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Dr. Gowri M

Gynaecologist, Bangalore

300 at clinic
Dr. Gowri M Gynaecologist, Bangalore
300 at clinic
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Gowri M
Dr. Gowri M is a trusted Gynaecologist in Malleshwaram, Bangalore. You can meet Dr. Gowri M personally at Cloudnine Hospital - Malleshwaram in Malleshwaram, Bangalore. Book an appointment online with Dr. Gowri M on

Find numerous Gynaecologists in India from the comfort of your home on You will find Gynaecologists with more than 32 years of experience on 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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#47, 11th Main, 17th Cross, Malleswaram. Landmark: Near MES CollegeBangalore Get Directions
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Why Do Some Girls Have Extremely Painful Periods?

FICOG, FICMCH, FIMSA, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
Why Do Some Girls Have Extremely Painful Periods?
Dealing with Dysmenorrhoea (Painful Periods)

Dysmenorrhoea is a medical condition where a woman has extremely painful periods. While menstruation is normal, it is very painful. This is caused by disorders like fibroids, pelvic inflammatory disease, adenomyosis, endometrial polyps, use of intrauterine contraceptive device or endometriosis. Many women assume that pain is normal and must be tolerated.

Few ways to deal with dysmenorrhoea are:

1. It’s Ok To Take Pain Relievers: To relieve the pain, simple analgesics like paracetamol and aspirin can be taken.

2. Anti-inflammatory Drugs Can Taken: Non-steroidal anti-inflammatory drugs are also prescribed to deal with dysmenorrhoea and most women are known to feel relief from the pain.

3. Fish Oils Capsules: Fish oil capsules which contain Omega 3 fatty Acids are also a good option to use when troubled with severe menstrual pain.

4. Prefer Light Diet: A few minor dietary changes can also help. Eating low fat vegetarian food especially on the days of the periods can prove to be helpful.

5. Avoid Sedentary Lifestyle: It is said that exercise can reduce the pain of dysmenorrhoea. Sedentary lifestyle is not good for the uterus region and it is advisable to indulge in regular exercises.

6. Use Heat Therapy: Heat therapy is a common and effective way to deal with dysmenorrhoea. Keeping a hot water bag on the region of the pain is known to soothe the pain and help relax the muscles.

If you would like to consult with me privately, please click on 'Consult'.

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5512 people found this helpful

Infertility- Stress Could Be the Cause

Partners in Health
Multi Speciality, Gurgaon
Infertility- Stress Could Be the Cause

Have you been trying to have kids for a long time? Is inability and delay giving you sleepless nights?  It is important to know that Stress alone is a major factor for infertility.

Can Stress Have an Effect on Your Fertility?

If your mind and body is under stress your body is signaled to release a hormone - Adrenalin. This is a stress relieving hormone and gives your body the rush to face the stress. This hormone inhibits the utilization of the hormone Progesterone, which is essential for fertility. Also during stress Prolactin, another hormone, is relapsed which also interferes with infertility. Hence to conceive its essential that your anxiety levels are under control.

Chronic Stress also decreases libido:

Chronic stress may cause lack of libido as well as a decrease in general fertility. This has become such a common issue that they have created a name for it Stress Induced Reproductive Dysfunction. These facts are very important to consider if you have been trying to conceive with no results. It also shows that stress relief should be a part of every couple's conception plan even if they are going through IVF.

Ways to reduce stress & improve fertility:

If you are having difficulty to conceive, it's imperative that you get fertility tests done and also evaluate your life. Look out for the stress points that may be hindering a relationship. Remember defeating the stress may be the solution to your worries.

  • Reduce stress in your life: The issues in your life may be work or result related. You need to learn to balance your personal and professional life. The sooner you do it the better; after all you are preparing yourself to welcome a new born in your life.

  • Change your reactions: Get a hang of the situation and react accordingly. Over reaction to a situation can harm your body and mind. Stop bothering so much about the future.

  • Let few things be the way they are: Stop getting bothered about people. Remember by nature everything will fall in place. Let few things be the way they are.

  • Make it your habit to reduce stress: Call it an obsession or a practice, train your mind to choose options where there is less stress.

  • Sleep well: A good rest is essential for a healthy mind and body. Meditate, do yoga or seek counseling. Go for facials if it sooths you.

Please note that if your fertility reports are normal, then it's just a matter of time. Give you, your partner and your body time. There are certain medical complications or disorders that can also be responsible for infertility. Be calm and composed so that you are able to face the rough waters clearly with your partner.

3953 people found this helpful

Donor Egg IVF - How Does It Works?

MD - Obstetrtics & Gynaecology, DGO
IVF Specialist, Mumbai
Donor Egg IVF - How Does It Works?

Donor egg IVF is used by more than 70 percent of infertile women above 45 years to conceive. More than 8,000 babies are born in the US to women of all age groups by this method of Assistive Reproductive Technologies (ART). This kind of fertility treatment will become even more popular, in the days to come, because of advances in the egg-freezing technology.

What are donor eggs
Donor eggs are eggs given by a healthy, fertile woman to an infertile woman for in-vitro fertilisation or IVF.

How does the Donor Egg IVF program work?
Before you start this course of treatment, you must consult a doctor regarding its feasibility and effect on your health. Typically, the process has the following steps;

  1. After a donor has been identified, the infertile woman (referred to as ‘you’) and the donor are given medication so that the menstrual cycles of both are synchronised. You are also given medication so that your endometrium lining is ready for womb transfer.
  2. After their donation, the eggs are fertilised using the In Vitro Fertilization technique.
  3. Since the donor is under 35, not more than three embryos are transferred from her to your womb.
  4. Embryos are formed after fertilising donor egg with partner sperm.

In some cases, the embryos may be transferred after they have been fertilised. This line of treatment is undertaken to reduce the stress of this treatment on you.

In cases of men, the following procedures are followed;

  1. Unless the sperm belongs to another man, your partner will be required to give a sample of his sperm to check sperm quality.
  2. The partner must give another sample on the day the eggs are collected.
  3. In the next stage, the eggs and sperm are mixed together and in vitro fertilised.

Chances of success in Donor Egg IVF program

The chances of you conceiving through this program are 60-70%. This strike rate is significantly higher than a conventional IVF line of treatment.

How to start with Donor Egg IVF program?

  1. Finding an egg donor is not that difficult these days. You can find a donor through a fertility clinic, an egg bank, an egg donation agency, a family member or a close family friend. Donors coming from a frozen egg bank are usually screened for health and other reasons. Most donors are in the age group of 21-35 years.
  2. Make it legal i.e while getting donors is easy, the tricky part is to comply with the various legal issues. Consult your spouse, doctor and your attorney before taking this step.
  3. Get counselling i.e. you need expert counselling before you conceive because, let us face it, your baby is not your biological offspring. You and your spouse need to be adequately psychologically prepared for this important development in the family.
4126 people found this helpful

Hi. I am 27 years old. Unmarried. I have problems of white discharge from my puberty started. Because of that, I cannot manage myself and getting irritated and unhealthy.

Homeopath, Mumbai
Don't worry. Take tab. Metrogyl 400 bd for 5 day. Candid v6 pessary p/v for 6 day. Wash private parts 3-4 times, cap. Autrin once a day for a month. Kindly do these tests - CBC, Urine Routine, Random blood sugar. Use homoeopathic medicine - Alumina 200/ 4 pills/ three times a day for 7 days. Revert back with the report.
2 people found this helpful
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Blood Clots During Pregnancy - Symptoms, Treatment and Prevention

M.R.C.O.G. (LONDON) Gold Medalist, MD - Obstetrics & Gynaecology , MBBS
Gynaecologist, Delhi
Blood Clots During Pregnancy - Symptoms, Treatment and Prevention

A blood clot (also called a thrombosis) is a mass or clump of blood that forms when blood changes from a liquid to a solid. 

The body normally makes blood clots to stop the bleeding after a scrape or cut. But sometimes blood clots can partly or completely block the flow of blood in a blood vessel, like a vein or artery. This can cause damage to body organs and even death. 

Most women with blood clotting conditions have healthy pregnancies. But these conditions may cause problems for some pregnant women. In severe cases, they can cause death for both mom and baby. But testing and treatment can help save both you and your baby.

If you’re pregnant or trying to get pregnant and have had problems with blood clots in the past, tell your health care provider at a preconception checkup (before pregnancy) or at your first prenatal care checkup. Also tell your provider if someone in your family (your parent or a brother or sister) has had problems with blood clots. This means the condition may run in your family.  

What problems can blood clots cause during pregnancy?
If you have a blood clot or a kind of thrombophilia called antiphospholipid syndrome (also called APS), you may be more likely to have complications that can affect your health and your baby’s health, including:    

  1. Blood clots in the placenta. The placenta grows in your uterus (womb) and supplies the baby with food and oxygen through the umbilical cord. A blood clot in the placenta can stop blood flow to your baby and harm your baby. 
  2. Heart attack. This usually happens when a blood clot blocks blood and oxygen flow to the heart. Without blood and oxygen, the heart can’t pump blood well, and the affected heart muscle can die. A heart attack can lead to lasting heart damage or death. 
  3. Intauterine growth restriction (also called IUGR). This is when your baby grows poorly in the womb. 
  4. Miscarriage. A miscarriage is when a baby dies in the womb before 20 weeks of pregnancy.
  5. Placental insufficiency. This is when the placenta doesn’t work as well as it should so your baby gets less food and oxygen.
  6. Preeclampsia. Preeclampsia is a condition that can happen after the 20th week of pregnancy or right after pregnancy. It’s when a pregnant woman has high blood pressure and signs that some of her organs, like her kidneys and liver, may not be working properly. Some of these signs include having protein in the urine, changes in vision, and severe headache.  
  7. Premature birth. This is when your baby is born before 37 weeks of pregnancy. 
  8. Pulmonary embolism (also called PE). An embolism is a blood clot that moves from where it formed to another place in the body. When the clot moves to a lung, it’s a PE. PE can cause low oxygen levels in your blood and damage your body organs. It’s an emergency and a leading cause of death during pregnancy. Signs and symptoms of PE may include:
    • Trouble breathing
    • Fast or irregular heartbeat
    • Chest pain
    • Fainting
    • Feeling anxious
    • Coughing up blood
  9. Stillbirth. This is when a baby dies in the womb after 20 weeks of pregnancy.
  10. Stroke. This happens when a blood clot blocks a blood vessel that brings blood to the brain, or when a blood vessel in the brain bursts open. Pregnancy and childbirth cause strokes in about 8 in 100,000 women. Stroke can cause lasting damage to the body or death.
  11. Thrombosis. This happens when a blood clot forms in a blood vessel and blocks blood flow. It most often happens in the deep veins of the legs but can be in other places of the body: 

How are these conditions treated?
Your provider may use tests like ultrasound or magnetic resonance imaging (also called MRI) to find out if you have a blot clot or clotting conditions. Ultrasound uses sound waves and a computer screen to show a picture of your baby inside the womb. MRI is a medical test that makes a detailed picture of the inside of your body. These tests are painless and safe for you and your baby.

If you are pregnant and have a clotting condition, you may need to go for prenatal care checkups more often than women who don’t have these blood clot conditions. At these visits, your provider checks your blood pressure and can use other tests, like blood tests, to monitor your health. 

Your gynaecologist also checks your baby’s health in the womb using tests like:

  1. Ultrasound to check your baby’s growth and development. She may use a special kind of ultrasound called Doppler to check your baby’s blood flow in the umbilical artery, a blood vessel in the umbilical cord. The umbilical cord connects your baby to the placenta. It carries food and oxygen from the placenta to the baby. 
  2. Fetal heart rate monitoring (also called a nonstress test or NST). This test checks your baby’s heart rate in the womb and sees how the heart rate changes when your baby moves. Your provider uses this test to make sure your baby’s getting enough oxygen. 

A blood clot occurs when your body sends cells, called platelets, to interrupt the stream of blood. Typically, this happens when you have a cut, to keep the damage from draining consistently. During pregnancy, your blood will probably cluster as a defense mechanism against losing an excess amount of blood during the process.

Signs and Symptoms

Women have a tendency to be more sensitive and risk-prone of potential difficulties while they are pregnant. Despite the fact that blood clots are far-fetched, there are a couple of signs that can demonstrate the possibility of a blood clot. These include:

  • Swelling or pain in one leg
  • Pain that increases when you walk
  • Veins that look bigger or more swollen than usual

Different components that can additionally raise your odds of growing profound vein related blood clots in pregnancy include:

  • Being thirty-five or older while pregnant
  • Pre-pregnancy blood clots outside of pregnancy
  • Being overweight
  • Smoking
  • Having a cesarean conveyance (C-section).

However, there are certain solutions to every problem. In order to get rid of blood clots during pregnancy or prevent them from happening, these are the possible solutions:

  1. Continue moving: In case that you are overweight and inactive, it will affect your blood-stream and increase your risk for profound vein clots in pregnancy. So, remain active and keep up a healthy weight. If you must be on bed rest because of a damage or inconvenience in your pregnancy, your specialist may endorse blood thinners as a careful step.
  2. Get up during travel: Flying alone is a risk for clots; so pregnant women need to be very careful about that. In case that you need to fly, get up and move around consistently and do a lower leg exercise while you sit. Do a similar thing in case you go for a long journey or have to travel fast.
  3. Wear pressure tights: Since they enhance the flow and lessen swelling in the legs, pressure tights can bring down your danger of profound clots in pregnancy.
  4. Drink loads of water: Remaining hydrated during pregnancy forestalls clots by keeping the blood from getting too thick.

The reason pregnant women need to be aware of the connection amongst pregnancy and clot risks is that an untreated clot can possibly break free and go through the circulatory system. The fear is that it will move to the heart or lungs and cause a pneumonic embolism, which can lead to death. If you wish to discuss about any specific problem, you can consult a gynaecologist.

4213 people found this helpful

I am 30 year old planning for pregnancy. I am taking thyrox100 from monday to thursday and thyrox 125 from friday to sunday but now I have consulted to a new doctor and he suggested me to take thyropace 90 instead of all this above medications. Now I do not understand what to do. Please suggest me?

MD - Obstetrtics & Gynaecology, DGO
IVF Specialist, Mumbai
I am 30 year old planning for pregnancy. I am taking thyrox100 from monday to thursday and thyrox 125 from friday to ...
Please note that as doctor has suggested you to take Thyrospace 90ug , take it for atleast 6 weeks - 3months and repeat the TSH.
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Hlo sir. Mujhe ek night me ek normal boy k sth kitne bar sex krna chahiye. Ek bar sex k bad kitni der bad dubara sex krna thik rehta h.Please tell.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hlo sir. Mujhe ek night me ek normal boy  k sth kitne bar sex krna chahiye. Ek bar sex k bad kitni der bad dubara sex...
Hi. Lybrate user, you can sex 4 times with a normal boy in a night. And again sex 1 hours after every sex. And depends upon boy sexual stamina how many times he can do sex with you.
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STDs - How Ayurveda Can Help Resolve Them?

BAMS, MD - Ayurveda
Ayurveda, Pune
STDs - How Ayurveda Can Help Resolve Them?

As we lead modern and fast lives, we have to make sure that we are ahead of competition in all aspects. Due to this we are hardly able to pay attention to our health and body issues. A lot of times we end up suffering more than we should because of the lack of timely help. A lot of times patients feel uncomfortable getting help for their health because they feel conscious about their condition and may be embarrassed to open up about it in front of anyone, not even a medical expert, this is most common in cases where people suffer from sexually transmitted diseases or STDs.

In the course of life and love, we may come across emotional and ideological troubles when we get affected mentally. There are also certain times when we end up contracting diseases that are spread through sexual contact. In such cases, people may seek medical help and may also opt for conventional medication. However, the better alternative, as experienced by a lot of people is to opt for the Ayurvedic medicines and treatments.

What is Ayurveda?
Ayurveda is a stream of medicinal study that has found details in Hindu scriptures about our day to day ailments. Ayurveda majorly uses the body systems, dietary habits and the breathing techniques to find treatment for health problems and it is seen that the STDs are also easily cured or controlled with the help of Ayurveda. More and more people in the modern times, have started understanding the importance of natural remedies and methods of treatment for a healthier future and that is how Ayurveda has gained in popularity.

Ayurveda is particularly preferred by people in the cases of sexually transmitted diseases because of the fact that the medicines from this stream do not cause side effects and other health problems and proves to be a mild form of medication. This also comes as a relief to those who may feel apprehensive about having their very private issues resolved by Ayurveda.

Ayurvedic Remedies
When a patient suffers from sexually transmitted diseases and needs to find a resolution to the problem, it may be important for them to visit the Ayurvedic expert and explain their problem to the expert. Once the problem is diagnosed and understood clearly, the expert may suggest a host of medicinal herbs that could be for consumption such as Nibadi Churna, Rasnadi Kvath Churna, Nyagrodhadhi Kvath churna and many more or the expert may suggest medication for topical application such as Somaraji oil and tamra bhasma.

The Ayurvedic doctor may also suggest a number of immunity boosting medicines, such as Neem capsules or Ashwashila capsules. Other herbal medicines that are created for deeper rooted issues may also be able to help in the problem. It is also important for a patient to make sure that the right practitioner in the field is chosen to discuss the problem clearly and receiving a diagnosis and medication accordingly.

4593 people found this helpful

If she passed her ovulation period thn wil that precum can still be enough to make her pregnant. Bcoz we did it at the time when she was about to get her periods. After I asked you previous qstn she had her periods. BT can this precum effect after?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
If she passed her ovulation period thn wil that precum can still be enough to make her pregnant. Bcoz we did it at th...
No it can not affect her in future and as she had menses after the act she is not pregnant also. Also as you did not penetrated inside her, she is still a virgin.
1 person found this helpful
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Why we should take vitamin E rich food items

Homeopath, Bareilly
Why we should take vitamin E rich food items

Why we should take vitamin E rich food items

  • Vitamin E also called tocoferol is acted as antioxidants. Antioxidants neutralise the effect of free radicals that are produced in our body thus act as Anti-Aging.
  • It helps maintain cell membranes, red blood cells integrity and protects vitamin A and fatty acid from oxidation.
  • It is used to treat anemia.
  • It is helpful to relieve cramping pain caused by the low blood supply to the affected muscles.
  • Sources- Vegetable oil, butter, avocados, whole grain cereals, wheat germ, eggs, and nuts.
1 person found this helpful

I am male 24 years old. Due to certain incident in June 26 it was unprotected sex, I had done my hiv test on 40 days 60 days and 175 days from that day. All reports show negative result. Now I have facing some problems like burnings section and pain on tongue and also on some dots and redness on penis cap. Please help me out and suggest remedies. thanks.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
HIV test if negative proves you are AIDS free, but you need to be examined by an urologist to rule out other infections which may be transmitted by sex.
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My age is 22. I recently checked my hb and it is 10.8 and my problem is I have very low blood flow as it comes like two drops on my period days. For past two months. Please suggest me the reason for it and what should I do to increase my blood flow.

Ayurveda, Ambala
My age is 22. I recently checked my hb and it is 10.8 and my problem is I have very low blood flow as it comes like t...
Dear, Follow these instructions to increase blood flow during menstruation or periods: • Take proper diet full of nutrition. Eat a bowl of cereal and drink a glass of milk daily. * Eat a banana and 7 to 10 raisins for a week. • Do Not take stress because stress causes imbalance in hormones of female and make your menstrual cycle disturb and make your ovulation disturb. Do long breathing meditation for maintain hormonal balance. • Do jogging exercise daily. Start these exercise for 3 to 4 minutes daily then increase time slowly. Do Pavanmuktasan daily for 5 minute, under supervision of yoga expert. If you are obese loose some weight this is also a cause. • you can take these medicines for regular periods. Syrup Dashmolarisht or, syrup EVECARE of himalya. 2 tsf daily once in a day after meal. You can take it for 7 days.
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Hello Dr. I got married before 6 month my period date was 20 but now on 29 I didnt get my period what can I do I done upto on 25 but it was negative can I wait for some more day or anything else please help me fast.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
If your period is regular then 25th april would have shown the accutrate result. But if your period is irregular then there is a probability that the positive test will show at a later period. My suggesion is you wait for 7 more days. Even after that the pregnancy test is negative then there is some menstrual problem and for that you consult your doctor.
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Sir which is a good time to pregnant to my wife after the periods or before the periods I will do not no please tell me sir.

General Physician, Chennai
Sir which is a good time to pregnant to my wife after the periods  or before the periods I will do not no please tell...
From the 12 17 day is the most fertile period for a 28 day cycle have sex during this period daily and you will get results day after the first day of a cycle to.
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I am 27 years old and now i am 5 month pregnant. Till now my stomach is not showing that i am 5 month pregnant, I also didn't feel any baby movement. Doctor can you please clear my doubts.

Gynaecologist, Bhavnagar
If this is your first pregnancy, you need not worry. You will feel movements at around 6 months because you are not experienced to. And off course, get your sonography done.
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My age 19 yrs. I'm facing menstrual problem during last 3 years . Menstrual cycle is not coming proper date I mean exact time. . It is coming 8 or 9 days later from the exact date and paining my abdomen first 2 or 3 days when period is start and coming bunch of blood from my vagina. . What I'll do. .Please give me some suggestions. Thank you!

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My age 19 yrs. I'm facing menstrual problem during last 3 years . Menstrual cycle is not coming proper date I mean ex...
Hello, please rule out pcos, hypothyroidism and hyperprolactinemia and if ruled out then you may have to be placed on low dose oc pill for 3-6 months.
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Hi madam. Mine is a gynec issue. I am 27 years old and my hubby is 31 years old. We are planning for children from past 1year. I have regular periods (30 days cycle), no thyroid and my health reports are good. My hus health condition and sperm count is well. Please let me know where the issue is. thanks madam.

Diploma in Obstetrics & Gynaecology, MBBS, MD - Community Medicine
Gynaecologist, Lucknow
Hi madam. Mine is a gynec issue. I am 27 years old and my hubby is 31 years old. We are planning for children from pa...
Hello if everything is normal, there is no reason why you should not get pregnant. Don't worry about it and thinks positive. Take care of your nutrition.
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Hi I have a question regarding excessive leucorrhea. I have been encountering this problem since last 2 years. I am not able to carry out my normal activities. I get irritated most of the time. I also encounter continuous back pain. And I have felt that due to this problem the muscles in my vagina are getting lose and this has resulted in lose vaginal muscles. I am not married and I don't want to land myself in any of the problems after my marriage. Please suggest something to permanently cure this problem and tighten vagina to its fullest. Thank you!

Advanced Aesthetics
Ayurveda, Gulbarga
Start antiboitic 10days and avoid sex and egg and nonveg items leucorrhea can be defined as the thick milky discharge from the vagina. It can be due to physiological causes or due to some pathological causes. In usual cases, the leucorrhea is physiological due to release of estrogen hormone in large quantities but it could be inflammatory also. The watery discharge is usually white in color but in severe infections it could be greenish or yellowish in color. What are the causes of leucorrhea the leucorrhea discharge is a normal condition that occurs in the menstrual cycles in almost all women at some stage or the other watery discharge from vagina foul smelling discharge greenish or yellowish purulent discharge itching around vagina dryness around vagina weakness in women lethargic body irritation and headaches pain in claves lumbar pain for treatment consult privetly.
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My sister s pregnant and now she s 7 months.Totally 3 scaning was taken.In the first two scanning doctor said tat there s a cyst measuring 88*54mm found in ovary.But in the third scanning doctor said tat no cyst found.Wil this be a problem during her delivery ?

MD - Maternity & Child Health
Gynaecologist, Bangalore
Do not worry. Ur sister is fine. Its quite a common thing. Stree women health care centre bangalore
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My wife had a miss period in previous month. But we had a safe matting at that time. Can you please tell me what is the reason behind it. Does she pregnant.

MS- Gynaecology, MBBS
Gynaecologist, Delhi
My wife had a miss period in previous month. But we had a safe matting at that time. Can you please tell me what is t...
If u have any doubt about pregnancy do upt with morning urine sample. This will clear ur Al doubt.if test negative u can repeat after wk again.ons thing I wants to tell if not intersted in pregnancy use oral contraceptive pills
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