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Hello am a House wife. I Was in a long-term affair with my boyfriend we were physically active but now Am married to a other guy from a period of six months am having sex with my boyfriend without protection but am worried of any infection so I have ended our relationship as I want to live my married life is there any threat of getting sick.
I'm trying to conceive for five months. From the day of my age attended (first period) I have stomach pain on my first day of my periods. Is there any issue? What are the symptoms of thyroid problem?
My previous delivery is by surgical. Operation. On dated 18.02.2013. Now I.am seven month pregnant. What should take precautions for normal delivery. Is. It possible normal delivery after surgical operation.
I have sex with my boyfriend but when he ejaculate he feels that he left a drop inside me, but he is not sure about it. I Just wanna know am I gonna get pregnant, I had sex about 5-6 days ago. If I am gonna be pregnant how to abort that?
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??
I m a 35 years old female, I have a 08 years old daughter, we want a 2nd issue but after several attempts since last 02 yrs, it failed, one of the ovary has been removed 05 years ago, I am under medical treatment but nothing positive, so, I left the treatment, the sperm count of my husband is normal.
Hi Dr. I am 24year old. I want to ask that my baby born on 22nd January by cesarean delivery. Its around 2 mnth completed after 7 days. But my periods are continues yet. Please suggest me any advice. Is this any problem ?
Is it safe if I do sex with unknown girl twice or thrice time with condom or any medicine during sex I want to stay for longtime.
I had sex with my girlfriend last month and we used protection. But her periods have been delayed by 7 days by now. Is there any problem And one more thing she has low hb level. Wht might be the reason?
1. Limit well-wishing - This can be extremely important for those first few weeks at home and is also often in the best interest of your baby's health. Certainly you are anxious to show off your new little one, but there will be time. Don't be afraid to place limits and disregard those that would like to insist that it is ok for them to come by. A good game plan is to let everyone know a date after which you will feel up to having visitors meet your newest family member. It is ok if they disagree.
2. Accept help - Chores still can get done by others. Tell family and friends how they can help. When people want to visit, ask if they might be willing to bring food. Don't be afraid to rely on others.
3. Breast-feed if you can - Yes, it's good for the baby but it also will burn an extra 500 calories a day. If you're trying to get the postpartum weight off, breast-feeding is a great way to start.
4. Hang up your cape - You are a superwoman but superheroes need rest too. Napping when the baby sleeps is easier said than done if you think you have to keep up with laundry and cooking. Forget the chores and try to nap at least once a day.
5. Drink water - Breast-feeding increases your need to stay hydrated. Get the equivalent of 8 glasses of water a day. Stay away from sugary sodas and caffeine that can filter into breast milk.