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Abnormal female genitalia, diet to improve weight - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Average Posted in: Vaginal and Uterus Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   How can I tell if my girlfriend has Pais or Cais?
Doctor :   hi
User :   hello
Doctor :  
I am sorry. could you please elaborate on "Pais" or "Cais"?
User :   Partial androgen insensitivity syndrome
User :   I've been doing some web research
Doctor :  
ok
User :   And I'm not really sure about all of these types
Doctor :  
what signs and symptoms does she have?
User :   Really nothing. In fact I did this chat thing out of complete instant insecurity about something
User :   I thought I felt something else "down there"
User :   But I am very unsure
Doctor :   PAIS is an X-linked recessive condition
User :   Right right
Doctor :   it results in a failure of normal masculinization of the external genitalia in chromosomally male individuals
Doctor :   not in female individuals
Doctor :  
could you describe what you felt?
Doctor :  
such that i can clear your doubt about this
Doctor :  
whether you felt was a hypertrophic clitoris or was it something else
User :   I thought maybe I felt a scrotum? But I am somewhat inexperienced so maybe it was just part of her private
Doctor :  
ok
User :   Did not see it
User :   On a couple of occassions she joked about being a man, but then again that's my insecurity reappearing
User :   She is an attractive woman
User :   looks like
Doctor :  
some women tend to have a labia majora that is on the fuller side, which might appaer to be as scrotum on touching
Doctor :  
the exact details can be made out on physical examination
User :   fuller side?
Doctor :  
meaning to say somewhat swollen than the usuall labia
User :   It was farther down her crotch
Doctor :  
so the details can be made out by doing a proper examination of the external genitalia and few blood tests to determine what is wrong
User :   Hm
User :   Well I'm only her boyfriend
Doctor :  
otherwise it is difficult to tell what you felt was really scrotum or hypertrophic labia or clitoris
User :   I just felt what I thought felt like normal female genitalia and then all of the sudden I went down a little and, me being inexperienced and unbeknown, thought it felt a little bit like a scrotum.
Doctor :  
ok
User :   please reassure me here doc
Doctor :  
what i can tell you is you can either discuss this with her and ask her for a visit to her gyne
Doctor :  
or let you examine her private parts (if you are ready for it) such that you can have the idea of what it looks like
Doctor :  
and then compare with the normal female genitalia
User :   We're not up to that point of comfort
User :   If I saw it that would be all I need
User :   I'm asking because I haven't seen it
User :   And it may be awhile
Doctor :   just give me some moments..i will try to give you links to normal female genitalia
User :   No I know what normal like
User :   looks*
User :   But I haven't seen but only felt hers
User :   Maybe I'm being too vague
Doctor :   then it wil be of no use to give you the links
Doctor :  
you should be sure of what you feel and see to be
Doctor :  
able to differentiate between normal and hers
User :   Oh okay
Doctor :  
Is there any thing else I can help you with?
User :   Yeah
User :   What exactly do you mean by hypertrophic again?
Doctor :   hypertrophic means 'bigger or growth more than the normal'
User :   Oh
User :   And it an be in concentrated areas
User :   ?
User :   like towards the bottom of the crotch
User :   can*
Doctor :  
it depends on what is the area of hypertrophy
User :   right. which are?
User :   Again
Doctor :  
it can be labia, it can be pubis, it can be the inner lips, it can be the clitoris
User :   Sooo
User :   what would
User :   the bottom part be?
User :   most likely
Doctor :  
i am very sorry to tell you that since you are not sure of which part you are talking about and since i have not personally examined her, i will not be able to give you exact answers
Doctor :   Is there any thing else I can help you with?
User :   That's why I said most likely doc
User :   Don't worry I won't sue you
User :   haha
Doctor :   in that case it can be her labia majora, or even the bottom part of buttocks too
Doctor :  
i dont want to give you wrong opinion
Doctor :  
hence i asked you to either see yourself or take her for and examination if she is willing
User :   Right right
User :   Okay one last question
Doctor :   please proceed
User :   Is it possible for a girl to have an intersex conditon and it is hard to notice, like she looks like a totally normal and developed female from the layman's perspective?
User :   Therefore my situation where I'm confused
User :   Because I looked up the types and there are so many it's confusing
Doctor :  
well, the internet gives a lot of information
User :   medical website
User :   i think
Doctor :  
and any information does not apply to everyone
Doctor :  
it should be linked with the signs and symptoms
User :   right it did
Doctor :  
along with teh examination findings
User :   but there were so many
Doctor :  
to come to the right conclusion
User :   I guess a better question is
User :   In fact I should have asked this in the first place
Doctor :  
ok
User :   Is there an intersex condition where the individual looks like a normal woman, but has one or more attributes of a man?
Doctor :  
Please fill the feedback form say done when done while i answer your next query
User :   okay okay
Doctor :  
It seems you have moved out of the chat window. Please log in back if you have medical queries.
User :   back
User :   okay can you answer that question?
Doctor :   yes there is condition in which this can happen
Doctor :  
that a male by genetics can look like a female by appearance
Doctor :  
but these are rare cases
User :   very rare?
Doctor :  
yes
User :   So in other words if a girl had an intersex condition, it would be noticable at some level?
User :   I mean besides the very rare one
Doctor :  
yes, upon examination by a gynecologist this can be made out
Doctor :  
also this can be made out by chromosomal analysis
User :   Oh okay
User :   Thanks doc
User :   I feel a little better now
Doctor :  
have you filled the feed back form?
Doctor :   Is there any thing else I can help you with?

User :   Can you send me another one of those things when I go?
User :   And yes one more thing
Doctor :   ok
Doctor :  
what do you want me to send? do you mean to say teh feedback form?
User :   yes at the when I leave I guess
User :   yes when I leave I guess*
Doctor :  
ok
User :   Okay well this is completely different
Doctor :  
ok
Doctor :  
please proceed
User :   I'm going to see a doctor soon for physical examination
User :   But I seem to be very underweight
User :   I'm 17 and about 111 pounds
Doctor :  
ok
User :   About 5'8
User :   5'8"
User :   On a good day I'm 113 pounds
Doctor :  
ok
Doctor :  
could you describe to me your 1 day's diet?
User :   Okay
User :   It's not very good and I know I have a fast metabolism, but I still think my weight is way too low
User :   On a weekday for school
User :   I get up, usually skip breakfast
Doctor :  
ok
User :   lunch consists of sandwich, bag of 5 or 6 cookies, milk, and maybe a nutrigrain bar or a bag of fruit
User :   generally
User :   I get home from school
User :   I will eat whatever I can find really to fill me up(not candy)
Doctor :  
ok
User :   Maybe cereal or cookies and milk
User :   And I usually have a full dinner
Doctor :  
weight gain depends on having a well balanced diet
User :   made by my parents
Doctor :  
and spreading your entire day's meal into 5-6times a day
User :   Only because I have an obviously very fast metabolism, right?
User :   5-6 meals a dday
User :   day*
Doctor :  
not just due to having a fast metabolism, your diet intake is less, so you need to have more
User :   right
Doctor :  
for a more detailed diet opinion
Doctor :  
visit this following link
User :   alright
Doctor :  
WWW.WWWW.WW User :   will this chat session be saved so I can look later?
User :   at the link later
Doctor :   sure
Doctor :  
it will be there in your accounts and settings
User :   oh good
Doctor :  
go to chat history from there
User :   right that's what I expected
Doctor :  
Please fill the feedback form say done when done.
User :   I did
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
User :   wait wait
User :   you there?
Doctor :   yes i am here
User :   I'm sorry I just had a couple more questions on the subject
Doctor :  
ok
Doctor :  
please proceed
User :   As your personal opinion
User :   Don't you think 111 pounds as a male at my age and height is a little concerning?
Doctor :  
your ideal weight for hieght should be 148-15 pounds
User :   But don't forget I'm also 17
User :   almost anyway
Doctor :  
sorry it is 148-155 pounds
User :   right but isn't that for a full grown adult?
User :   time's a wastin doc
Doctor :   Yes, as I am chatting with some patients simultaneously. Please bear with us for a reply
User :   okay
Doctor :   the weight range is fine above 15 years of age
User :   I see
User :   So should I be concerned?
Doctor :  
yes you should be concerned and follow a well balanced diet
Doctor :  
for weight gain
Doctor :  
and reach the ideal weight
User :   I'm just afraid that
Doctor :  
Is there any thing else I can help you with?
User :   Having this low weight is going to stunt my growth
User :   possible?
Doctor :   chronic bad eating habits can lead to stunted growth
User :   but not the low weight
User :   right?
User :   Because I don't eat a lot of junk
Doctor :  
not if you can come back to normal
Doctor :  
junk foods do not have the required nutrients
Doctor :  
that is needed by the body daily
User :   right but I'm saying I don't eat a lot of junk
Doctor :  
yes, so it is appreciated that you do not eat a lot of junk food
Doctor :  
but manitaing a healthy diet otherwise with high protien will help you to gain weight
Doctor :  
and have proper growth
Doctor :  
follow the link i have provided to get a personalized diet chart for your requirements.
User :   Right. I'm just afraid of stunt because I have a smaller frame
User :   And I have smaller hands
Doctor :   ok
User :   I want I get bigger and don't stay the same
User :   Because I know males keep growing till mid 20s or so
Doctor :   but maintaining a healthy diet otherwise with high protien will help you to gain weight and since you are still in growing age, it will help you to have a good growth.

User :   Okay
User :   But otherwise I will still have growth?
Doctor :   Yeah
User :   By the way is this the same doctor?
Doctor :  
I am Dr. Mazumdar
Doctor :  
Let me check the previous chats, so gimme a minute
User :   It's alright
User :   The subject changed half-way
Doctor :  
Yeah
User :   This is a more simpler subject
Doctor :  
I think the Doctor answered most of your queries
User :   right right
User :   But I'm trying to get full assurance on this
User :   one
Doctor :   YEs

Doctor :  
What question do you have? You may proceed
User :   So guessing you know the context of this situation
User :   conversation*
Doctor :  
yes
Doctor :  
It is going about Diet
User :   How concerned should I be about my current weight?
User :   I feel like I should be concerned
User :   Because I don't think any other males are as underweight as me
Doctor :   Yeah, I agree
Doctor :  
This is moderately underweight
Doctor :  
Your BMI is 17
Doctor :  
according to your age, body frame and the height
User :   Okay
User :   By the way my brother was somewhat underweight at my age
User :   But not as much
User :   I think he was always over 120
User :   This is what I'm afraid of
User :   But I also have a bad anxiety disorder
User :   So I feel like this could be contributing
Doctor :  
A psychological reason can contribute
User :   for the past year and a half now
Doctor :  
But what about your efforts to improve?
Doctor :  
on weight
Doctor :  
What changes did you make in terms of your Diet & Nutrition
User :   when exactly?
Doctor :  
Now
User :   Nothing I can notice
User :   I think I've always eaten the same way
User :   Well
User :   I don't think my appetite is as strong
Doctor :   Ok you think you are following a better diet
Doctor :  
Did you check with an expert dietitian, a Doctor
Doctor :  
why are you underweight
User :   Not yet
User :   I'm going to though
Doctor :   Ok, lemme explain you
Doctor :  
There are certain medical conditions that can contribute to the underweight, apart from the genetic and environmental conditions
User :   uh huh
Doctor :  
If it runs in your family ( genetic) then you have to give all the try with the help of a Dietitian who can help you in improving your weight
Doctor :  
with thorough diet program and activity
Doctor :  
If there are medical conditions that can contribute to the underweightedness, first check with the Doctor
Doctor :  
if there are any
Doctor :  
If there are, then those causes to be treated along with the Diet program
Doctor :  
Did you follow?
User :   Yes
User :   As in
User :   I follow both the diet plan and treatments for the anxiety disorder
User :   to get the best results for weight gain?
Doctor :  
You have reduced appetite
Doctor :  
This may be a symptom of a certain medical condition
User :   I sure hope so
Doctor :  
Ofcourse the anxiety disorder too
User :   wouldn't the anxiety disorder(ocd, by the way) be the medical condition?
User :   Reducing my appetite I mean
Doctor :   Yes
Doctor :  
So, in line with treating this problem which is not so serious
Doctor :  
following the treating Doctor's guidelines
Doctor :  
If you follow the treating Doctor's guidelines, it wont take long to cure this problem
Doctor :  
and you get back your appetite
User :   Right
User :   So if I was relaxed and not stressed
Doctor :  
One more thing you have to consciously know that the medicines can reduce the appetite
Doctor :  
since you are taking some, you have to put extra effort
Doctor :  
in eating more each time, more number of times
Doctor :  
Eat smart, not junk
User :   24/7 I have more appetite and therefore have more of a "normal underweight"
User :   ?
User :   And yeah
Doctor :  
Have milk shakes, dairy products at regular intervals with ice cream kind of stuff
Doctor :  
in summers
User :   Ice cream's real good for weight gain, right?
Doctor :  
Avocado, pears are good fruits
Doctor :  
for weight gain
Doctor :  
Yes
Doctor :  
3 Egg yolks per day
Doctor :  
sorry a week
User :   So if I was relaxed and not stressed 24/7 I would have more appetite and therefore have more of a "normal underweight"
User :   ?
Doctor :  
Yes definitely
User :   Sorry I just wanted to put that question up again
Doctor :  
Do you have a diet plan with you?
User :   Uh uh
User :   But I have tried calorie counting
Doctor :  
Stay relaxed, not stressed, involve with social gathering
Doctor :  
Be positive
User :   Righteous
Doctor :  
Choose a favorite sport , spare time for it once to twice a week
User :   So should I add 500 calories to my "maintaining weight" calorie intake to gain weight?
User :   Like all those websites say?
Doctor :  
Absolutely
Doctor :  
Weight gain is all about calorie intake and expenditure
User :   Expenditure as in over doing things
Doctor :  
Let us say, If you require 1500 K cal per day for your daily activities ( maintain the weight)
User :   like eating
Doctor :  
then you require 500 to 700 more, to gain weight per day
Doctor :  
Roughly an adult requires 7000Kcal surplus to gain 2 pounds
User :   what's 7000k?
Doctor :   7000 calories

User :   7000??
User :   I thought it was 2000 average?
Doctor :  
Nope
User :   Wow

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