Gynaecologist doctor in Pune - Pearl Women Hospital

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The word endometriosis is often uttered with great pain & anxiety. Every case of endometriosis is an enigma and calls for a deeper understanding of causes beyond the symptoms. Clear understanding about the same will raise awareness and reduce suffering. In this blog, we will address endometriosis in the most genuine scientific way.

Endometriosis is a condition in which tissue outside of the uterus resembles the uterine lining (endometrium). Endometriosis can grow on the exterior of your uterus, ovaries, tubes, or even your bladder and intestines. This tissue can irritate the organs it contacts, producing pain and adhesions (scar tissue).

The average wait period for a diagnosis for women is 6.7 years. This prolongs their suffering, which frequently leads to mental health problems.

The difficulty of diagnosis is just one factor that contributes to this delayed diagnosis.

Aside from bias in medical research, it is not unusual for women’s suffering to be underestimated in comparison to men’s.

Many women with endometriosis have pelvic or abdominal discomfort, which is worsened by menstrual bleeding or intercourse. Some women have no symptoms. It might be difficult to get pregnant if you have endometriosis. Endometriosis affects 30 to 50 percent of infertile women. Endometriosis can sometimes develop inside your ovary and produce a cyst (endometrioma).

This causes an inflammatory response, which can lead to the formation of scar tissue and the sticking together of pelvic organs. Debilitating pain during menstruation, painful bowel motions, pain while urination, pain during sexual intercourse, and fatigue are just a few of the symptoms. It is also associated with an increased risk of infertility.

Unfortunately, there is no full-proof treatment for endometriosis. Though hormone therapy can help with symptoms, it is also known to have negative side effects. Endometriosis lesions have to be surgically removed, but the risk of relapse can’t be ruled out.

Endometriosis affects 10-15% of all menstruators, according to current statistics. Because of the number of cases that go undiagnosed, this number might be significantly higher. Despite the high frequency, women must wait an average of 6.7 years for a diagnosis. This prolongs their suffering, which frequently leads to mental health problems.

The difficulty of diagnosis is one of several factors that contribute to the delay in diagnosis. There are no blood tests that can be used to diagnose this condition. Doctors can diagnose one with endometriosis based on their symptoms, but a definitive diagnosis requires surgery. Due to their similar symptoms, endometriosis is frequently misdiagnosed as irritable bowel syndrome or appendicitis.

Unlike other endometriotic tissue, this may usually be detected on ultrasound. A surgical procedure known as laparoscopy is the only method to determine if you have endometriosis for sure.

The lack of study using female animal models is one of the key reasons why women’s health concerns are misdiagnosed. Male animals were commonly utilized more than female animals since they were regarded to be less variable due to the lack of monthly hormonal cycles. As a result, the majority of studies favored male subjects.

Research organizations are still debating the ideal mammalian model to use for studying difficulties particular to the female body. Aside from bias in a medical study, it is not unusual for women’s pain to be underestimated in comparison to men’s. This may be linked back to a history of women being labeled as “hysterical” if they complained of pain that wasn’t immediately apparent.

The concept that a displaced uterus was the cause of pain from an unusual, seemingly invisible sickness was first mentioned in ancient Greek texts. This gave rise to the concept of ‘hysteria’ as a mental disorder, paving the way for modern-day women to be informed that their seemingly intangible pain was “all in their heads.”

As a result, it is typical for women’s pain to be ignored or trivialized. In reality, the phrase “gender pain gap” was developed to address discrimination in healthcare, when unconscious bias causes women’s pain to be dismissed as unimportant.

If you have endometriosis, becoming pregnant may be more difficult. Women with endometriosis might have infertility in 30 to 50 percent of cases. Endometriosis can affect fertility in a variety of ways, including distorted pelvic anatomy, adhesions, scarred fallopian tubes, inflammation of pelvic structures, immune system dysfunction, changes in the hormonal environment of the eggs, impaired pregnancy implantation, and reduced egg quality.

Your doctor may assign you a “score” based on the quantity, location, and depth of endometriosis. This number defines whether your endometriosis is mild (Stage 2), moderate (Stage 3), or severe (Stage 4). The success of pregnancy is linked to this rating system.

Women with severe (Stage 4) endometriosis, which results in significant scarring, blocked fallopian tubes, and damaged ovaries, have the most difficulties conceiving and usually require advanced reproductive treatment.

The female hormone estrogen is needed for endometriosis to develop and grow. Birth control pills and other estrogen-lowering or estrogen-blocking medications can help relieve pain symptoms. Medical therapy may be considered for patients who want to get pregnant before attempting to conceive, however, this treatment usually improves pregnancy rates.

If endometriosis is detected during surgery, the endometriosis will be surgically destroyed or removed, as well as the scar tissue. This treatment will return your anatomy to normal and allow your reproductive organs to function normally again. After surgical treatment, your chances of becoming pregnant improve, especially if your endometriosis is moderate or severe.

In individuals hoping to conceive through in vitro fertilization, a mix of surgical and medicinal treatment may be useful (IVF). Overall, each patient’s treatment is very personalized.

As a sufferer of endometriosis, it takes almost five years to receive a correct diagnosis. While some doctors invalidated my pain, others advised them to “get married” and “have children” to deal with it. To most people’s surprise, these experiences in cities like Mumbai and Bangalore. The Rural & urban divide is almost diminished in the case of endometriosis diagnosis & treatment.

However, it’s not all bad news. There has been growing interest in endometriosis research. A brief scan of PubMed, the most widely used scientific research archive, reveals that the number of studies on endometriosis has been rapidly increasing in recent years. In the late 1990s and early 2000s, there were only about 500 articles published every year. This number has risen significantly, with over 2,000 articles published in 2021 alone.

With new research advancing our understanding of the condition, more institutions are employing a multidisciplinary approach to endometriosis treatment. Some endometriosis clinics employ doctors who have completed fellowships in endometriosis surgery. Endometriosis procedures may now be performed in a minimally invasive manner as well, thanks to enhanced infrastructure.

Endometriosis remains unnoticed for two main reasons: lack of awareness and difficulties identifying the disorder. With medical advancements, minor but continuous efforts have been made to address the latter. Female-specific disorders such as endometriosis, however, are still poorly communicated.

Do consult an endometriosis expert to get the right diagnosis & treatment. Early diagnosis can reduce or correct the chances of fertility.

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It is said, pain is the language of the body that conveys the battle going on within the body. The body is designed uniquely to tackle the issues on its own but when the situation goes out of control, the body needs external support and help and indicates this by way of pain.

One such condition is Pelvic pain, which affects the lower part of the abdomen, between the belly button and groin. In some people, pelvic pain may manifest as menstrual cramps signifying ovulation. Causes may also include gastrointestinal issues, such as food intolerance. Pelvic pain may indicate more serious issues and proper evaluation is necessary.

Many women experience pelvic discomfort (pain in the lower part of the belly) on occasion, generally during their period. However, if you have daily pelvic pain, it could be a sign of a bigger problem within your bladder, bowels, reproductive organs, or pelvic muscles.

Endometriosis, adhesions, chronic appendicitis, and hernias are just a few of the disorders that cause pelvic pain. Sometimes medication controls the problem; other times surgery may be needed. Your doctor will examine you to identify the nature of the problem and the best course of action.

Your doctor will ask as to whether going to the restroom, walking, sitting, climbing stairs, or driving a car causes you pain. If you experience pain while engaging in these activities, it could be an issue with your bladder, bowels, or the muscles in your pelvis, hips, or lower back.

By pressing on these muscle areas your doctor may be able to determine exactly where the pain is originating. Problems such as endometriosis can cause pain because there may be tissue growth from the endometriosis on different organs within and outside of the pelvic cavity, which includes the ovaries, bladder, behind the uterus, and bowel.

Some doctors may suspect these problems during a pelvic exam & treatments are planned accordingly.

Conservative treatment means treatment without performing surgery. Depending upon the cause, your doctor may first try to treat your pelvic pain with medication. If you have endometriosis that may not work and you may be given medications that take away the estrogen in your body, therefore placing you in a short-term, menopause-like state. Endometriosis implants and pain can be reduced by lowering estrogen levels in the body.

Laparoscopy is a type of minimally invasive surgery that is performed with a telescope that is attached to a camera (laparoscope). The laparoscope is inserted into one of three to four small incisions made in your belly. During laparoscopic surgery, your doctor will be able to view your pelvic organs to see if they, or any other conditions, are contributing to your pain. Endometriosis, adhesions (scar tissue), appendicitis (appendix infection), or a hernia are some of the diseases your doctor may identify.

Finding out that everything is normal might sometimes be useful in deciding what treatment to follow.

The two most common problems that can be treated with laparoscopy are endometriosis and pelvic adhesions.

Endometriosis can cause discomfort in the pelvis on a regular basis, as well as painful periods and pain during bowel movements or intercourse. Endometriosis can also make it difficult to become pregnant. Your doctor will use an electric current or a laser to try to remove the endometrial tissue that is seen during your laparoscopy. Treatment will help to decrease or eliminate the symptoms.
Pelvic adhesions (scar tissue): Adhesions in and around the pelvic cavity may form if you have endometriosis, a pelvic infection, surgery on your pelvis, a cyst on an ovary, or have had surgery on your pelvis. Organs that are normally separated from one another become connected due to scar tissue. Pelvic discomfort might not usually require medical attention. However, if a person suspects an infection is causing pelvic discomfort, if they have unexpected vaginal bleeding and severe pain, or if they have a known illness and suffer rapid changes in pain, they should consult a doctor.

If a person with pelvic discomfort develops a fever, nausea, or vomiting, they should consult a doctor. A doctor will conduct a comprehensive evaluation and assist in the development of an appropriate treatment plan.

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Because they believe it is “normal,” women ignore irregular bleeding or pelvic pain. These symptoms are really signals of abnormal cell development in the uterus, commonly known as the “womb,” a major female reproductive organ.

The uterus includes a variety of cells that assist women in carrying a baby. Three common – and sometimes painful – diseases can occur when cells develop abnormally:

Fibroids (the most prevalent), uterine polyps, and adenomyosis are all forms of uterine fibroids.

Pain, irregular bleeding, and reproductive issues are all symptoms that can have a negative impact on a woman’s quality of life. Treatment is provided in the form of medicine or surgery, depending on the needs of the woman.

Uterus If you haven’t been able to get pregnant after trying for 12 months (for those below 35 years of age) or for 6 months (for those aged 36 and above), some tests can be done to help find the reason. Your hormone levels, your partner’s sperm, and your reproductive organs may all be tested by your doctor (ovaries, fallopian tubes, and uterus [womb]).

Your doctor will examine your uterus to ensure that nothing is blocking the fertilised egg (embryo) from implanting (attaching to the uterine lining) and growing.

Your uterus can be examined in a variety of ways by your doctor.

Vaginal Ultrasound: A tampon-like probe is inserted into the vagina to perform vaginal ultrasonography. The probe delivers sound waves to a screen, which displays an enlarged image of your uterus’s walls and lining, as well as your ovaries. Sonohysterogram is a procedure that uses sound waves to examine the uter (Saline Infusion Sonogram). This is a type of vaginal ultrasonography that is unique. A small amount of sterile fluid is injected into your uterus via the cervix (the lower portion of the uterus that opens into the vagina) using a thin plastic tube during this test. It allows your doctor to see the shape of the area inside your uterus (cavity).

Hysterosalpingogram (HSG): This test can provide information regarding the fallopian tubes and the uterus’s inside. Through the cervix, a little amount of a particular dye (that shows white on an x-ray) is injected into your uterus. An x-ray is obtained as the dye is injected to show the dye’s route through the uterus and fallopian tubes.

The doctor can use this test to determine the shape of the cavity and whether or not your fallopian tubes are open. During this procedure, you may suffer mild, moderate, or severe cramping.

Hysteroscopy: Your doctor examines your uterus with a hysteroscope, which is a small telescope attached to a camera. The hysteroscope is inserted via the cervix into the uterus. The doctor has a clear look within your uterus, giving him the most up-to-date information about the cavity.

Hysteroscopy is a procedure that is used to diagnose and treat a variety of problems. It can be done at a surgery center under general anesthesia.

Diagnostic Hysteroscopy: Hysteroscopy is sometimes done to diagnose a problem with the uterus. The doctor will insert the hysteroscope into the uterine cavity through the cervix. You and your doctor can both see the procedure on a monitor screen since the hysteroscope is connected to a camera. You may normally continue your normal activities after the operation, just as you would after a standard gynecologic exam. Afterward, you may have some spotting or watery fluid from your vaginal area.

Operative Hysteroscopy: Hysteroscopy can also be performed to remove abnormal tissue that may be causing reproductive issues or bleeding issues. It is performed under anaesthesia in a hospital or surgical centre operating room.

It typically takes about 1 hour. Because no incisions are made, there is usually very little discomfort afterward. Because the cervix has been stretched (dilated) to allow the hysteroscope to enter the uterus, your doctor may advise you not to swim, bathe in a tub, or place anything in your vagina for up to two weeks (this includes avoiding sexual intercourse, using tampons, and douching).

This precaution prevents infection by allowing the dilated cervix to return to its normal closed state.

Small growths of the tissue that lines the uterus are known as endometrial polyps. Polyps are prevalent and can have an impact on fertility as well as produce irregular bleeding. Depending on the size and location, polyps can be taken out in the physician’s office or an operating room.

Fibroids in the uterus are noncancerous growths in the uterine wall. They can cause severe bleeding and/or problems becoming and staying pregnant if they are inside the uterus. A hysteroscope can occasionally be used to remove these fibroids. Adhesions (scar tissue inside the uterus) can be removed in the hospital or in the operating room.

Your doctor may give you hormone medicine and/or insert a small balloon in your uterus for up to one week following surgery to prevent adhesions from forming again. To assess if scar tissue has returned, a follow-up hysteroscopy or other form of uterine test may be required.

The uterine septum is a piece of tissue dividing the uterus in half. It’s a uterine condition that some women are born with that can result in miscarriages. A uterine septum is commonly removed in the operating room via operational hysteroscopy. After the surgery, you may be given hormone medicine, and/or a small balloon may be implanted in the uterus to reduce scarring.

Hysteroscopy complications are uncommon. You might have an infection after the operation, and scar tissue could grow, requiring another hysteroscopy.

After the operation, most women will have some bleeding. Heavy bleeding should be reported to your doctor, as this may require medical attention. Because hysteroscopy uses fluid to allow your provider to see into your uterus, you run the risk of absorbing too much fluid from the uterus into your bloodstream.

The above diagnostic tests provide a sound platform to understand the condition of the uterus along with associated problems. It ensures an early, accurate diagnosis and patients can be relieved of the conditions by medicines, surgery.

We, at Pearl Women’s Hospital, provide this facility in-house, delivered by an expert team of Gynecologists, Laparoscopic surgeons, Anesthetists, and nurses.

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Women of any age can experience abnormal bleeding, vaginal bleeding that is heavy, lasts long periods of time, or occurs outside of regular menstrual cycles.

The textbooks define abnormal bleeding as blood loss from the uterus in excess of 80 ml 0r 2.8 ounces. But frankly, does anyone have the where with all to carry out such measurements? Not really. If the uterine bleeding interferes with regular activities and disrupts your routine, or is painful or very heavy, it can be considered as abnormal and warrants a visit to your gynecologist.

Many women also have irregular periods, which come so seldom that they feel like they’re bleeding all the time or come so infrequently that they only bleed once every three to four months. Though from the women’s perspective, fewer periods may be desirable, it needs to be evaluated as this will directly affect chances of conceiving.

Abnormal bleeding or spotting often happens after active sex, between periods, or after menopause.

Abnormal bleeding can make everyday activities such as household working, attending to the duties exercising or socializing stressful and difficult. Some women even have to wear a pad as well as a tampon for protection, carry them always, yet remain under the stressful thought of bleeding all the time. They have been programmed to ‘bear it’ and so perceive the situation as ‘Heavy periods’ to be put up with.

You don’t have to live with abnormal bleeding because it’s not “normal.” Whether you’re a teen who is just starting to cope with abnormal bleeding or a woman in perimenopause who has been struggling for years, help is available. Let’s discuss the primary causes of abnormal bleeding, some common treatment options, and understand which associated conditions can exist.

To figure out what’s causing the bleeding, we need to figure out where it’s coming from. Is it coming from your uterus, cervix, or vaginal area? Bleeding that appears to be coming from the vaginal area may instead be coming from the bladder or bowels. The patient’s symptoms are often the indication of trouble, so after physical examination, which will generally include a pelvic exam to check the cervix and vagina as well as all potential sources of bleeding.

Cervicitis, a sexually transmitted illness, is one of the most prevalent causes of bleeding and discharge. The cervix, which is positioned at the lower end of the uterus, becomes inflamed and irritated. Often evaluation of the cervix for cancerous and pre-cancerous lesions is done.

However, abnormal bleeding can be the result of many conditions, mainly of the uterus (or the womb). Let’s identify primary conditions of the uterus that lead to abnormal bleeding:

Polyps: growths, or small clumps of cells, that form when cells in the lining of the uterus overgrow
Adenomyosis: Adenomyosis is a condition in which the tissue that borders the uterus grows into the uterine wall.
Leiomyoma: Fibroids are benign tumours in the uterus termed leiomyoma.
Hyperplasia and malignancy: when the uterine lining (endometrium) gets overly thick.
Coagulopathy is a condition in which the body’s ability to clot is harmed, generally as a result of low levels or the lack of blood-clotting proteins.
Ovulatory dysfunction occurs when ovulation is abnormal, irregular, or absent, and is a common cause of abnormal bleeding.
Endometrial: abnormal functioning of endometrial tissue
Iatrogenic bleeding: When bleeding is caused by birth control, other hormone medicines, or other pharmaceuticals, it is called iatrogenic bleeding.
Not otherwise classified: When doctors are unable to identify a specific cause for bleeding problems, they are labeled as “not otherwise classified.”
Following a physical examination, we may use ultrasound, endometrial biopsy, and other tests to assist us to identify the problem, which may include an infection examination. Finally, we go over the various treatment alternatives.
Bleeding that interferes with daily routine is not “normal,” and you don’t have to live with it. Whether you’re a teen who is just starting to cope with abnormal bleeding or a woman in perimenopause who has been struggling for years, help is available.

Many conditions can be treated with medication. If there is an infection, Simple antibiotics will relieve the problem soon. For many of the uterine sources of bleeding, hormone treatments such as birth control pills, progesterone pills, or intrauterine devices (IUDs) that help regulate and lighten periods, can be prescribed.

Patients may need minimally invasive surgery to remove abnormal tissue if conservative therapy fails or if they have uterine growth diseases like polyps or leiomyoma. The doctor may recommend a hysterectomy to remove the uterus in severe cases, and usually only after women are done with fertility. However, women should never feel pressured into hysterectomy as their only option since many treatment options are available today.

Excessive blood loss causes some women to develop iron-deficiency anaemia. When the blood is low of healthy red blood cells, this occurs. This condition can cause dizziness, fatigue, and shortness of breath, which impacts overall work efficiency.

Untreated abnormal bleeding caused by ovulatory dysfunction, which causes irregular periods in women, can put them at risk for precancerous endometrial disorders including hyperplasia, which occurs when the uterine lining swells and can lead to uterine cancer. Even if you like just three to four periods a year, this is abnormal and should be investigated.

Women who merely have a “lack of energy,” and when we get to talking about her period, we discover she’s had abnormal bleeding her whole life and never realised it was “abnormal.”

With simple evaluation & treatments available, it’s amazing to see women get their life and energy back.

Women should seek treatment for abnormal bleeding in time as her gynaecologist will help to enhance the quality of life and offer her much-needed respite from abnormal bleeding.

We can also secure a healthy future by addressing underlying issues. Make an appointment by calling or filling out our online form.

In addition to working with a doctor, some home remedies and supportive tools can help reduce symptoms and make an abnormal period easier to manage.

Try a heating pad: Heating pads can help reduce common period symptoms, as the warmth of the heating pad can relax the muscles involved.

Wear period panties to bed: Period panties are absorbent underwear that works like a pad to absorb blood.

Sleeping in these panties may be more pleasant than sleeping with a pad, and people may wake up less frequently at night.

Diet, supplements like Vit C, D, iron help in easing the burden of abnormal bleeding.

Nevertheless, it is to be taken under the guidance of a registered medical gynaecologists’ as, just easing the symptoms doesn’t mean the underlying problems are been taken care of.

A good old wise saying is apt for this; a stitch in time saves nine.

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Parents play a critical role in managing PCOS in an affected daughter. Chances are they have no idea what to look for and may simply ignore period problems as something that will settle down or ‘bad periods’. The probability that a father will even be consulted is practically zero, in India, except perhaps if he is a doctor and keeps his eyes open.

Even mothers may be slow to react simply because they themselves may have gone through the same difficult time and they were also told to ‘stay at home & bear with it’.

It is now a known fact that mothers and, yes, even fathers, can pass on PCOS to daughters.

As parents, you need to be sensitive to your daughters’ behaviour as much as her physical experience. A healthy lifestyle is something you need to inculcate in them and set an example. This doesn’t mean forbidding certain types of eatables but simply teaching them to maintain a healthy balance.

Observe for mood swings. PCOS is caused by hormonal imbalance and this will impact behaviour strongly. Unusual weight gain, excessive body hair, especially male pattern hair on the face chest, armpits are sure telltale signs. Persistent acne, thinning of scalp hair are also signs to watch for.

Mothers should monitor abnormalities in the monthly cycles and consult a gynecologist early if they find an abnormal pattern.

It’s common to put down your daughters’ mood swings to teenage transition. Keep in mind that if she has PCOS she has the additional burden of hormonal imbalance in addition to the peer pressures she will be experiencing. A supportive family can do wonders and the silver lining is the strong bonds this can create.

As parents, we must address any feelings of shame, guilt, rage, or sadness your daughter may be experiencing as a result of her trauma. While there is definite evidence that it can be passed down the generations, it doesn’t mean that you are responsible for it.

None of us is genetically perfect. In a few cases, this imperfection manifests more visibly. Not only in the form of appearance issues but moodiness, irritability. This being a part & parcel of living with PCOS, should be accepted and professionally addressed.

First of all, do not get into denial mode. That won’t help at all.

Accept that your daughter isn’t the perfect child that you wanted. Far from it. But your response will determine how she weathers the PCOS storms over the years. Channelize your frustration, guilt and anger in figuring out the best way to deal with the different manifestations of the problem. Easier said than done.

Accept that PCOS isn’t going to go away
Connect with a doctor who has had experience in dealing with such cases. More importantly, one who is qualified to do so? Do not put your trust blindly in the family doctor, who may simply tell you what you wish to hear.
Even a good doctor alone will not be enough. Ideally enroll in a clinic that has an all under one roof facility for dealing with PCOS including a nutritionist, Physiotherapist, lifestyle counselor and stress therapist. If they work in a coordinated manner as a team, this will really go a long way in helping your daughter to keep PCOS on a tight leash. Remember, the medicine will work only as long as the other facets of PCOS management are also being expertly managed, namely – nutrition, weight control, management of emotional issues.
Keep in mind that PCOS patients can get Diabetes, are at a much higher risk of heart disease & endometrial cancers. They may have to combat infertility. More the reason you need to get professional help at the earliest and keep on monitoring lifelong.
Keep in mind that she may not be the only one in the family with a major health problem. Her sisters may not be showing symptoms of PCOS, but maybe at a higher risk. Even the men in the family run a higher risk of getting ailments like diabetes, thyroid disorders.
Address the issues openly and supportively. Anger, frustration, and depression will not help. You, as a parent, need to appear in control. You need to give your daughter the confidence that she is not alone in this fight to counter her risks and build a lifestyle that is healthy. Even if it means changing your eating habits, taking time out of a busy schedule to go on walks or bike rides with your daughter. If you can’t do it, find someone who can and remain as involved as you can.
Teach her to cook healthy, even if you yourself have to unlearn what your mother has passed on! Take classes to learn how to cook simple, healthy yet delicious, wholesome meals.
Introduce her to Yoga, Pranayam and meditation. There are many meaningful courses in India that teach Life & Stress management in a way that is acceptable to youngsters. Attend these together.
Visit the clinic with her. Be prepared with your specific questions for the entire team – the doctor, nutritionist, Physio, lifestyle and stress counsellor. Encourage her to become a part of a group on social media, that deals with PCOS and whose members share their successes and failures openly.

Try to sweep away the fact of PCOS under the carpet
Make her feel like a burden or someone to be ashamed of
Let your emotions go out of control in front of her

Each of us is dealt a different set of cards by life. PCOS isn’t worse than a lot of problems that people have to deal with. Stay together as a family, support each other and life can be normal again.

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The arrival of PCOS in women is signalled by various symptoms, some of which are seen & some are deep-rooted. Every face of PCOD is equally important & interlinked. Every thread interlinks and so is excessive body and facial hair. This is called ‘Hirsutism’.

Hirsutism is indicated by coarse, black hair on the face, chest, abdomen, back, upper arms, and upper legs. Hirsutism is a sign of androgen hormone-related medical problems. Androgen is the primary cause of this.

Polycystic ovary syndrome (PCOS), in which the ovaries produce excessive amounts of androgens, is the most common cause of hirsutism, and may affect up to 10% of women. Hirsutism is a common condition that improves well with medical treatment. Prompt medical attention is important because delaying treatment can have prominent effects, which makes the treatment more difficult and may have long-term health consequences.

Hirsutism is more than hair growth which impacts overall personality.

Understanding the process of normal hair growth will us understand hirsutism better. Each strand of hair grows from a follicle beneath the surface of your skin. Hair will continue to develop as long as these follicles are not completely damaged, even if the shaft, or the part of the hair that appears above the skin, is plucked or removed. Except for the soles of your feet and the palms of your hands, hair follicles cover every surface of your body. Of the approximately 50 million hair follicles covering your body, one fifth is located on your scalp. After birth, the number of hair follicles does not increase, but it decreases gradually until around the age of 40.

There are two types of hair in adults: vellus and terminal. Vellus hair is silky, fine, and usually colorless, with a short length. Terminal hair is long, coarse, dark, and sometimes curly. Vellus hair covers the face, chest, and back of most women, giving the appearance of “hairless” skin. Terminal hair covers the face and body in most men. Both men and women have terminal hair on their scalps, pubic areas, and armpits. Both men and women have a mixture of vellus and terminal hair on their lower arms and legs. If you have excessive hair growth mainly on your lower legs and forearms, you don’t have hirsutism and hormonal therapy won’t help.

Excessive face and body hair are generally caused by an excess of androgens in the body. Males and women both have androgens, but men have significantly larger amounts of physiologically active androgens. Androgens are predominantly produced by the testes and adrenal glands in men. Androgens are produced by the ovaries and adrenal glands in women. Estrogen reduces the effect of androgens in women to some extent.

Androgens cause oily skin and acne by increasing sebum production. Ovulation and menstruation can be irregular or absent when there are too many androgens in the body. Extremely high androgen levels, such as those found in the presence of a tumor, can result in male-like baldness, a deeper voice, increased muscular mass, clitoris enlargement, and decreased breast size.

Polycystic ovarian syndrome (PCOS) is a chronic hormonal condition that affects 5%–10% of women. PCOS is diagnosed using a combination of clinical, ultrasound, and laboratory features because of its variable nature. PCOS (polycystic ovarian syndrome) is a hormonal imbalance in which the ovaries produce excessive amounts of androgen. It is one of the most common causes of hirsutism. Multiple small follicles develop in the ovaries in women with PCOS, resulting in cysts, hence the term “polycystic.” These small cysts are immature ovarian follicles that haven’t matured enough to ovulate.

You should be as precise as possible when describing your symptoms to your physician. Your medical history and physical examination may point to PCOS. To confirm the diagnosis and exclude certain other associated conditions, your physician may measure your blood hormone levels. If you have irregular menstrual bleeding, your doctor may do an endometrial biopsy to ensure that your uterus is free of precancerous cells.

You should be tested for PCOS if you’ve had menstrual irregularities and/or increased hirsutism since puberty.

Hirsutism is a common condition that may usually be successfully managed with medicines. Electrolysis or laser treatment can be used to permanently decrease or remove any remaining unwanted hair after medical treatment. If previous female members of your family have had excessive hair growth, keep an eye out for early indications of hirsutism in yourself and your children, particularly during adolescence.

Hirsutism is frequently a result of PCOS. When hirsutism and PCOS are diagnosed at an early age, they are easier to treat. Hirsutism, acne, irregular or heavy menstrual periods, lack of ovulation, and infertility are all symptoms of PCOS. Diabetes, uterine cancer, high cholesterol, and heart disease are all related to this condition. Despite the fact that the causes of PCOS remain unclear, progress has been made in both understanding and treating the condition. Your goals and concerns may be addressed in a very short amount of time if you are diagnosed with hirsutism or PCOS, and treatment is generally successful.

Nevertheless, alternative treatments may offer some relief, but evidence-based modern medicine offers deeper views on causes & concerns, addresses the short term and long term impacts of PCOS.

You should get a consultation from a Gynaecologist to address hirsutism in totality and face the world with new vigour and energy.

Beat the Hirsutism with winning stroke of evidence-based medicine and expert recommendations.

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Polycystic Ovary Syndrome (PCOS) has become extremely common, mainly due to poor lifestyle unhealthy eating habits and unawareness about the issues arising due to PCOS. These all add up to the noise level of PCOS. Research has shown that Living with PCOS can increase the risks of type 2 diabetes, it can make you overweight and cause obesity and improving your lifestyle can help in reversing PCOS.

PCOS (Polycystic Ovary Syndrome) is a syndrome in which cysts form in the ovaries. Because the ovaries do not produce eggs or ovulation on a regular basis, it causes irregular periods. High levels of male hormones are released in the body as a result of the illness, which can lead to excessive facial or body hair. The ovaries enlarge and become filled with fluid sacs called follicles, which enclose the eggs. You’re much more likely to be diagnosed with PCOS if you have two of these characteristics. PCOS also puts you at risk for unexpected weight gain and hormone imbalance.

PCOS, according to gynaecologists, nutritionists, and health professionals, is mostly a lifestyle-related condition. PCOS can be caused by a lack of exercise, bad eating habits, smoking, alcohol misuse, and poor sleep.

Without a doubt, irregular periods are the first indication of PCOS. It might be an indication of PCOS if your menstrual cycle is irregular, with periods that arrive earlier than 21 days and later than 35 days in adults and 45 days in young teenagers. PCOS can also manifest itself in the inability to conceive. If you’ve been trying for a long period of time, getting yourself diagnosed with it could be a good idea.
If you have oily skin or a lot of acne all of a sudden, it might be one of the first signs of PCOS that you should pay attention to.
Hair thinning and loss are other signs of PCOS and should be treated carefully if they continue for an incredibly long time.
Living with PCOS can increase the risk of type 2 diabetes – a condition that causes higher than normal levels of blood sugar.
Mood swings and depression are also known to be risk factors for PCOS. If you neglect PCOS for a long period, it can lead to hormonal changes and depression that are hard to manage. It can significantly lower your self-confidence and self-esteem.
PCOS is associated with high blood pressure and cholesterol. Heart disease and stroke can be caused by certain disorders.
PCOS can cause you to gain weight, which can lead to sleep apnea, a disease in which you stop breathing while sleeping.
Endometrial cancer, or cancer of the uterine lining, is a risk for women who have irregular or infrequent periods – less than 3 to 4 per year – for many years.
Skin darkening. Under your arms or breasts, on the back of your neck, and in your genital area, you may notice thick, dark, velvety patches of skin. Acanthosis nigricans is the name for this disorder.
The high levels of hormones that cause PCOS can also cause headaches.

It may be possible to control your symptoms by eating the right foods and avoiding certain ingredients. A healthy diet can help in the regulation of your hormones and menstrual cycle. Eating processed, extensively preserved foods can increase inflammation and insulin resistance.

It’s all about whole foods: Artificial sugars, hormones, and preservatives are not found in whole foods. These foods are as close as possible to their original, unprocessed condition. Fruits, vegetables, whole grains, and legumes are examples of whole foods that may be included in your diet. Your endocrine system may better manage your blood sugar without hormones and preservatives.
Balance carb and protein intake: Both carbs and protein have an effect on your energy and hormone levels. Protein stimulates the production of insulin in the body. Source foods are unprocessed and can help with insulin sensitivity. Rather of trying a low-carb diet, concentrate on eating enough high-quality protein. Plant-based protein sources, such as nuts, legumes, and whole grains, are the best Source. Anti-inflammatory foods should be included in your diet to help alleviate your symptoms. Consider going on a Mediterranean diet. Inflammation is treated by olive oil, tomatoes, leafy greens, fatty fish like mackerel and tuna, and tree nuts. Add magnesium in diet by using Almonds, cashews, spinach, and bananas. These are PCOS-friendly foods rich in magnesium & offer excellent stress reducer. Add in some fibre to help with digestion, a diet high in fibre can help improve your digestion. Lentils, lima beans, broccoli, Brussels sprouts, pears, and avocados are all rich in fibre and help in weight reduction.
Maintain a healthy weight: Maintaining a healthy weight can help you reduce insulin resistance, regulate your menstruation, and lower your risk of PCOS-related disorders. If you’re overweight, several studies show that a low-calorie diet combined with progressive weight loss is an effective first-line therapy for PCOS.
Balance your exercise: Maintaining a healthy weight requires regular exercise. However, too much exercise can cause hormonal imbalances, so talk to your doctor about maintaining a healthy balance. Gentle, low-impact exercises like yoga or Pilates can be practised for longer durations. Swimming and light aerobics are also recommended. High-intensity interval training and long-distance running may help improve symptoms of PCOS. Consult your doctor to determine the best sort of exercise for you.
Practice good sleep hygiene: Sleep increases your stress levels and helps in the regulation of cortisol, which helps to keep your hormones in balance. But sleep disturbances are twice as common Source for women with PCOS. Aim for 8 to 10 hours of sleep every night to improve your sleep hygiene. Create a consistent bedtime routine. Always avoid stimulants and rich, fatty foods before bedtime.
Reduce stress: Reducing stress can regulate cortisol Many of the measures listed such as yoga, getting adequate sleep, and avoiding coffee, can help reduce stress.

Consult your doctor to determine the best comprehensive ways to manage PCOS and avoid long-term effects, since one-size-fits-all treatment does not work. Your gynaecologist must prepare a treatment plan that is unique to you.

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For a young lady, it is important to figure out early in her life that her menstrual cycle goes well beyond simply getting her periods every month.

The menstrual cycle in fact involves a complex interaction between the brain, the ovaries, the uterus & the female hormones – progesterone & oestrogen.

Situated at the base of the brain is the pituitary gland, which signals the ovaries to secrete progesterone & oestrogen to prepare the body for a possible pregnancy.

In the event conception fails to occur, the menstrual period cycle commences during which, a combination of blood, mucus, and the cells lining the uterine cavity are eliminated through the vaginal opening. This is the ‘period’, which can last from 2 to 7 days.

The menstrual cycle begins from the first day of your last period till the first day of your next cycle. This period varies greatly from person to person and can last from 24 to 38 days on an average.

The length of your cycle also varies with age from menarche (commencement of periods during puberty) to menopause (permanent cessation of periods) which progresses in four main phases:

Menstruation: aptly described as the weeping of the uterus – is the shedding of the tissue lining the wall of the uterus, which had thickened in anticipation of the embryo getting embedded into the uterine wall.
The Follicular Phase: Commencing from day 1 of your period, it lasts up until ovulation. During this phase, oestrogen levels rise, preparing the ovaries for the release of an egg for possible fertilization.
The uterine lining begins to build up again in this phase.
Ovulation Phase: this is the part of the cycle during which, an egg is released from one of the ovaries. It travels through the fallopian tubes wherein it may get fertilized by a single sperm. Subsequently this fertilized egg implants itself into the lining along the walls of your uterus.
The approximate life span of this egg is about 24 hours. It dies and is shed along with the uterine lining it is fails to get fertilized by a sperm cell during this window period of 24 hours.
The Luteal Phase: the uterine lining has to thicken in order to nurture the fertilized egg if and when it embeds itself into the uterine wall. This building up of the wall thickness is facilitated by the rise in level of progesterone. This phase that occurs between ovulation and the first day of your period is called the luteal phase. If pregnancy does not occur, the progesterone levels drop, causing the uterine lining to break down. It is shed away, along with other menstrual fluid and mucus and blood.

You can note down your period dates some place in a journal or imprint those dates on a schedule to anticipate and be prepared for your next periods. Tracking your cycle has additionally now become a lot more straightforward It can be done by just downloading a relevant application on your cell phone.

A woman’s cycle is an exceptionally private period. Every lady encounters it in an unexpected way, and for that reason it is helpful to investigate it’s computation. To calculate your monthly cycle, you should begin the first day of your period and count up to the last day before your next period starts. Notwithstanding, you ought to be careful that periods might fluctuate.

The female menstrual cycle is a very personal experience. Each woman experiences it differently. To calculate your menstrual cycle, you should start on the very first day of your period and count up to the very last day before your next period begins. However, you should be mindful that menstrual cycles may vary due to several reasons.

For example, if your period commenced on 1st March and ended on 6th March, you will start calculating your menstrual cycle from 1st March. If your next period arrives on 28th March, your menstrual cycle lasted from 1st March to 28th March, meaning that your menstrual cycle is on an average 28 days long.

It is vital to note, notwithstanding, that pre-period spotting shouldn’t be considered. Your period starts when you begin bleeding consistently.

If you monitor your menstrual cycle closely, you can quickly recognize irregularities and atypical periods.

While a single missed, delayed or early period should not raise alarm, if your menstrual cycle is consistently irregular, you might want to pay your gynecologist a visit.

There can be several underlying causes that lead to irregular periods. Some of them are:

Pregnancy
Hormonal imbalances: Several studies have established a link between menstrual irregularities and hormonal disorders such as hyper or hypothyroidism. If your menstrual irregularities are coupled with sudden weight loss or weight gain, hair loss, or an irritable bowel it is best to check with your doctor.
Polycystic Ovary Syndrome: The most common symptoms of Polycystic Ovary Syndrome or PCOS are irregular periods. Other symptoms to watch out for are weight gain, excess hair fall, growth of excess facial hair or body hair, etc.
Stress and anxiety: are known to interfere with your menstrual cycle – whether that is in the form of menstrual irregularities, delays in periods, or even shorter menstrual cycles. Of these, menstrual irregularities are most common in women facing excess stress.

There are a few science based strategies that can help in regularizing your monthly cycle, for example yoga. Exercising routinely and eating right help greatly. Should simple self remedies not help, you must consult your gynecologist.

Monitoring your menstrual cycle will help you identify the early warning signs. You can then schedule an appointment with your doctor and based on your symptoms your doctor may prescribe lifestyle changes, medication to regularize your cycle, or a combination of both. It is important not to ignore the signs and suffer in silence. Whatever be the underlying cause of irregularity in your menstrual cycle, your gynecologist is qualified to help you find a solution.

Tracking your monthly cycle will assist you with recognizing the early warning signs. You can then schedule a meeting with your doctor and in light of your symptoms your primary care physician might recommend life style changes, drugs to regularize your cycle, or a mix of both. It is important not to disregard the signs and suffer silently. Whatever be the fundamental reason for irregularity in your monthly cycle, your gynecologist is the best person to assess your cycle and diagnose the reasons for the problem.

Endometriosis: Tall Claim Over Infertility

What is Endometriosis?

Let’s Know, More About Endometriosis.

Does Endometriosis Cause Infertility?

How is Endometriosis Treated?

Managing Pelvic Pain: Finding Out What is Wrong?

Diagnostic Laparoscopy:

Evaluation of the Uterus: Organ Under Scanner

How will the Doctor Examine a Uterus?

How is Hysteroscopy Performed?

What can a Doctor Diagnose and Treat with Hysteroscopy?

What are the Risks of Hysteroscopy?

Abnormal Bleeding That Drains Life

What Causes Abnormal Bleeding?

Treating Abnormal Bleeding

What can happen if Abnormal Bleeding is Left Untreated?

PCOD / PCOS – Role of Parents

Do’s and Don’ts for Parents:

Don’t:

Hirsutism: Thread that Links

Normal Hair Growth:

Effects of Androgens on Hair Growth:

Diagnosing the Interlink is as important as the Treatment

Early Diagnosis is the Key to Hirsutism

Early Warning Signs of PCOS

Let’s go through some of the early warning signs of PCOS so you can take the necessary steps to control and reverse it.

Wiser way to control the PCOS:

Figuring Out The Menstrual Cycle and it’s Stages

Comprehending the menstrual cycle and its stages:

Why should you track menstrual cycle? How can you track menstrual cycle?

How would you work out your period?

How do you calculate your menstrual cycle?

Is your menstrual cycle regular ?

How can you prevent menstrual irregularities?

Where can you get help for menstrual irregularities?