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Dr. Ulka Natu

Gynaecologist, Thane

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Dr. Ulka Natu Gynaecologist, Thane
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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. Ulka Natu
Dr. Ulka Natu is an experienced Gynaecologist in Naupada, Thane. She is currently associated with Nest Accident & Fracture Hospital in Naupada, Thane. Book an appointment online with Dr. Ulka Natu on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 31 years of experience on Lybrate.com. Find the best Gynaecologists online in Thane. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Hindi

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Nest Accident & Fracture Hospital

Off Gokhale Road,Naupada,Thane West. Landmark: Behind State Bank & Ice Factory, ThaneThane Get Directions
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Hi I want to ask that labia minora has become wider since last 15 days. I am unmarried & have PCOS. Prolactin level is also bit higher in recent test. Please tell reason & remedy for wider labia minora?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
For PCOS & High prolactin -Both are hormonal imbalance and long time treatment is required with patience. Depending on history, examination findings, reports and stage of life treatment changes so meet Gynecologist in whom you have trust and are ready to visit often. Overwight is very common so in case you have that reduction of weight helps tremendously. Labia minora needs to be examined if only size has increased and nothing in examination, nothing needs to be done.
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I am 21 years female. My periods will b irregular oftenly. Once I show to doctor n take tablets to fr periods it happens but once I complete the course n stop taking tablets my periods continue regularly only fr 2 to 3 months. And again it stops. What may b the reason. What should I do? Please suggest.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
I am 21 years female. My periods will b irregular oftenly. Once I show to doctor n take tablets to fr periods it happ...
Actually it is due to hormonal imbalance.Please go for abdomen ultrasound to rule out possibility of PCOD and Blood examination for THYROID PROFILE. start taking below given homoeopathic treatment PULSATILLA NIG 30 ( Dr Reckeweg) Drink 5 drops in 1spoon fresh water daily night MENSOAID SYRUP ( BAKSON) Drink 2 sspoons in evening. FERRUM SIP ( SBL) Drink 1 spoon twice daily Things to do 1.Daily intake of atleat 2 fruit from Apple,banaba,pomegranate,papaya,grapes, 2.2 glass milk daily 3.Lots of water daily 4.Have a sound sleep 5.Start taking a good iron supplement
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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??

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Hello Doctor! I guess I'm suffering from vaginal infection but I'm not sure that it's yeast infection or BV. I am having swelling, irritation, burning sensation, itching on the surface and there is a discharge of white (lil bit yellow) thick stuff like butter as well and it's not smelly. Please prescribe medicine as I don't want to go to any random doctor as I don't know any doctor here. I also used coconut oil to stop itchiness and it helped.

MD - Alternate Medicine, DNHE, BHMS
Homeopath, Ahmedabad
Hello Doctor! I guess I'm suffering from vaginal infection but I'm not sure that it's yeast infection or BV. I am hav...
You can take homoeopathic medicines it will surely help you. You can take can notharis 30 5 pills 2 times a day for 3 days along with that you can take sulphur 30 5 pills 2 times a day for 3 days. Both are homoeopathic medicines you can get it from homoeopathic pharmacy shop and it will help you a lot. But I suggest if even after 3-4 days your problem still persist you shoud consult a gynecologist for diagnostic purpose and if you want to go ahead with homoeopathic medicine consult a homoeopathic physician. For any further assistance you can consult us through phone or video consultation.
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My wife is 37 years old and my son is 2 months old. Some pain in my wife's breast during feeding every time.help me

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
Engorged breast may cause pain in breast which becomes more while feeding baby. Light fomentation to breast and encourage to feed baby tolrating pain, may relieve pain. If it does not work, pls consult obstetrician.
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I delivered a baby boy on 30th of may and though it was a C Section I wasn't able to breast feed my baby for 3 days. After that I was lactating alot but my baby wasn't breast feeding so the doctor prescribed me cabliz 0.5 mg. I took 4 tablets and now the milk supply is next to zero. Now how to increase my milk supply as my baby is on formula feeding but I want to breastfeed him. Please answer.

MBBS, MD - Obstetrics & Gynaecology, Advanced Infertility
Gynaecologist, Mumbai
I actually don't understand why you were not able to breastfeed for 3 days For C-section feeding is usually started after 2to 4hours after surgery. Initially even if there is no milk the sticky liquid called colostrum is good for the baby. Secondly caberlin tablet is given to stop Breast milk and is never given if the mother has to feed baby.
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Sir; m married recently and we don't wanna child for 2 years. My wife is not happy to use condoms so pls suggest any other medicine so that we can avoid child now.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
Sir; m married recently and we don't wanna child for 2 years. My wife is not happy to use condoms so pls suggest any ...
Oral Contraceptive pills have the highest efficacy amongst methods to prevent pregnancy. Tghese have to be taken for 21/ 24/ 28 days depending on the type of tablets. Seek a consultation from a nearby gynecologist to rule out contraindications to use of OCPills and then take them as instructed.
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I am one month pregnant and would like to ask question, should I walk in a hilly area? please kindly suggest me. Thanks.

Advanced Aesthetics
Ayurveda, Gulbarga
In 1st month avoid travelling and don't walk more, upto 1km is enough and in this month complete bedrest upto 12th week of pregnancy.
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