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Dr. Rishikesh Pai

Gynaecologist, Mumbai

1250 at clinic
Dr. Rishikesh Pai Gynaecologist, Mumbai
1250 at clinic
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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. Rishikesh Pai
Dr. Rishikesh Pai is a renowned Gynaecologist in Bandra West, Mumbai. You can visit him at Lilavati Hospital and Research Centre in Bandra West, Mumbai. You can book an instant appointment online with Dr. Rishikesh Pai on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. 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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Lilavati Hospital and Research Centre

#A - 791, Bandra Reclamation, Bandra West. Landmark:Opposite Mumbai Educational TrustMumbai Get Directions
1250 at clinic
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Lilavati Hospital and Research Centre

#A - 791, Bandra Reclamation Landmark : Opposite Mumbai Educational TrustMumbai Get Directions
1250 at clinic
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Hirsutism in Women - How to deal with it?

MBBS, D.V.D.L, Fellowship, DNB (Dermatology)
Dermatologist, Delhi
Hirsutism in Women - How to deal with it?

Are you growing hair in unusual places where you do not want them to be such as on the neck, chest, chin and back? Hirsutism is a medical term, which refers to excess body hair and facial hair in women. It occurs because of an increased production of androgens or male hormones. The increased sensitivity of the androgen receptors in the skin follicles also causes hirsutism.

Diagnosis
Hirsutism is diagnosed using two methods:

  1. The Ferriman Gallwey model involves the visual inspection for detecting the presence of excess hair. The amount of hair growth in nine areas of your body is quantified in this model. However, this is not an ideal method as many women shave or pluck their hair.
  2. Blood test for excess androgens is another method for diagnosis of hirsutism. The different tests include free testosterone, total testosterone and DHEAS or dehydropiandosterone sulphate. Women with PCOS (polycystic ovarian syndrome) are likely to have increased levels of free testosterone in their body because of the absence of enough sex hormone binding globulin.

Removing excess hair
There are several ways by which you can get rid of excess body and facial hair. They are as follows:

  1. Plucking is a way of hiding hair during early stages. It is an easy fix. However, plucking from the follicle may lead to the distortion of the follicle, which may cause hair to thicken and turn darker.
  2. Depilatories is another way of removing excess hair due to hirsutism. Depilatories remove excess hair by the use of a chemical which dissolves the hair.
  3. Waxing is also effective for removing excessive hair. In waxing, warm wax is spread over the affected areas; a strip of cloth is placed over it, and rubbed on the wax. After holding the skin tight, the cloth is pulled off.
  4. Several medicines are used for dealing with hirsutism in women such as oral contraceptives, which help in removing the amount of androgens in the body. The androgen production may decrease as a result of oral contraceptives. The amount of circulating concentration of androstenediones and total testosterone are also reduced. Anti androgen medicines are also prescribed in some cases.
  5. Electrolysis is opted as a measure of managing excessive hair. In the process, a needle gets inserted along the hair shaft. After this, an electric pulse is sent to the root. This makes the hair release from the follicles and they are pulled out.

Laser hair removal is the final option for hirsutism treatment. In this method, light from the laser eliminates several hairs in the affected area. The pigment present in the hair absorbs the energy from the laser and gets destroyed. If you wish to discuss about any specific problem, you can consult a dermatologist.

4258 people found this helpful

She is suffering from pain in uterus for last 6 months. Infact, it started 6-7 years back but due to medication it stopped sometimes and she left medicine. Now she is unable to even walk, sit or travel. Sever pain has made her weak and no medicine helps. Its old case. Please help.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Mumbai
She is suffering from pain in uterus for last 6 months. Infact, it started 6-7 years back but due to medication it st...
Dear lybrate-user, please send her reports for me to help you properly. Eg. Ultrasound, cbc etc. May take antispasmodics for the time being relief. Thanks.
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My father is 89 yrs old yesterday noticed blood in urine. On docters advice zenflox uti selate t flowkind were given in night. Now he is alright noticed no blood in morning. Advice what to do

MD - Alternative Medicine
Alternative Medicine Specialist, Mumbai
Considering age n symptom your doctor is best judge for you. Follow his instruction only, wish you best health.
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Before marriage I participate sex with neighbour. After 4 months I got married. I and my wife participate sex then we both are infected with fungal. We use antifungal cream then the infection will gone. After 3 years I only get it again. My herpes result is positive and hiv result is non reactive. I'm also suffering from diabetes and I lost 3 kgs weight from 3 year's .I use remedy " drinking hot water and lemon with honey to reduce the weight" pls solve my problem? I need any Tests?

M.B.B.S., F.I.C.A. (USA), P.G.D.I.H, F.C.G.P., D.C.A.H
Psychiatrist, Vadodara
Before marriage I participate sex with neighbour. After 4 months I got married. I and my wife participate sex then we...
Yes you need proper testing and evaluation with complete checkup for complete radical curative treatment. Also you have diabetes, so more important to understand because diabetics are more prone to chronic infections and as you are married your wife and future children would be at risk. Its serious matter, connect directly one to one either in person or online. Move on, connect.
25 people found this helpful
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Prevalence Of Hypoactive Sexual Desire Disorder!!

MBBS, MD - Psychiatry, CE (New York)
Psychiatrist, Delhi
Prevalence Of Hypoactive Sexual Desire Disorder!!

Do you feel disinterested in getting physically close to your partner? If yes, then it can be a sign of HSDD, that is Hypoactive sexual desire disorder. It is a sex disorder marked by disgust and disinterest towards sex. This disorder affects both men and women.

Men with Hypoactive Sexual Desire Disorder
Men are generally perceived as highly sexual beings, but in reality, 1 out of 5 men may be suffering from HSDD.

Some possible causes of male HSDD include:

  1. Psychological issues: Anxiety and stress due to the strain of family or relationship problems, rigours of daily life or mental disorders such as depression are some of the factors that influence sexual desire.
  2. Medical causes: Diseases (for example: diabetes), conditions (such as high cholesterol, high blood pressure and obesity) and drugs (such as hair loss medications) have adverse effects on sexual desire.
  3. Hormonal problems: Low levels of testosterone usually lead to low sexual desire. Other hormones, such as the thyroid hormone or prolactin (hormone that governs the development of breast milk) can also contribute to the cause.
  4. Low levels of dopamine: Dopamine is a neurotransmitter, which is responsible for the pleasure perception in your brain. Low levels of dopamine usually signify low sexual desire.

How it can be treated ?
If the cause is psychological, then sex therapy (psychological counselling based on sexual issues) is used to treat HSDD. But if it is hormonal, testosterone supplements are used.

Women with Hypoactive Sexual Desire Disorder
Female HSDD is more complicated and is difficult to diagnose. HSDD can affect women across all ages.

In women, this disorder can have a wider spectrum of causes, which include:

  1. Interpersonal relationship problems: Certain problems such as the partner’s performance issues, loss of emotional gratification with relationships, childbirth and becoming nothing, but only a loved one’s caregiver can all lead to low sexual desire.
  2. Sociocultural influences: Media’s portrayal of sexuality, peer pressure and job stress have negative influences on sexual desire.
  3. Low testosterone: Women produce testosterone as well, and similar to men, low levels of this sex hormone cause a significant dip in sexual desire.
  4. Medical problems: Mental illnesses such as depression or medical problems, such as fibroids or endometriosis (a disorder characterized by the growth of uterine tissues outside the organ) affect women, physically and mentally, thus making ‘hypoactive sexual desire disorder’ a possibility.
  5. Medications: Excessive use of antidepressants, oral contraceptives and blood pressure drugs can lower sexual desire.
  6. Age: The androgen (sex hormone) levels lower drastically as a woman ages, thus negatively impacting her sexual desires.

Treatment

Sex therapy (therapy that concerns itself with counselling and addressing one’s physical or psychological hindrances to sex) medication changes, diagnosing underlying medical problems, vaginal estrogens and testosterone therapy (therapy that helps in managing the effects of low levels of testosterone) are mostly used to increase sexual desire in women. If you wish to discuss about any specific problem, you can consult a Psychiatrist.

3424 people found this helpful

My wife is feeding to my eight months baby. She has white discharge problem. It's hurt her. Any medicine is there to stop white discharge.

MBBS, DIiploma in Yoga and Ayurveda, Diploma In Dermatology And Venerology And Leprosy (DDVL), PGDPC
Sexologist, Pune
My wife is feeding to my eight months baby. She has white discharge problem. It's hurt her. Any medicine is there to ...
First ask her to take a vaginal salt water douche daily and also to apply coconut oil inside to prevent dryness and infections and itching.
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Me n my gf were having sex by mistake the condom worn out and then I gave her unwanted 72 within an hour it's been 3 weeks now last week she was bleeding dark brown red? What are the chances of pregnancy? How to make sure everything is safe?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Me n my gf were having sex by mistake the condom worn out and then I gave her unwanted 72 within an hour it's been 3 ...
Hello, If she has achieved her withdrawal bleed then he is unlikely to be pregnant but you may better get a ser beta hcg test done to rule out pregnancy conclusively.
1 person found this helpful
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I have regular 28-30 days menstrual cycle. But this month flow become light. Approx. Flow of my menses is 4-5 days. But this tym only 3-4 days. I am in stress also. Is this is a reason. For light menses. Can I conceive with light menses?

MD (Hom)
Homeopath, Bangalore
I have regular 28-30 days menstrual cycle. But this month flow become light. Approx. Flow of my menses is 4-5 days. B...
Dear lybrate-user, If you are getting periods with a gap of 20 to 40 days which is considered as normal and bleeding for min. Of 3 days and max. Of 7 days also considered as normal flow. The amount of bleeding and the amount of passing of clots mainly depends upon maturation of endometrium. Due to stress, due to life style changes there will be chance of hormonal imbalance. Due to this, the amount of flow will high or less and the duration will be more or less. Conception mainly depends on ovulation. If you have good ovulatory cycles then chances are good for conception. Regards,
3 people found this helpful
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I am 33 weeks pregnant now I am getting vaginal spotting in 8 days will it be harmful for me and my baby.

MS - Obstetrics and Gynaecology
Gynaecologist, Ludhiana
If you mean vaginal spotting by blood spotting, then of course it can be harmful for you & your baby. So please confirm me if its blood spot or white spot, so I can guide you properly.
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I go for ultra sound n report says G.A is 34 weeks 4 days with single loop of cord around neck. Is there any problem?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I go for ultra sound n report says G.A is 34 weeks 4 days with single loop of cord around neck. Is there any problem?
Hello, The presence of loose loop of cord is not a problem often but if its tight then vaginal delivery may not occur or baby may have foetal distress.
1 person found this helpful
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Was on novelon 21 day pill pack from june. Missed only second last pill of june doubled up with the last at a gap of 24 hrs. Took a pill free break from 2-8 july, withdrawal bleed frm 5-8th july. Started new pack from 8th july night. Had protected sex abd the condom did not break on 9th july afternoon, but the same condom has been used thrice. Do not know if he ejaculated or not. Had very protected sex on 14th July. This was the last intercourse till date. Missed july pill only once at 21st july doubled up after 24 hrs with 22nd july pill. Had a very minute bleeding on 22nd july morning which was stopped as soon as the pills were continued. Pill pack ended on 28th of july had withdrawal bleed from 1-6th aug. It was normal withdrawal bleed on pills with cramps. Pregnancy test after that at 4,5,6,7,8 weeks all were negative. Pills from august was stopped as body was not permitting. No pregnancy symptoms except gas and on july I had some food aversion as I was too tensed. I feel like I ovulate 3 days before. Since cervical mucus during 28-29 aug was watery clear and lil stretchy but not of a large amount. From 1st sept it has become dry. Is their any risk of pregnancy since my period was about to start yesterday and it has not started till now. Am I safe? Do I need to do further home pregnancy test or blood test. I had no intercourse after 14th july and hpt was done with first urine in the morning.

MD - General Medicine
Sexologist, Nashik
Was on novelon 21 day pill pack from june. Missed only second last pill of june doubled up with the last at a gap of ...
If no sex after 14 th july and had menses in aug. How you can be pregnant. Relax with above story it seems you r not pregnant.
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I am 38 yr old. My follicle is not grown up to 18 mm. What is the solution for this?

International Academy of Classical Homeopathy, BHMS
Homeopath,
Since how many months u r having this condition ? needs detail. U can take puls303 hrly for 9 days inform me after usg. T. C.
1 person found this helpful
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Hi I am 4 weeks pregnant. I am facing sleeplessness since last 4 days. Is this due to pregnancy? If yes, is there any solution to this? I need to sleep properly at night as I am working and I don't get any time to sleep or rest during day time. Kindly suggest me what should I do to have sound sleep at night.

DNB (Obstetrics and Gynecology), DGO, MBBS
Gynaecologist, Hyderabad
Hi I am 4 weeks pregnant. I am facing sleeplessness since last 4 days. Is this due to pregnancy? If yes, is there any...
hi lybrate users such symptoms are sometimes common in pregnancy. but you can do one thyroid hormone assay such as S TSH. sometimes hypothyroidism also have such symptoms and keep mind relax before sleep you. will definitely get good sleep Thanks
1 person found this helpful
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I am 25 year male my wife got abortion after 6 weeks of pregnancy today it is 4th day after abortion her bleeding is stopped so can I do sex with her? And I do not want she to be pregnant soon. Can I use condom? How to use pills and please mention me best brand with normal price and using detail. Thank you.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 25 year male my wife got abortion after 6 weeks of pregnancy today it is 4th day after abortion her bleeding is ...
Uterus is weak and painful for 10-15 days after abortion and you should prohibit from sexual intercourse for apprx. First one week atleast.
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Sir meri wife 6 weeks ki pregnant hai unka sabhi test normal hai bas torch test me rubela 58. 60igg hai cmv 128. 4igg hai or harbis 25. 7igg aya hai or unka 2 pregnancy karab ho gaya hai to kay ho sakta hai or bacha hone par kya bache me koi completely ho sak to hai kya app ki rai hamare paresani kam kar sak ti hai or igg igm me kya park hai.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Sir meri wife 6 weeks ki pregnant hai unka sabhi test normal hai bas torch test me rubela 58. 60igg hai cmv 128. 4igg...
get it aborted rubella is viral infection like chicken pox and rubella infection is associated with congenital defects in baby. more so if infection occurs during first three months
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My friend was pregnant 2 month ago. She took a mtp kit and few hours later she had a heavy flow of blood and some gilts of blood but one month later her periods are not coming and she again took a mtp kit .but periods are not coming. What do she?

MD - Obstetrtics & Gynaecology, MBBS, DGO
Gynaecologist, Mumbai
My friend was pregnant 2 month ago. She took a mtp kit and few hours later she had a heavy flow of blood and some gil...
Periods can be delayed after taking MTP kit. 15 days after taking the kit, sonography shouild be done to know that thew procedure is complete. No need to take second kit.
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