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Dr. Ganesh Jagadale

General Surgeon, Pune

100 at clinic
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Dr. Ganesh Jagadale General Surgeon, Pune
100 at clinic
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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. Ganesh Jagadale
Dr. Ganesh Jagadale is one of the best General Surgeons in Pimple Saudagar, Pune. He is currently associated with Samarth Hospital in Pimple Saudagar, Pune. Book an appointment online with Dr. Ganesh Jagadale and consult privately on Lybrate.com.

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Samarth Hospital

Pimple Saudagar, Aundh Camp, Pune-411027. Landmark:Near Hotel Govind Garden, PunePune Get Directions
100 at clinic
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Excessive Hair Growth - Is Hirsutism The Cause?

DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
Excessive Hair Growth - Is Hirsutism The Cause?

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:
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

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. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

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How to remove a black tan layer on skin at the top of face which is caused by sun?

BAMS
Ayurveda, Ambala
How to remove a black tan layer on skin at the top of face which is caused by sun?
Follow these methods to get rid of tanning: * apply lemon juice on tanned areas and leaves for 5 to 10 minutes then rinse off with cold water. You can use cucumber with lemon juice to apply on tanned area. * gently rub the slices of raw tomatoes on tanned area for 5 minutes and then clean with water. * mix one teaspoon of curd with one teaspoon of fuller' s earth (multani mitti) mix and apply it on face for 5 - 7 minutes and then rinse of with water. * apply rose water on tanned area.
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For past 2 days my health is down and yesterday water blisters (dull red) start erupting firstly on head followed by back ,chest and face. Fever and headache too and today chest and back pain also started WHAT TO DO?

MD - Alternate Medicine, BHMS
Homeopath, Surat
For past 2 days my health is down and yesterday water blisters (dull red) start erupting firstly on head followed by ...
Take Rhus Tox 30C one dose and the Cosmos 30 daily for 2 weeks. It will be alright. Still if you have any queries, please let me know. Take care. :)
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My present abdomen report- Liver- appear normal Gal bladder- CBD is echo free and measures 4.5 mm approx. Pancreas- normal Spleen- 80 mm x 41 mm Kidney- both are normal size shape position and axis right kidney show cyst measuring 1.8 cm and 2.0 cm approx. Left kidney show cyst measuring 4.2 x 3.7 cms approx. There is no evidence of renal calculi on either side. Right kidney 86 mm x 36 mm Left kidney 87 mm x 43 mm Urinary bladder is normal in size shape and contour no intraluminal lesion seen. Prostate glad is enlarge in size shape and echo pattern prostate measure 37 mm x 40 mm x 42 mm. Prostate volume is 33.3 ml BLOOD REPORT Haemoglobin 10.8 gm/dl W.B.C - 6300/cu. Mm neutrophil - 63% Lymphocytes - 30% eosinophil - 06% monocyte - 01% Basophild - 00% Erythrocyte sedimentation rate 1st hour - 78 mm 2nd hour - 102 mm Average - 64. 5 mm Blood sugar - fasting 116 mg/dl. Post prandial - 174 mg/dl TAKING medicine :- 1. Cap pantocid - L - one in morning empty stomach. 2. Syp. Duphalac - 10 ml two time. 3. Tab. Flodart plus - one at nite. 4. Tab. Niftas 100 mg - two time morning and evening. 5.syp.sucral- three time. 6.cap.becosules z.7.glucobay 25 - morning. 8.glyciphage 500 mg one time. Steel feel heavy stomach not feeling hungry.

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology For Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), PG Diploma In Clinical Counseling, PG Diploma In Oncology & Haematology (A.M), Ayurveda (I) Certification, Clinically Relevant Herb-Drug Interactions (CME) (Cine-Med Inc. USA), Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Certificate Course in Homeopathic Oncology
Alternative Medicine Specialist, Bhubaneswar
My present abdomen report- Liver- appear normal Gal bladder- CBD is echo free and measures 4.5 mm approx.
Pancreas- n...
Hi Mr. lybrate-user, I appreciate you seeking help. Well, for the medical conditions described, I believe his physician has already prescribed the needful medications. However, for the appetite issue that he has currently, I would suggest that he be given small and frequent meals instead of large ones. Again the food given should suit his taste, and yet healthy/ balanced. A cup of soup, with little bit of healthy spices, given especially before his lunch/ dinner can be of help in improving his appetite levels too. Walking daily, to the extent he can safely, is recommended too. The above-mentioned is subject to his physician's concurrence lest he/ she has any reservations here. Hope this helps. You can connect in private should his anorexia persist still. Do take care, and all the very best. Sincerely,
1 person found this helpful
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My 3 month daughter has red shiny rashes in between the crease of her neck. What can I do to prevent it?

B.H.M.S
Homeopath, Patna
My 3 month daughter has red shiny rashes in between the crease of her neck. What can I do to prevent it?
Staphasgaria 1m one drop twice daily to her mother. 2 berberis vul q 5 drop 8 horly I a glass of water to her mother.
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I am suffering from face problem. I have a lot of dryness on my face and pimples as well. I am not using soap from last few years. I have a lot of blackheads on my face as well. I am using face wash (of Himalaya company ). So please help me. I want my face Clean and these blackheads, pimples, dryness should not be there.

BHMS
Homeopath, Kolkata
I am suffering from face problem. I have a lot of dryness on my face and pimples as well. I am not using soap from la...
Please use Tea tree oil which is excellent for treating acne and pimples. It has antibacterial properties that help fight the bacteria that cause these skin problems. Plus, its soothing properties help reduce the redness and inflammation of pimples. It also helps dry out blackheads and whiteheads. • Just dip a cotton ball in tea tree essential oil and dab it on the affected area. Rinse your face after 15 to 20 minutes. • Another option is to mix a few drops of tea tree oil in 1 tablespoon of aloe vera gel. Apply it on your pimples and blemishes, leave it on for 20 minutes and then rinse it off. Note: Steer clear of tea tree oil if you have sensitive skin.
3 people found this helpful
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Hi. I have a problem with warts around my neck. Some are big and most of them are smaller ones. I want to get rid of them at one go. Using wartosin types takes longer time and also need to use it for 2 3 at a time. Can tou suggest any laser technique that can be used here? Pls advise and also approx expenses for the treatment.

MBBS, MD - Internal Medicine, Fellowship in Infectious Diseases, Fellowship in HIV/AIDS
Internal Medicine Specialist, Mumbai
Hi. I have a problem with warts around my neck. Some are big and most of them are smaller ones. I want to get rid of ...
We have been providing electrocauterization services for warts and have seen excellent results. Warts can often be cauterized and that is usually a single visit procedure. It is safe, effective and with low complications. Depending on number and size of warts, the procedure may cost anything between Rs. 2000-6000.
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I m 22years old my skin pores open due reaction of tetaine 0.25 skin cream suggested. By one doctor but now my fair and glow un the face is over and my skin is oil wgat should I do.

BHMS
Homeopath, Faridabad
I m 22years old my skin pores open due reaction of tetaine 0.25 skin cream suggested. By one doctor but now my fair a...
Wash your face with Bakson's Facewash (wash your face with warm water only) and followed by CTMP, i.e., cleansing, toning, moisturising and protection (apply liberally Sunscreen Gel with SPF-30) after washing your face daily. Home-made remedies: - Take 1 tbsp of fuller's earth (multani mitti) + a dash of lime + bit of rosewater – apply this on your face till it gets dried up, then rinse it off. - Take 1 tsp of Alum (or fitkari), make it slightly wet with water and apply this on your wet face, spread it well; let it dry and rinse it off. Alum remove your excessive moisture or oil and it also tightens the skin's tonicity. Medication: You can take homoeopathic medicines – Berberis Aquefolium Q/ 10 drops in 1/2 cup of water/ thrice a day (and for local application as well) and Kali Brom. 200/ thrice a day – for 20 days. Also, use Bakson’s Apricot scrub 1-2times a week on the area.
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Hello Doctor From my childhood I am a fair guy but from past 2 years my face is becoming dull and my fairness is vanishing day by day. My skin is dry. Plse suggest me appropriate remedies for this problem.

BHMS
Homeopath, Bangalore
Hello Doctor From my childhood I am a fair guy but from past 2 years my face is becoming dull and my fairness is vani...
Take homoeopathic medicine Graphites+yucca + Carcinosin 1M 4pills 4times 4days n give a gap of a week again repeat 4days such way take 6 courses n try to apply potato extract mixed with few drops of lemon n honey n keep it for 15 mins n wash ur face,,dont use many creams n soaps n just wash ur face with plain water everyday 5 to 6 times n try to apply milk n keep it for 5 mins n wash ( though ur skin is dry dont use milk cream,just use milk only)
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