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Dr. Latha Venkataram  - Gynaecologist, Bangalore

Dr. Latha Venkataram

Gynaecologist, Bangalore

250 at clinic
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Dr. Latha Venkataram Gynaecologist, Bangalore
250 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Latha Venkataram
Dr. Latha Venkataram is a popular Gynaecologist in Basavanagudi, Bangalore. She is currently practising at Rangadore Memorial Hospital, Shankarapuram in Basavanagudi, Bangalore. You can book an instant appointment online with Dr. Latha Venkataram on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 27 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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Languages spoken
English
Professional Memberships
Bangalore Society of Obstetrics & Gynaecology

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Rangadore Memorial Hospital, Shankarapuram

1st Cross, Shankarapuram, BasavanagudiBangalore Get Directions
250 at clinic
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

Hii. It's been two months I had a chemical pregnancy and I am not able to conceive I have been trying everyday. But it's not turning out b positive. My pelvis report is cleared. My thyroid and blood report is also normal. What could b the problem and how could I conceive as soon as possible?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Hii. It's been two months I had a chemical pregnancy and I am not able to conceive I have been trying everyday. But i...
Pregnancy can occur only one day of cycle that is ovulation day so unprotected sex around that day only important. As only one day in month two months means 2 trials only and nature should be given 12-24 trials before you need any active management by Gynecologist or infertility specialist.
1 person found this helpful
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She is suffering for irregular periods before labour can Periods come normal after labour.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ernakulam
She is suffering for irregular periods before labour can Periods come normal after labour.
Hai lybrate-user, for some females period get regular after delivery but some do continue to have irregular periods. Individual differences are there.
3 people found this helpful
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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, Faridabad
AntiBiotic Resistance on the rise very fast

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)
4 people found this helpful

I want to sex with my girlfriend so I want to know about precaution should be taken by us.

D.E.H.M, B.E.M.S, M.D.(E.H)
Sexologist, Faridabad
Condom is best precaution. Will keep you away from all kinds of dangers and fears wish you good health.
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Can Homeopathy Cure Infertility in Females?

MD - Homeopathy, BHMS
Homeopath, Surat
Can Homeopathy Cure Infertility in Females?

For a married couple, having a child is the next step to completing the family picture. However, for various reasons, some attributed to the male and some to the female, this picture remains incomplete.
Talking to a doctor is one of the best starting points. There could be deep-rooted causes for this issue, and homeopathy aims in treating the root cause and not just infertility. A good homeopath will ask you numerous questions to find out associated symptoms, family history, etc., and then arrive at a remedy that would work best for you. This is a highly customised therapy and so self-medication based on a friend or family member’s recommendation is best avoided.

Infertility in females is often caused by the following reasons:

  1. Irregular menstruation
  2. Hormonal imbalance
  3. Advancing age
  4. Emotional stress
  5. Obesity
  6. Excessive smoking
  7. Alcohol consumption
  8. Sexually transmitted diseases (Chlamydia, gonorrhoea)
  9. Structural abnormalities in the pelvic area including fibroids, pelvic adhesions, blocked fallopian tubes, etc.
  10. Endometriosis
  11. Polycystic Ovarian Syndrome (PCOS)
  12. Pelvic Inflammatory disease
  13. Thyroid disorders
  14. Diabetes

With more and more women coming out in the open to discuss, researchers have started working towards identifying the problem and working towards the treatment. The success rate of homeopathy in treating infertility is also on the rise. As with any medical condition, homeopathy treats not just the problem or symptom at hand, but the person holistically. Read on to know some of the common homeopathic remedies, but make sure you have a detailed discussion with your doctor to identify what would work best for you. Self-medication is best avoided.

  1. In women with reduced sexual drive, Agnus and Sepia are widely used. The vaginal is extremely dry which could be painful during sex. There is also a bearing down sensation of the uterus in these women.
  2. In women with reduced menstruation, Pulsatilla and Sepia are widely used. The periods are never on the expected date, and when they occur, the flow is quite scanty and suppressed. Pulsatilla is also used when ovarian cysts are present. Sepia is useful in women that are prone to miscarriages.
  3. In women with excessive menstruation, Calcarea and Aletris are widely used. The periods happen before time, is too long with profuse bleeding. This excessive bleeding also causes anaemia, weakness, and fatigue. These women might also have frequent abortions.
  4. In women who have experienced a miscarriage in their third month earlier, with uterine and ovarian inflammation, Sabina is used.
  5. In women who are not able to retain sperms, Natrum carb is useful. There could be an offensive smelling vaginal discharge which is also very irritating and itching.

These are just some of the common remedies, but there are more, and each patient would require different therapy based on associated symptoms. If you wish to discuss about any specific problem, you can consult a Homeopath.

3423 people found this helpful

Is there any problem if a man sperm enter into vagina of his spouse, who is pregnant for 3 months had a history of previous abortion? Please give me an explanation?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Is there any problem if a man sperm enter into vagina of his spouse, who is pregnant for 3 months had a history of pr...
hi lybrate user, if you have sex in first 3months of pregnancy it increases risk of abortion. and if you ejaculate as semen contains prostaglandins that can give pain in abdomen due uterine contractions may lead to abortion.
2 people found this helpful
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I am a beautiful wife for my husband. I have pregnancy for two months. My husband want to sex with me. But I afraid to do this. So my husband become sad. What should I do? Can you tell me I should or not.

ms
Urologist, Bhilwara
Avoid 1st 3 months, then avoid any weight on abdomen sp 5 th to 9th if you had abortion in past avoid sex for safety of pregnancy.
4 people found this helpful
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Hi I am 23 year old I had unprotected sex on my 6th day of period but d sperms were not released inside vagina but to be on a safer side I took unwanted 72 within 2 hours of this, now its been 6 days since I took d pill n I am experiencing spotting n dizziness from morning. N this is d very 1st time I hve taken a pill. Pls help me with this n also can I expect my periods on d same date next month?

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Hi I am 23 year old I had unprotected sex on my 6th day of period but d sperms were not released inside vagina but to...
You are having spotting due to withdrawal bleeding ,dizziness is also due to emergency contraceptive, it will get over in a few days emergency contraceptive causes menstrual irregularities and delayed periods at times. If you miss your periods then do a urine pregnancy test to be on the safer side.
2 people found this helpful
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My period date was 17 of this month but m still not on my periods, m getting scared now, on ma last period first day only I had sex with my boyfriend with out condom, but aft my periods got over we had sex lot of time but we always used condom only the day I was on periods n very first day itself we didn't used condom he didn't cum also inside me, but every single time after that we used condom but from last 4-5 days m having sings periods like stomach pain nall but m not getting periods please doctor please help me out tell me why it's happening n how to get out of this please doctor please.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Karnal
My period date was 17 of this month but m still not on my periods, m getting scared now, on ma last period first day ...
If you had an emergency pill after unprotected sex ,then the delay in periods might be because of hormonal imbalance due to that pill. Besides that ,as it has been more than a week since you skipped your periods ,it's better to perform a urine pregnancy test to rule out pregnancy. All the best.
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