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Dr. Chitra Ramamurthy

MBBS, MD - Obstetrtics & Gynaecology

Gynaecologist, Bangalore

37 Years Experience  ·  600 at clinic
Dr. Chitra Ramamurthy MBBS, MD - Obstetrtics & Gynaecology Gynaecologist, Bangalore
37 Years Experience  ·  600 at clinic  ·  ₹ online
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Chitra Ramamurthy
Dr. Chitra Ramamurthy is a popular Gynaecologist in Jayanagar, Bangalore. She has over 37 years of experience as a Gynaecologist. She studied and completed MBBS, MD - Obstetrtics & Gynaecology. You can visit her at Bingi's Heart Care & Fertility Centre in Jayanagar, Bangalore. Save your time and book an appointment online with Dr. Chitra Ramamurthy on Lybrate.com.

Lybrate.com has a nexus of the most experienced Gynaecologists in India. You will find Gynaecologists with more than 36 years of experience on Lybrate.com. You can find Gynaecologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MBBS - Karnataka University - 1979
MD - Obstetrtics & Gynaecology - Bangalore University - 1983
Languages spoken
English

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405/A, 7th Main, Near-Vardhaman Health Specialities, Jayanagar 2 BlockBangalore Get Directions
600 at clinic
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I got married since from 3 years but still not get pregnant.what is needed to be done by us?

MBBS
General Physician
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I got married since from 3 years but still not get pregnant.what is needed to be done by us?
I will suggest you to get an ultrasound abdomen done to rule out any pathology and also get your husband semen checked for any abnormality.

I am a married female 25years old always my periods are on exact time but this month its 11days late and I havent got my periods I even did the pregnancy test but the result is negative I am very worried please help.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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No need to worry. It could be due to anaemia, hormonal disbalance or stress also. Very easy to cure if no major problem. But no need to worry in first instance. Ayurveda non toxic, non hormonal medicine does wonders to regularise m. C.

My wife is 33 years old. We have one baby of 4 years of age. Recently my wife has missed her periods. Pregnancy test resulted negative. She had polycystic Ovarian Disease in past. What should we do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist
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My wife is 33 years old. We have one baby of 4 years of age. Recently my wife has missed her periods. Pregnancy test ...
Hello lybrate-user- ayurvedic concept of pcod (poly cystic ovarian disease) is somewhat different than modern concept, it generally occurs due to irregular food and daily habits done specially at the time of menstrual bleeding period. Pcod effect the ovulation process thus makes it difficult for the female to conceive and get pregnant. Some general tips to avoid pcod are- a) avoid spicy food fast food during the bleeding and take fresh indian food. B) use wet sponging instead of taking bath on those days. C) avoid running, skipping and other exercises on those days. D) use dashmoolarishtha 2 tsp twice daily with water ten days before menses.

I am pregnant and have back pain since a week. Its my 5th month. What should i do?

MBBS, MS - Orthopaedics
Orthopedist
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I am pregnant and have back pain since a week. Its my 5th month. What should i do?
Rule out diabetes & vit.D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. SPRING BEDS, FOLDING BEDS OR THICK MATRESS ARE HARMFUL Use no pillow under the head. DO HOT FOMANTATION. Paracetamol 250mg OD & SOS x 5days. Caldikind plus 1tab OD x10. Do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. Do reply back for detailed treatment plan. Do not ignore .It could be beginning of a serious problem.

I want to lose my weight and hence want to ask you my two questions What is the best time to do exercise evening or morning and when we should eat aft exercise? If we do exercise in morning than when we should wake up and when we should do exercise and have our breakfast.

MBBS
Sexologist
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I want to lose my weight and hence want to ask you my two questions
What is the best time to do exercise evening or m...
Evening is the best time for exercise. After exercise, you can take apple, guava or papaya or any sugar free low calorie drink. In the morning, you should wake up at 6 o clock, go for exercise at 6.30 am and take breakfast at 9.00am.

Hello sir, Please tell me is their any chances of pregnancy while using dronis 30.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist
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Hello sir, Please tell me is their any chances of pregnancy while using dronis 30.
Hello, No, As dronis is a contraceptive pill, if taken regularly there are negligible chances of pregnancy.

I am age is 32 years. I had twice miscarriage in nov. 2011 and april 2013. Left reputed ectopic pregnancy in 2013. But not baby to till date to me. Please guideline me.

BHMS PGCGO
Homeopath
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I am age is 32 years. I had twice miscarriage in nov. 2011 and april 2013. Left reputed ectopic pregnancy in 2013. Bu...
it means you have only one tube from which you can conceive. so you don't wait for your natural pregnancy. Go for iui or ivf

I am 21 years old girl. And I want to concieve baby. But when I do sex with my husband. I dont feel anything. I mean it dont get succeed. What should I do?

MBBS; M.S.
Gynaecologist
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This is sexual problem. Do you feel orgasm during sex. Get your husband semen analysis. Send the report. You dont feel anything what it mean.

11 Benefits of Wheatgrass for Skin, Hair and More

B.A.M.S
Ayurveda
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11 remarkable benefits of wheatgrass

Wheatgrass is the young grass of the wheat plant and is a rich source of minerals and vitamins including vitamin a, b12 and e; calcium, magnesium, iron and selenium. It has loads of living chlorophyll and also contains many antioxidants. Following are 11 of the many benefits of this amazing plant called wheatgrass -

1. Wonderful healer: wheatgrass heals effectively for the presence of proteins, minerals and amino acids. The chlorophyll content of wheatgrass helps in building blood cells.
2. Anti-ageing agent: the enzymes present in wheatgrass decay superoxide radicals present in human body to control age-causing factors, thus slowing down the ageing process.
3. Colon cleaner: the crude form of chlorophyll has cleansing effect on colon. It also helps in curtailing the development of harmful bacteria. Liquefied wheatgrass renews colon tissues to make them healthier.
4. Skin soother: application of wheatgrass paste or juice on skin cures it of dryness, burning sensation, itching, infection or even insect bites.
5. Sinus decongestant: the insertion of wheatgrass packs inside the sinuses dries it up and decongests it within a day. It throws out the toxins from the body and neutralizes their negative effect.
6. Energy provider: the starch present in wheatgrass gets transformed into simple sugars and renders quick energy on intake. Wheatgrass juice can be consumed by athletes for its rapid assimilation and release of energy.
7. Fertility restorer: the magnesium content in wheatgrass gives rise to friendly enzymes that help in the revival of sex hormones.
8. Body deodorizer: juice of wheatgrass can be effectively used as body deodorant.
9. Dental healer: daily intake of wheatgrass juice prevents tooth decay and renders relief from dental infection and toothache.
10. Hair vitalizer: application of wheatgrass juice to scalp and hair roots prevents hair fall, dandruff and delays graying.
11. Pain reliever: scientific evidences have shown that consumption of wheatgrass helped in minimizing pain of cancer patients going through chemotherapy without interfering with the efficacy of the treatment.

If you would like to consult with me privately, please click on'consult.
11 Benefits of Wheatgrass for Skin, Hair and More

How to reduce sexual feeling of my husband? He take 4 to 5 trun in a day I'm really tired to that. He has age of 50 & I have 40. Please reply me sir.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
Ask Free Question
How to reduce sexual feeling of my husband? He take 4 to 5 trun in a day I'm really tired to that. He has age of 50 &...
There are two ways. Take palliative medicine for your husband (herbal) or boost your sex desire by taking female sex desire booster plan to equal the 'smar' (in Sanskrit means war of sex).

Hello sir, I want ask about my monthly periods. It is not regular, and always delay with intolerable pain. The duration is always around 8 days and bleeding is heavy. Please give me an advise, how to get rid of this problem.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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Hello sir, I want ask about my monthly periods. It is not regular, and always delay with intolerable pain. The durati...
Hi , We have very good homeo treatment to irregular periods pains and heavy prolonged bleeding during periods without causing adverse effects. The treatment is very much dependent on detailed description of your complaints- Please intimate? 1. Usual gap between periods 2. Your age 3. Are you married? 4. Any thyroid problem, anemia? 5. Obesity? You may opt for private consultation giving the particulars. To start with, take the following homoeo medicines when the period is expected to commence and the pain is felt- 1. Cimicifuga 200---one dose (6 to 7 pills) in the morning 2. Magnesia phos 200---one dose ( 6 to 7 pills) in the afternoon and one in the evening (These medicines are easily available at nominal rates in any nearby Homoeopathic medical shop) You can stop medicine when the bleeding and pain subsides.. Report response after passage of one period

I had sex with my bf and after that I took unwanted 72 within an hour. My periods are likely to come few days before but I did not got periods till now.

MD - Obstetrtics & Gynaecology
Gynaecologist
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I had sex with my bf and after that I took unwanted 72 within an hour. My periods are likely to come few days before ...
Dear lybrate user pl do one home pregnancy test first. If negative nothing to worry, if positive action need to be taken accordingly.

First month completed of pregnancy my wife's vomiting are not stopping. Whichever she eats it comes out. Is this normal in these days or she has to take medicine.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist
Ask Free Question
First month completed of pregnancy my wife's vomiting are not stopping.
Whichever she eats it comes out.
Is this norm...
Hi lybrate user congratulations for good news vomiting in early pregnancy is very common. She has to follow particular diet have lots of green vegetables, fruits, avoid oily spicy foods. Short but frequent meals. If vomiting still not received then medical treatment is needed.

AntiBiotic Resistance on the rise very fast

Post Graduate Diploma in Hospital and Healthcare Management, MD - Consultant Physician, Fellowship Critical Care Management
Internal Medicine Specialist
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In 5 Years, Threat Of Drug-Resistant Superbugs Doubles


A 72-year-old woman in Bengaluru consulted a hospital physician about a severe skin infection and fever. She had previously consulted a couple of general practitioners, who prescribed a course of penicillin for three days and fluoroquinolones—both antibiotics—for two days.

There was no relief.

So, the consultant ordered a culture sensitivity test of pus from the skin lesions to identify what was causing her ailment and figure out what antibiotics it would respond to.

Here’s what the report said:
Pathogen: Klebsiella pneumoniae
Susceptible to: No antibiotic
Resistant to: All antibiotics, including advanced drugs like fluoroquinolones, carbapenems and even the last resort combination usually reserved for severe cases of ICU infection, colistin-tigecycline.

With nothing to offer the patient, save a prescription for paracetamol to keep her fever in check, the doctor sent the patient home, and asked her to return after a week.

In such cases, sometimes, the body’s immunity kicks in and throws off the infection, the physician, Sheela Chakravarthy, consultant (internal medicine) at Fortis Hospital, Bengaluru, told IndiaSpend.

Sometimes, resistance to one or more drugs abates, allowing treatment to be resumed. Chances of that happening are greater at home, not in the hospital, which is a more infectious space where sepsis—a disproportionate and potentially life-threatening immune response by your body to an infection—could set in, she explained.

Most patients, however, succumb to the infection.

Chakravarthy faces situations where she has nothing to offer patients, not because they are suffering from terminal illnesses, such as some forms of cancer, but even when they present with what should be curable infections, “almost every day”, she said.

What Chakravarthy described is the consequence of rampant, inappropriate consumption of antibiotics, spurring the development of superbugs, as the recently released State of the World’s Antibiotics Report 2015 affirms.


India is fast becoming home to superbugs

Escherichia coli, Klebsiella pneumoniae and Staphylococcus aureus are three of the deadliest pathogens facing humanity, according to the World Health Organisation (WHO). And India is gradually but increasingly becoming home to multi-drug resistant strains of these pathogens, according to the State of the World’s Antibiotics Report 2015.

Escherichia coli is notorious for causing food poisoning and urinary tract infections.

In 2010, 5% of Escherichia coli samples in India were resistant to carbapenems, last-resort antibiotics for bacteria that are resistant to first-, second- and third-line drugs. By 2014, 12% of E. coli samples were similarly resistant.


Klebsiella pneumoniae causes pneumonia, septicaemia and infections in the urinary tract, lower biliary tract and at surgical wound sites, to name a few.

While 29% of Klebsiella pneumonia isolates were resistant to carbapenems in 2008, this increased to 57% in 2014.

For comparison, fewer than 10% of Klebsiella pneumoniae infections in Europe are carbapenem-resistant.

Staphylococcus aureus can cause skin and soft tissue infections, bloodstream infections, pneumonia and surgical site infections. A particularly nasty strain of, methicillin-resistant Staphylococcus aureus (MRSA), is common in India and increasingly hard to treat.

MRSA was responsible for 40% of post-surgical site infections, according to a 2013 study by the Jawaharlal Nehru Medical College and Hospital, Aligarh.

Between 2009 and 2014, the incidence of MRSA in India has risen from 29% to 47%.

People with MRSA are 64% more likely to die than people with a non-resistant form of the infection, according to the WHO.

How ignorance is spurring the development of superbugs

“My understanding of antibiotic is that it stops bacteria growing in body…I think amoxicillin is for throat infection.”

–An urban participant of a study of perceptions about antibiotic use and resistance among urban and rural doctors, pharmacists and public in Vellore.

Mox, short for amoxicillin, has become a household word across India.

A little knowledge, however, is a dangerous thing. It encourages self-medication, even when medicine is unnecessary, such as when people suffer viral infections—against which drugs are ineffective. Most viral fevers dissipate on their own after a few days with rest, hot fluids and a check on the fever.

Consuming too many antibiotics contributes to pathogen drug resistance.

“Resistance is an outcome of accumulated use,” said Ramanan Laxminarayan, vice president, Research and Policy, Public Health Foundation of India, and director and senior fellow, Centre for Disease Dynamics, Economics & Policy, US, and co-author of the State of the World’s Antibiotic Report 2015.

Indians often rely on corner pharmacists, whose knowledge of dosages may be limited.

Here’s what a rural pharmacist participant of the aforementioned Vellore study said: “Amoxicillin, 6 tablets is to be taken [for full course].”

Amoxicillin’s full course depends on the kind and severity of bacterial infection.

When an antibiotic of lower strength or fewer pills than needed is prescribed, the body cannot fully eradicate the pathogen. Sensing it has come under attack, the bacterium responds by evolving into more resilient, antibiotic-resistant strains.

But with a course of antibiotics, say generic Amoxicillin, costing about Rs 160, close to a day’s wage in many states, and a doctor’s consultation costing anywhere between Rs 100 and Rs 1,000, more than a day’s wage in most places, patients are bound to cut corners.

Another Vellore study participant summed up the situation thus: “If I have money I go to hospital. If not, I get medicine from pharmacy shop. If I get better, I stop and keep for future use.”

Stopping a course of drugs mid-way also contributes to antibiotic microbial resistance.

In a 2015 study in Chennai, 70% respondents confessed to stopping the medication when they felt better. Only 57% completed the antibiotic course.

“Less is more”: the key to preserving antibiotic efficiency

Educate health professionals, policy makers and the public on sustainable antibiotic use, says the State of the World’s Antibiotics Report 2015.

That is sensible advice.

Denmark and Sweden boast of low rates of antibiotic use and near-zero rates of antibiotic resistance because the risks of antibiotic overuse are widely known.

Instituting regulations on antibiotic use has reduced the proportion of MRSA in Europe and the US by about a fifth over the last eight years.

India requires more stringent regulations for antibiotic use.

It isn’t enough to tell physicians that they should prescribe antibiotics only when essential to cure bacterial infections. The right way is to order a culture sensitivity test, which costs money, and the patience to wait for the result.

“Patients want instant and cheap relief, and are willing to shop around for a doctor who obliges,” said Dr Himanshu Shekhar, medical director, SCI International Hospital, New Delhi.

“Some judge doctors on how fast the prescribed medicine cures. Practice pressures lead many doctors to prescribe advanced drugs, without getting a culture-sensitivity test done.”

So, it’s also not enough to have 24 advanced antibiotics, including third- and fourth-generation cephalosporins, carbapenems, and newer fluoroquinolones, under the ambit of Schedule H1 of the Drugs & Cosmetic Rules, 1945, with effect from March 1, 2014.

That means these drugs cannot be sold over-the-counter, but they are still freely prescribed.

Chakravarthy’s suggestion: “Make Schedule H antibiotics available only through hospitals and health centres.”

“Changing antibiotic usage behaviours is critical to preserve the efficacy of existing and new drugs,” proposed Laxminarayan.

India also sorely needs regulations to check antibiotic use in animals raised for human consumption, to meet the State of the World’s Antibiotic Report 2015 recommendation to reduce and eventually phase out sub-therapeutic antibiotic use in agriculture.

Sub-therapeutic use implies mixing antibiotics in animal feed to make them grow faster and to prevent infections from devastating the herd or flock.

India is among the world’s five biggest consumers of antibiotics for livestock. IndiaSpend has earlier reported increasing evidence of antibiotic-resistant bacteria in animals in India, and how this impacts humans.

“Using antibiotics to make animals fatter faster is a waste of a precious resource,” said Laxminarayan.

How surgeons contribute to antibiotic resistance

Surgical antibiotic prophylaxis refers to the prescribing of antibiotics before, during and after operations to prevent infection.

Between 19% and 86% of patients in hospitals in India receive “inappropriate antibiotic prophylaxis”, according to the State of the World’s Antibiotics Report 2015. A prophylactic is preventive treatment for a disease.

Ideally, antibiotic prophylaxis should be administered as a single dose within 60 minutes of the skin incision. However, a 2013 Mangalore-based study found timing adhered to in 22% of cases in a government hospital, 64.9% cases in a medical-college teaching hospital and 80.7% of patients in a tertiary care corporate hospital.

“Smart antibiotic prophylaxis also includes choosing narrow-spectrum antibiotics to target the organism most likely to present concerns based on the kind of surgery being performed, this avoids needless exposure to antibiotics for the other microbes and helps prevent resistance,” said Vimesh Mistry, assistant professor, Pharmacology, Baroda Medical College.

Staphylococcus aureus, which lives on the skin, is most likely to cause infection during surgery. But surgeons frequently make poor antibiotic choices.

“We found appropriateness of choice of antibiotic in 68% cases and 52% compliance with the in-house prophylaxis guidelines,” said Tanu Singhal, infectious diseases specialist, Mumbai, and co-author of another study on antibiotic prophylaxis conducted in PD Hinduja Hospital, Mumbai.

Other prophylaxis inaccuracies include the unnecessary prescribing of antibiotics, inaccurate dose and inaccurate duration of prescription.

“We logged 63% accuracy in prescription duration. Surgeons tend to prescribe antibiotics for too long fearing post-surgery infection,” said Singhal.

In the trade off between protecting the patient better and increasing the risk to society of a pathogen developing resistance, surgeons are choosing the former.

Needed: A back-to-the-basics approach to health

Reducing the need for antibiotics through improved water, sanitation and immunisation is another strategy recommended in the State of the World’s Antibiotics Report 2015.

“Vaccination against pathogens such as the diarrhoea-causing rotavirus and pneumonia-causing Klebsiella pneumoniae helps curtail antibiotic demand, thereby reducing the chances of resistant strains developing,” said Laxminarayan.

In Canada, the widespread use of pneumococcal conjugate vaccines for pneumonia in children has reduced the incidence of pneumonia caused by strains the vaccine covers.

However, just as antibiotic usage spurs the development of superbugs, vaccination is a double-edged sword.

Canada is seeing a rapid increase in the incidence of other strains of pneumonia not protected against by the vaccine.

So, it is better to focus on the basic constituents of health.

Making available clean drinking water and improving sanitation would prevent people from getting sick in the first place. India still has a lot to do on both these fronts.

Improving individual immunity is the best bet to ward off infections, and that is also achievable by healthier eating, exercising, healthier living and the better management of chronic conditions like diabetes and asthma that increase vulnerability to infections when they are not kept in check.


Dr Himanshu Shekhar
MD,Medicine
New Delhi
+919818433208
( Above Article , with My Inputs was published in a leading Health Magazine)
AntiBiotic Resistance on the rise very fast

Dr. One of my female friend faces this problem sometimes suddenly her body gets cold and starts sweating in face and hand at that time she felts very sleepy after sleeping for sometime she gets normal her weight is 65 and age 22 may I know what is the problem she having.

MBBS
Sexologist
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Dr. One of my female friend faces this problem sometimes suddenly her body gets cold and starts sweating in face and ...
She is having weakness. I advise you to tell me her weight, height, eating habits and any medications already taking, for better guidance and treatment.

Agar koi sadi se pahle maa banna chahti h to mc ke kitne din bad sex karne se 100%pergnancy hoti h bataye ki kis date ko ovulation hoga aur kis din sex karu please help me mera is mahine mc 30 /04/15 ko aaya h wo date bataye jis din ovulation hoga aur kis date ko sex karu ?

MBBS, DGO (cal)
General Physician
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For the woman having perfectly 28 days cycle, then 14th to 16th days is the maximum fertility period. There is no" 100% pregnancy chance" in medical science.

I have irregular periods .....I wanna make it regular for me.....because I feel something heavy ......

MBBS, MD - Obstetrtics & Gynaecology, DNB, Fellowship in Infertility
Gynaecologist
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Dear, pds irregularities are because of some reason. It can be ur pshycological stress or because of some harmonal problems. So we have to investigate u to rule out any organic problem.

My wife 25th week pregnant 17th week me himoglobin 12 mg tha 20th me 10 mg hua or ab 25th me 9.80 mg ho gaya HB kam kyo hota ja raha he Or weight is month me 6 kg badh gaya Tension ho raha he koi prblem na ho Aaj Dr. ne thyroid test karwaya TSH = 2.39 ulU/ml Koi suggestion dijiye plz.

DGO, MBBS
General Physician
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My wife 25th week pregnant
17th week me himoglobin 12 mg tha
20th me 10 mg hua or ab 25th me 9.80 mg ho gaya
HB kam k...
As the growing demand of the mother and growing baby, Hb needs to be maintained, if this is decreasing, please get a Iron profile done, and also consult a dietician for a iron richdiet plan, its now 25 th week, and we still have time to increase the deficient portion of iron. Give a regular pill of iron supplement which Im sure had been prescribed by your Gynaecologist.

Me and my partner is having sex for more than 2 months , still there is no sign of getting pregnant.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist
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Me and my partner is having sex for more than 2 months , still there is no sign of getting pregnant.
Hello- get some tests done to rule out the actual cause of infertility. Perform total semen analysis for your husband and a pelvic ultrasound for your self.
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