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Dr. Ashwini

Gynaecologist, Pune

800 at clinic
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Dr. Ashwini Gynaecologist, Pune
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Ashwini
Dr. Ashwini is an experienced Gynaecologist in Indira Nagar, Pune. Doctor is currently associated with Dr Kashyap Nursing Home in Indira Nagar, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Ashwini on Lybrate.com.

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Dr Kashyap Nursing Home

Sarod Building, Tulsinagar Society, Bibvewadi. Landmark: Opposite Indira Nagar Petrol Pump & Near Canara Bank, PunePune Get Directions
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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??

4807 people found this helpful

I am a 25 year old female. Pregnancy test showed negative results twice. However, my period got delayed by around 7-10 days. Is there a way to confirm if I am pregnant or not without going to the doctor?

MBBS, DNB - Obstetrics & Gynecology
Gynaecologist, Mumbai
I am a 25 year old female. Pregnancy test showed negative results twice. However, my period got delayed by around 7-1...
Urine pregnancy test is to be done after 7 days of missed period. If you have done it properly and its negative both times. Then you are unlikely to be pregnant. Yet to confirm you can do 1. Usg abdomen 2. Beta hcg level. These tests are important as they will rule out ectopic pregnancy. But for both these tests you will have to go to doctor.
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I want baby so wat should I do for it? My married life is very good. please suggest me bcz I did not use precautions from last 3 months.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), DYA (DIPLOMA IN YOG & AYURVED), D.I.H.M (DIPLOMA IN INDUSTRIAL HEALTH MANAGEMENT)
Ayurveda, Nashik
I want baby so wat should I do for it? My married life is very good. please suggest me bcz I did not use precautions ...
for concieving 1) sexual intercourse should be from day 10 to day 18 of periods. 2) keep pillow below your back during intercourse & further 30 min. 3) dont use any lubrication. u can ask any other doubts
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Taking many times ipill since last 4 to 5 years will it affect me getting pregnant and I will get pregnant or not?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Taking many times ipill since last 4 to 5 years will it affect me getting pregnant and I will get pregnant or not?
It cannot be used as a regular contraceptive method and is quite unhealthy if taken more than twice a month. 3. The pill is to be taken soon after unprotected sex. It should be taken preferably within 24 hours and before 72 hours or else the pill may turn useless.
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Pregnancy ke doran phenytoin sodium tablet lene ka kya side effects h. Ye tablet leni bhi jaruri h.

PG Diploma in Nutrition & Diabeties, M.Sc. Food & Nutrition
Dietitian/Nutritionist, Ghaziabad
Pregnancy ke doran phenytoin sodium tablet lene ka kya side effects h. Ye tablet leni bhi jaruri h.
You should not use phenytoin if you also take delavirdine (Rescriptor), or if you are allergic to phenytoin, ethotoin (Peganone), fosphenytoin (Cerebyx), or mephenytoin (Mesantoin). If you are pregnant, DO NOT START TAKING this medicine unless your doctor tells you to. Phenytoin may cause harm to an unborn baby, but having a seizure during pregnancy could harm both the mother and the baby. If you become pregnant while taking phenytoin, DO NOT STOP TAKING the medicine without your doctor's advice. Seizure control is very important during pregnancy and the benefits of preventing seizures may outweigh any risks posed by using phenytoin. Prednisone: 12 Things You Should Know SLIDESHOW Prednisone: 12 Things You Should Know Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, depression, anxiety, or if you feel agitated, hostile, restless, hyperactive (mentally or physically), or have thoughts about suicide or hurting yourself. Before taking this medicine You should not use this medicine if you are allergic to phenytoin or similar medicines such as ethotoin, fosphenytoin, or mephenytoin, or if you have: a history of liver problems caused by phenytoin; a heart condition called 2nd or 3rd degree "AV block"; a history of slow heartbeats that have caused you to faint; or a condition for which you also take delavirdine (Rescriptor). To make sure phenytoin is safe for you, tell your doctor if you have: liver disease; a history of abnormal heart rhythm found on an EKG (electrocardiograph); diabetes; a history of depression; a history of suicidal thoughts or actions; a vitamin D deficiency or any other condition that causes thinning of the bones; porphyria (a genetic enzyme disorder that causes symptoms affecting the skin or nervous system); or if you drink large amounts of alcohol. You may have thoughts about suicide while taking this medicine. Your doctor will need to check your progress at regular visits while you are using phenytoin. Your family or other caregivers should also be alert to changes in your mood or symptoms. Patients of Asian ancestry may have a higher risk of developing a rare but serious skin reaction to phenytoin. Your doctor may recommend a blood test before you start the medication to determine your risk of this skin reaction. Seizure control is very important during pregnancy. Do not start or stop taking this medicine without your doctor's advice if you are pregnant. Phenytoin may cause harm to an unborn baby, but having a seizure during pregnancy could harm both mother and baby. Tell your doctor right away if you become pregnant while taking this medicine. If you become pregnant while taking phenytoin, your name may be listed on a pregnancy registry. This is to track the outcome of the pregnancy and to evaluate any effects of phenytoin on the baby. Phenytoin can make birth control pills less effective. Ask your doctor about using non hormonal birth control (condom, diaphragm with spermicide) to prevent pregnancy while taking this medicine. Phenytoin can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are using this medicine.
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Taking Anjeer by pregnant woman is good for baby or not. My wife is 4 month pregnant.

MBBS
General Physician, Faridabad
Taking Anjeer by pregnant woman is good for baby or not. My wife is 4 month pregnant.
Figs have a higher overall mineral profile than any other common fruit or vegetable. They are particularly high in calcium, iron, potassium, and zinc, key nutrients for a healthy pregnancy. 2. The high potassium content of figs may help to control blood pressure and therefore, the hypertension associated with preeclampsia, a dangerous pregnancy condition. 3. The mineral content of figs closely resembles that of human breast milk! 4. Figs have the highest fiber content of any common fruit. Rich in both insoluble and soluble fiber, figs really help to mitigate the constipation so common during pregnancy. 5. Figs contain a proteolytic enzyme that also aids in digestion, which is naturally slowed during pregnancy. 6. Figs are highly alkaline, and therefore alkalizing, which has been shown to help curb cravings. This may help control those less-than-healthy urges that can sabotage a healthy pregnancy diet. 7. Figs are high in vitamin B6, which has long been thought to be beneficial in alleviating morning sickness. 8. Even the leaves of figs are therapeutic: ingesting them has been shown to reduce and even eliminate the need for insulin in diabetic patients. Therefore, ingesting them may help to control or avoid a case of gestational diabetes. Furthermore, this ability to balance blood sugar levels should help to relieve a whole host of symptoms – from morning sickness to mood swings. 9. Dried figs contain significant amounts of Omega-3 fatty acids, which are essential to the optimal development of the fetus. Consuming ample Omega-3’s during pregnancy is also associated with a lower incidence of pre-term labor and premature delivery. 10. Psoralens, a chemical found in figs, has been used to treat many skin pigmentation problems and may be beneficial in preventing melasma, the “mask of pregnancy”. So now that you’re convinced of the amazing nutritional power of figs…what are the best ways to eat them? - See more at: http://www.bodyenlightenment.me/blog/2008/08/pregnant-women-get-figgy-with-it/#sthash.Me8YBuST.dpuf
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My wife is a mother of six month old baby and now she is pregnant again (check by velocity test card) so what can we do now and we don't want another baby now Oly. So what can we do. She is breastfeeding for the baby. please suggest me.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
It is advisable to continue. Termination of pregnancy is not legally allowed. Give dairy milk and cereals to baby recommended at this age and gradually withdraw breastfeeding.
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Pls tell me my sister is pregnant in 7th month how many red bananas eat for a week and when it take saffron flower .pls help me.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Pls tell me my sister is pregnant in 7th month how many red bananas eat for a week and
when it take saffron flower .p...
Dear lybrate-user. Thanks for the question. Red bananas are safe in pregnancy. Red bananas improve overall health of pregnant and lactating women due to its nutritional content. It is nutritious fruit. A medium red banana contains 110 calories and good amount of vitamin C and B6. Daily one red banana is enough. Saffron flower can be taken with warm milk. Take care.
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Eat Those Vegetables:

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
Eat Those Vegetables:
Atleast 5 servings of vegetables a day is a must for this list of healthy eating tips. One serving is equal to ½ cup of cooked vegetables or 1 cup of leafy green vegetables. Not only will these nutrient-packed items fill you up with their fiber content, they will provide your immune system with all the fighting power it needs.
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I am 23 years old female. Didnt get pregnant since last 2yrs of married life. My husband's sperms count 72million and 70%motile. Kindly help me to get pregnant soon.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am 23 years old female. Didnt get pregnant since last 2yrs of married life. My husband's sperms count 72million and...
You get your check up done that you are making egg and your tubes are patent.your husbands report is normal
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12 suggestions for a HEALTHY YOU in 2016

MSc
Dietitian/Nutritionist, Chandigarh
12 suggestions for a HEALTHY YOU in 2016

Dietitian and nutrition educator Neha Bhatia gives you suggestions for your health.
Do not start your day with tea or coffee, instead, opt for fruits/ nuts or milk
Do not skip meals, eat every 2-3 hours in small portions to control weight gain
Do not leave your house without eating breakfast. It helps to control hunger pangs during the day
Have fruits on empty stomach or during mid meals for proper nutrient absorption
Do not have a very large meal at one time as excess gets converted to fat. Keep some space vacant in your tummy
Have a light dinner 2-3 hours before going to bed. Do not immediately lie down after eating.
Do not binge on weekends. Choose wise options like salads, soups, grilled, roasted or steamed foods.
Have 35ml water/kg body weight. Keep sipping water every 20 minutes
Go for exercise in the morning as it helps to burn more fat.
Avoid midnight snacking as it can lead to digestion problems.
Go for regular health checkups to avoid problems later
Get a good sound sleep for at least 6- hours every night to re-energize yourself the next day.
1 person found this helpful

I made love with my gf without using any precaution And she is 1 week away from her periods So shud she take any measures Like contraceptive pill and all!

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
If you use pill after 72 hrs. Its of no use. Then test urine . If +ve then u decide whether u keep baby or clean it.
6 people found this helpful
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I am 23 years old I have deficiency in serum ferritin levels and vitamin b12 how can I normalize it?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 23 years old I have deficiency in serum ferritin levels and vitamin b12 how can I normalize it?
Homoeopathic medicine ferrodona (adel) drink 1 spoon twice daily adel -85 (adel) drink half ampule twice daily report after 2 months.
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Safe period for sex to women and not getting pregnant what is the safe period 100% safe there is no chance of getting pregnant.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Safe period for sex to women and not getting pregnant what is the safe period 100% safe there is no chance of getting...
Safe period method for family planning is actually unsafe meaning high failure rate. In a woman having regular cycles of 28 days safe days are considered 1-10 and 17 to 28. In any woman with irregular cycles they have to be counted and in those women safe days will be less in numbers. If you are looking for 100 % safe (nothing in life is 100% except death) look for hormonal contraception.
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After delivery my menses is not came from last 7 months. What could be the reason. Is this normal.

MBBS
General Physician, Delhi
After delivery my menses is not came from last 7 months. What could be the reason. Is this normal.
If you are breast feeding than this is the most likely reason other reasons are Pregnancy Stress illness Weight Excessive exercise Change in schedule Breastfeeding Medication Hormonal imbalance Thyroid disorder Perimenopause.
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I am 28 years recently married 18 years girl and completed 5mnts. How many months need her pregnancy pls suggest me.

MBBS
General Physician, Faridabad
I am 28 years recently married 18 years girl and completed 5mnts. How many months need her pregnancy pls suggest me.
Its a matter of chance, try if your cycle is regular then take chance on mid of cycle, say your cycle start on 1st then try help between 12-17. During this period you have maximum chance. Or do sex alternate day, more chances but it may happen at any time. Thanks.
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My wife usually has fixed date for her periods i. E 15th but from last two months she is getting her periods earlier from 13 to 9th of month. Please suggest.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
My wife usually has fixed date for her periods i. E 15th but from last two months she is getting her periods earlier ...
If this is happening regularly, she needs gynecological consultation as there is chance of some diseases inside uterus or her hormones.
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Hi, I had an Unprotected sex with my girl friend on 25th Jan and her periods were on 20 Jan. While sex I masturbated inside her pussy. Please tell whether if she will be pregnant or not?

MBBS
General Physician, Cuttack
Hi, I had an Unprotected sex with my girl friend on 25th Jan and her periods were on 20 Jan. While sex I masturbated ...
sex during 1st week after period is relatively safe.however if the period is delayed, she has to consult doctor
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I am 24 years female. My period got skipped from last two month i. E Oct and Nov and I have done pregnancy test in both months by using prega news and the result was negative. So I dont know what is thw problem. Please provide me some solutions. Thanks.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 24 years female. My period got skipped from last two month i. E Oct and Nov and I have done pregnancy test in bo...
Homoeopathic medicine PULSATILLA NIG 1M ( Dr Reckeweg) Take 5 drops direct on tongue daily night for 3 days,Report me after 5 days
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Hi I am 27 yrs old and 15 weeks pregnant for the first time. I've pain in my right leg (not always) it gets cured on its own and comes back almost every week. Is it normal?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, these pain in lower limbs and groin region off and on are due to progesterone effect, uterosacral lengthening and often positional as well. So you may use hot fomentation of lower back to help you decrease the same and maintain an erect posture while standing. Regards.
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