Dr. Dipika U. Gachhi

Hirsutism is a condition of unwanted hair growth in certain areas of a women's face and body, such as upper lip, beard area, chest and abdomen, that creates a "male pattern" of hair growth. It affects around 5-10% of the women and is a common presenting complaint among females for cosmetic reasons.

Hirsutism is attributed either to increased production or increased sensitivity of the hair follicles to the male hormone- testosterone. Polycystic ovary syndrome (PCOS), which causes irregular menstrual cycles, is the main cause of the same. However in some cases the reasons for the same can be unknown as all reports may seem normal. Such a type is called Idiopathic Hirsutism. It is important for women to not feel shy and embarrassed about the situation.  Often resorting to excessive bleaching and razers can harm the skin and the self image of a woman. You should come forward and talk to either a Gyneacologist or an Endocrinologist. The doctors after taking the complete history would advice certain tests that would measure the amount of certain hormones in the blood. If the androgen levels are elevated, doctor may recommend an ultrasound or a CT scan to check ovaries and adrenal glands for tumors or cysts.

The main causes of Hirsutism are:

• Polycystic Ovary Syndrome: In 70% of the cases PCOS is the cause of Hirsutism. Women with PCOS often have hirsutism in combination with acne, balding near the front of the head, and menstrual irregularities. PCOS is also accompanied by infertility (due to menstrual irregularity), obesity, diabetes , High cholesterol and possible heart disease.
• Idiopathic Hirsutism: Idiopathic hirsutism refers to hirsutism that has no identifiable cause. It is usually a mild variation of PCOS. A gradual increased growth of coarse body hair is typically the only symptom in women with this condition. Menstrual cycles are normal in women with idiopathic hirsutism.
• Drug Induced: Certain drugs and steroids taken the past can trigger a hormonal imbalance and cause hirsutism
• Adrenal or tumour causes: These are rare and are related to tumours or abnormal functioning of the adrenal gland.

Since Hirsutism can be a combination of medical issues self medication is not recommended. There are a variety of ways through which the same can be managed or cured. The treatment options are:

• Medical Management: The doctors can recommend a combination of drugs such as oral contraceptives (contain estrogen & progestin that inhibits the male hormone), anti-androgens and insulin sensitive drugs.
• Cosmetic Hair Removal: Electrolysis and the modern day safe Laser therapy are sought after cosmetic ways for removal of unwanted hair. The procedures destroy the hair follicles and prevent the hair from growing.
• Surgical Therapy: Only in specific cases Laparoscopic ovarian drilling or removal of ovarian & adrenal tumours can help treat Hirsutism.

It is important to understand that this problem is medical and can be treated, managed and cured with expert advice & guidance. Women usually get depressed and have image issues. One should not get distressed; it may be a possibility that the reason may be just a little imbalance in your hormones. Eating healthy, weight loss and exercise are tried and tested natural ways to keep your body fit & balanced.

You may lead a busy life and may have the responsibility of a career or a business and may also have to worry about paying up bills and instalments at the end of every month. All in all you may be completely tied up with the monotony of life and may be seeking some relief from all the problems and the only thing that may really come to your mind may be carnal pleasure and not just making yourself happy, but real and energized sex with your romantic partner.

While it may be very exciting to think about indulging in sex and trying out new things with the person you love. A lot of people hear stories and myths about the pain that accompanies sex and often feel apprehensive about getting on with the experience because of the fear of pain. However, when you are ready for your pleasurable experience and need to learn a few things and beat a few myths, it may help if you choose to meet a doctor who may be able help you learn a lot more about the pain.

Myth and facts:
One of the biggest myths that is prevalent in the world of sex is that males experience pain during intercourse, if the vaginal opening is excessively small, which is when the penis may have to be forced inside.
The fact is that vaginal openings are meant to be flexible and can accommodate a regular sized penis without causing much trouble. While you may have to put in some more effort than usual, it is not a painful process.
However, it is also a fact that males do experience pain during intercourse in a lot of cases and the reasons may be completely unrelated to the size of the vaginal opening. A lot of males suffer from different health issues due to which the act of sex becomes a painful one.

The problems and the treatment:
One of the most common problems that a lot of men face is the problem with the foreskin. Some may have issues with the foreskin by birth and others may develop the issues due to other health problems such as diabetes. Another major problem that a lot of males go through may be deformities, where the penis may not be shaped normally and may have a bend or arch because of which penetration during sex may become painful. Other problems that may be a cause for pain during sex in men may be the presence of STDs (sexually transmitted diseases), allergies or injury. In all cases, it may help to seek the advice of a doctor who may specialize in the field and may be able to give you natural medication such as Ayurvedic solutions and help you come out of the problem.

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