harm my baby?

MBBS, DGO, MD - Obstetrics & Gynaecology, MRCOG
Gynaecologist, Delhi
Doctor am 5 months pregnant so can I eat jack fruit in my pregnancy? Is it safe to eat during pregnancy or it will ha...
Dear lybrate-user, there is no harm in eating moderate amounts of jack fruit anytime during pregnancy, cook it well before consuming.
1 person found this helpful
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Hi Doctor. My girlfriend is very short than me almost 1 feet small. My girlfriend said me that she feels pleasure and also kind of uncomfortable in her vagina when we have sex. We already have sex more than 60 times but still she says sometimes it hurts and is uncomfortable but at the same time she feels pleasure too. And also my penis is curved to the left. What may be the reason? Overall is feels pleasure but also feels uncomfortable. Is it because of my curved penis ? Or what do you suggest us to do?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Hi Doctor.
My girlfriend is very short than me almost 1 feet small.
My girlfriend said me that she feels pleasure and...
Pain during intercourse in a female can be due to various reasons like cervical infections, vaginismus, malignancies etc. Pain due to curved penis is less likely a cause for pain. If pain is persistent do ask your partner to consult a gynecologist for a detailed examination.
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What if the sonography reports show twins but the nutrition bag is just one even aftr 11weeks of pregnancy?

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
What if the sonography reports show twins but the nutrition bag is just one even aftr 11weeks of pregnancy?
Hi, well it happens when they are monochorionic twins. So you should be under proper monitoring of a gynec, eat well, take gentle exercise and drink lots of fluids to maintain proper circulation. Last but not the least be stress free! regards, Dr. Rita bakshi, international fertility centre.
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I am a 32 years old my marriage had a 2 years also complete but my wife have no pregnancy symptoms so my wife is completely ok but I have been consult to specialist Dr. he gave me advised to check your semen analysis test and I was test my semen and my test in sperm count very low like this 30 percent so what am I do please give me a suggestion.

MBBS
General Physician, Faridabad
I am a 32 years old my marriage had a 2 years also complete but my wife have no pregnancy symptoms so my wife is comp...
eat 5 foodRed peppers, carrots, oatmeal, dried apricots The vitamin A in these foods help grow healthy sperm and improve male fertility. “Deficiencies in vitamin A in men have been linked to lowered fertility due to sluggish sperm,Expect Before You’re Expecting. To increase sperm count and motility, eat dark green lettuce, broccoli, spinach, sweet potatoes, and dairy fortified with vitamin A.
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I am suffering from pcod. Is there any problem at the time of pregnancy. And how should I know that I'm pregnant as I am taking menstrual pills?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I am suffering from pcod. Is there any problem at the time of pregnancy. And how should I know that I'm pregnant as I...
Pills act as contraception if taken properly and hence prevent pregnancy. If in doubt you can always do a urine pregnancy test. It is very important to normalise your body weight to improve pregnancy outcomes. Please read my health tip on pcos. You might find it useful.
2 people found this helpful
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My period is two days late when should I take pregnancy test at home rpl me soon thank you.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
My period is two days late when should I take pregnancy test at home rpl me soon thank you.
if you have doubt for pregnancy then do urine pregnancy test done.otherwise wait for 5-6 day .menses delayed may be due to hormonal imbalance.
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In how many days of pregnancy child starts breathing?

CCST, Accredation in Colposcopy, MRCOG, MD, DGO
Gynaecologist,
In how many days of pregnancy child starts breathing?
Respiratory movements are seen throughout in the developing fetus. However the first breath is actually established independently at birth.
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Hi, I had termination of 5 month baby on March 7 and after that 2 week bleeding and on April 11 I got periods for 5 days on 6 th day we had unprotected sex and on 7 th day also we had sex after sex I got bleeding today for some time and now it's not bleeding but some things like very light red color almost white discharge is coming. In this cycle I will ovulate or what I want to become pregnant very soon. please help me. Will there be any problem if I get pregnant in ths first cycle. I'm physically strong oly mentally as well.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
Hi, I had termination of 5 month baby on March 7 and after that 2 week bleeding and on April 11 I got periods for 5 d...
Hello, please avoid pregnancy for at least 3 months as uterus requires time to return back to its pre-pregnant state. During sex you were in your safe period so pregnancy is unlikely, the bleeding can be caused post totally due to cervical erosions.
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Hi doctor My wife got pregnancy. She is one and half months pregnant. She is suffering with migraine. What medicine is given to her to control migraine. Can I give crocin advance?

BHMS
Homeopath, Mohali
Hi doctor
My wife got pregnancy. She is one and half months pregnant. She is suffering with migraine. What medicine i...
Hello Librate user, Donot use any medications without consulting doctor. They may effect the child.
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After 3 miscarriage first time Ivf with own eggs. What are the chances of success rate, with 3 eggs. Is Doctor use all egg?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi lybrate user, chances of success of ivf depend upon multiple factors like egg quality, sperm quality, endometrium quality, embryo quality, systemic factors. Please share clinical history in detail with all blood investigations to guide you in best possible way. Please also share your current ivf protocol embryo picture and ultrasound images.
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I lost my father 10 years ago and since then my mother has been working. Her office timings are from 10 am-6 pm. Firstly she complained about excessive bleeding and like something is shivering within the ankles. She also felt as if something hair-like substance is always present below her tongue in her mouth. Sought several medication (both allopathic and homeopathic) but none of them helped. Since her childhood, allopathic medicines always posed problems for her as it never suited her (feels like burning within). In 2013, she underwent a surgery and got her uterus removed. But after her operation when she was given allopathic medicines in abundance, problem of acidity began. Doctors said she is suffering from depression. Right now she is taking homeopathic medicine. She also sees a lot of dreams in her sleep at night and a results she wakes up 2 to 3 times during the night. And the moment she wakes up. Her heartbeat increases tremendously. And feels as if whole body is burning.help me on this

BHMS, MD Medicine
Homeopath, Chennai
I lost my father 10 years ago and since then my mother has been working. Her office timings are from 10 am-6 pm. Firs...
Hi lybrate-user, whatever history you have mentioned about your mother it's really in psychological issue. Its not mean she is psyche but she got deep hurt. Now whether this depression is because of sudden shock after closenone s death or anxiety, stress tension. That we have to rule out. Again what she think that matter a lot to treat her. What kind of dreams she has. All her history. She need counselling too. Whatever medicine she is consuming and medical history also required. Still that olive bach flowers medicine 5 drops in 1/2 glass of water you can start for her. After consultation we can give her counselling n proper homoeopathic medicine. Thank you surely she will get well soon.
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10 Weight Loss Tips That Are Actually Evidence-Based

BHMS
Homeopath, Nanded
10 Weight Loss Tips That Are Actually Evidence-Based

The weight loss “industry” is full of myths.

People are being advised to do all sorts of crazy things, most of which have no evidence behind them.

Over the years, however, scientists have found a number of strategies that seem to be effective.

Here are 26 weight loss tips that are actually evidence-based.

1. Drink Water, Especially Before Meals

It is often claimed that drinking water can help with weight loss, and this is true.

Drinking water can boost metabolism by 24-30% over a period of 1-1.5 hours, helping you burn off a few more calories
One study showed that drinking a half literf water about a half an hour before meals helped dieters eat fewer calories and lose 44% more weight.

2. Eat Eggs For Breakfast

Eating whole eggs can have all sorts of benefits, including helping you lose weight.

Studies show that replacing a grain-based breakfast with eggs can help you eat fewer calories for the next 36 hours, and lose more weight and more body fat. If you can’t eat eggs for some reason, then that’s fine. Any source of quality protein for breakfast should do the trick.

3. Drink Coffee (Preferably Black)

Coffee has been unfairly demonized. Quality coffee is loaded with antioxidants, and can have numerous health benefits.

Studies show that the caffeine in coffee can boost metabolism by 3-11%, and increase fat burning by up to 10-29% Just make sure NOT to add a bunch of sugar or other high-calorie ingredients to it. That will completely negate any benefit you get from the coffee.

4. Drink Green Tea

Like coffee, green tea also has many benefits, one of them being weight loss.

Green tea contains small amounts of caffeine, but it is also loaded with powerful antioxidants called catechins, which are also believed to work synergistically with the caffeine to enhance fat burning.Although the evidence is mixed, there are many studies showing that green tea (either as a beverage or a green tea extract supplement) can help you lose weight.

5. Cook With Coconut Oil

Coconut oil is very healthy. It is high in special fats called medium chain triglycerides, which are metabolized differently than other fats.

These fats have been shown to boost metabolism by 120 calories per day, and also reduce your appetite so that you eat up to 256 fewer calories per day.
Keep in mind that this is not about adding coconut oil on top of what you’re already eating, it is about replacing some of your current cooking fats with coconut oil.

6. Take a Glucomannan Supplement

A fiber called glucomannan has been shown to cause weight loss in several studies.

This is a type of fiber that absorbs water and “sits” in your gut for a while, making you feel more full and helping you eat fewer calories.Studies have shown that people who supplement with glucomannan lose a bit more weight than those who don’t.

7. Cut Back on Added Sugar

Added sugar is the single worst ingredient in the modern diet, and most people are eating way too much of it.

Studies show that sugar (and high fructose corn syrup) consumption is strongly associated with the risk of obesity, as well as diseases like type 2 diabetes, heart disease and others.If you want to lose weight, you should be cutting back on added sugars. Just make sure to read labels, because even so-called health foods can be loaded with sugar.

8. Eat Less Refined Carbs

Refined carbohydrates are usually sugar, or grains that have been stripped of their fibrous, nutritious parts (includes white bread and pasta).

Studies show that refined carbs can spike blood sugar rapidly, leading to hunger, cravings and increased food intake a few hours later. Eating refined carbs is strongly linked to obesity.If you’re going to eat carbs, make sure to eat them with their natural fiber.

9. Go on a Low Carb Diet

If you want to get all the benefits of carb restriction, then consider taking this all the way and going on a low carb diet.

Numerous studies show that such a diet (or “way of eating”) can help you lose 2-3 times as much weight as a standard low-fat diet, while improving your health at the same time .

10. Use Smaller Plates

Using smaller plates has been shown to help people automatically eat fewer calories in some studies. Weird trick, but it seems to work.

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I am in a relationship and we get intimate at times. I am afraid about getting pregnant. How can I avoid pregnancy?

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Delhi
The best way is to take barrier contraception that is you have to use condoms. Any emergency pill taken by your partner can cause harm to her.
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I am 32years old married male my wife had medical abortion using pills unwanted kit. Now its 1 year can we try to have kid now. Will this medical abortion cause any problems. Its already year last april we had medical abortion. Please help me is it ok to try for baby now. Will there be any problems. Once we tried this month when we had sex the sperm came out is this a problem. Or its natural some sperm to come out please let me know we are worried about it. As we want a baby now.

BHMS PGCGO
Homeopath, Hubli-Dharwad
I am 32years old married male my wife had medical abortion using pills unwanted kit. Now its 1 year can we try to hav...
Usually first pregnancy should not be aborted. Seen many cases who abort these first pregnancy will land up in infertility. Any way past is past now. Seamen coming out is normal. Don't worry about it. Try to have intercourse during 12-16 days of periods to get pregnant.
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Why is my periods too heavy? Nearly it happens for a month. Don't know why but I do not get periods for the next month? Can you specify the reason please.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
Why is my periods too heavy? Nearly it happens for a month. Don't know why but I do not get periods for the next mont...
Your menstrual cycle is still maturing and it will get regularised when the hormones in your body fall into a regular pattern. Right now this happens due to immaturity of the hormone cycle which makes the lining of the uterus fall over a month. Then in the next month the lining is not yet developed well so there is a gap in menses and as soon as it overcomes a limit, it starts. Usually the problems are due to this. But in some women there could be thyroid or other hormone problems so do visit a gynecologist and get evaluated by a check up and some tests like hormone levels and ultrasound.
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