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Dr. Manjula Nagaraj

Gynaecologist, Bangalore

350 at clinic
Dr. Manjula Nagaraj Gynaecologist, Bangalore
350 at clinic
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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.
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Dr. Manjula Nagaraj is a trusted Gynaecologist in Koramangala, Bangalore. You can consult Dr. Manjula Nagaraj at Family Health Care And Polyclinic in Koramangala, Bangalore. You can book an instant appointment online with Dr. Manjula Nagaraj on Lybrate.com.

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Family Health Care And Polyclinic

#869, 80 Feet Road, 8th Cross, Koramangala 8th Block. Landmark : Opp to Koramangala Police StationBangalore Get Directions
350 at clinic
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PDDM, MHA, MBBS
General Physician, Nashik
PolyCystic Ovarian Disease (PCOD)


PolyCystic Ovarian Disease (PCOD) जिसे PolyCystic Ovarian Syndrome (PCOS) की कहा जाता है, एक महिलाओ में पाया जाने वाला सामान्य विकार है। अनुमान किया जाता है की प्रजनन की उम्र वाली 90 लाख से ज्यादा महिलाओ को PCOD है तथा इनमे से 60 % से ज्यादा महिलाओ को पता नहीं है की उन्हें यह विकार है। कुछ सालो पहले यह समस्या 30 से 35 साल के ऊपर की महिलाओ में ही आम होती थी परन्तु अब कम उम्र की लड़कियों में भी यह ज्यादा प्रमाण में दिखाई दे रही है।

PCOD क्या है ?

महिलाओ में Sex Hormones के असंतुलन के कारण अंडाशय (Ovary) में छोटी-छोटी गाठ या cyst तैयार हो जाती है जिस कारण महिलाओ के मासिक धर्म (Menstrual Cycle) के साथ प्रजनन क्षमता (Fertility) पर भी असर पड़ता है।

महिलाओ में अंडाशय में सामान्य से अधिक मात्रा में Androgen Hormones की निर्मिति होने पर अंडाशय में छोटी-छोटी तरल पदार्थयुक्त cyst तैयार हो जाती है जो धीरे-धीरे आकार में बढ़ने लगती है। इससे महिलाओ में प्रजनन क्षमता कम हो जाती है और महिला गर्भधारणा करने में असमर्थ हो जाती है।

PCOD के लक्षण क्या है ?

PCOD से पीड़ित महिलाओ में निम्नलिखित लक्षण पाए जाते है :

अनियमित मासिक धर्म (Menstrual cycle) चेहरे / शरीर पर अधिक बाल मुंहासे (Acne) Dandruff पेटदर्द गर्भधारणा में मुश्किल आना यौन इच्छा में अचानक कमी आना गर्भ में छोटी-छोटी गांठ जो की Ultra Sound Scan करने पर दिखाई देती है  बार बार गर्भपात सिर के बालो का अधिक झड़ना त्वचा पर डाग मोटापा 


PCOD के क्या कारण है ?


PCOD होने की मुख्य वजह महिलाओ में Hormones की सामान्य से ज्यादा प्रमाण में निर्मति होना है। स्त्रीरोग विशेषज्ञों का कहना है की पिछले 10 से 15 वर्षो में महिलाओ में PCOD के प्रमाण में 50 से 60 प्रतिशत वृद्धि हुई है। इस असामान्य वृद्धि के कुछ खास कारण है :

असंतुलित आहार (Diet): पिज़्ज़ा, बर्गर जैसे शरीर के लिए हानिकारक junk food। ज्यादा तेलयुक्त, वसायुक्त और मीठा आहार।

 रोग (Diseases) : PCOD होने के पीछे मधुमेह (Diabetes) और उच्च रक्तचाप (Hypertension) जैसे रोग भी एक बड़ी वजह है। अगर परिवार में किसी को PCOD का ईतिहास है तो अनुवांशिकता यह भी एक कारण है। Cholesterol का बढ़ना, HDL कम होना या उच्च Triglycerides के वजह से भी PCOD हो सकता है। 

मोटापा (Obesity) : अत्यधिक junk food का सेवन और व्यायाम के अभाव के कारण आज की युवा पीढ़ी में मोटापा एक बहोत बड़ी समस्या के रूप में उभरा है। ऐसे तो मोटापा कई बीमारियो का घर है परन्तु मोटापे में शरीर में बढ़ी हुई अत्याधिक चर्बी के कारण Estrogen hormone की निर्मिति सामान्य से ज्यादा होती है, जो की अंडाशय में cyst बनाने के लिए जिम्मेदार माना जाता है।

 तनाव (Stress) : आज के दौड़भाग के युग में बढ़ रहे तनाव के कारण लोगो का खानपान और दिनचर्या बिगड़ चुकी है। धूम्रपान, शराब, देर रात का खाना इत्यादि कारणों से भी hormonal imbalance होता है।    


PCOD का निदान (Diagnosis) कैसे किया जाता है ?


PCOD  का निदान करने के लिए निम्नलिखित परिक्षण किया जाता है :

Ultra Sound Scan of Pelvis / Vagina 
Serum LH 
Serum FSH 
LH : FSH ratio 
DHEA-S Level 


PCOD का उपचार कैसे किया जाता है ?

दवा (Medicine) : डॉक्टर द्वारा दी हुई दवा समय पर डॉक्टर के निर्देशानुसार लेना चाहिए। दवा से अंडाशय में ovulation induction कर गर्भधारणा में मदद की जा सकती है। अगर आप मुंहासो के लिए इलाज करे तो अपने डॉक्टर को PCOD होने की जानकारी अवश्य दे।

 वजन कम करना (Weight loss) : अगर आपका वजन बढ़ा हुआ है तो उसे कम करने का प्रयास करे। कई PCOD के मरीजों में केवल वजन कम करने से ही बेहद फायदा होते देखा गया है।

 व्यायाम (Exercise) : व्यायाम करने से आपका वजन नियंत्रण में रहेगा और PCOD की वजह से होने वाली insulin resistant की समस्या भी कम हो जाएंगी। आप अपने उम्र और शरीर अनुसार चलना, दौड़ना, तैराकी या aerobic व्यायाम कर सकता है। 

  संतुलित आहार (Balanced Diet) : खाने में पिज़्ज़ा, बर्गर जैसे शरीर के लिए नुकसानकारी आहार लेने की जगह हरे पत्तेदार सब्जी और फल का समावेश करे। 

जीवनशैली (Lifestyle) : चिंता, शोक, भय, क्रोध इत्यादि तनाव बढ़ाने वाली चीजो से दूर रहे। योग और प्राणायाम करे। हमेशा सकारात्मक विचार रखे।

 शल्यक्रिया (Surgery) : जरुरत पड़ने पर PCOD के उपचार में शल्य क्रिया या operation भी किया जाता है जिसे Laproscopic Ovarian Drilling (LOD) या Laparoscopic Electrocauterisation of Ovarian Stroma (LEOS) कहा जाता है। इस Operation में Laser या Cautery से अंडाशय के cyst में छेद किया जाता है।  

PCOD से पीड़ित महिलाओ में मधुमेह, उच्चरक्तचाप और कर्करोग होने का खतरा रहता है। जल्द उपचार आदि कार्यवाही करने से PCOD के दीर्घकालीन जाखिमो से बचाव किया जा सकता है। 

Dr surbhi agrawal
consultant physician and diabetologist
13 people found this helpful

Period missed past 1.5 months. Suffering from lower abdomen cramp and back pain. Frequent urination and dry tongue. I am pregnant?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Period missed past 1.5 months. Suffering from lower abdomen cramp and back pain.
Frequent urination and dry tongue.
I...
Get an urine examined for pregnancy test. It is easy and can be done at home. You will come to know.
1 person found this helpful
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Hi im 9 months pregnant. According to my scanning report my delivery will be today 18 june and doctors even told m today will be my delivery date but still now I dint gt any pain. Its okay if delay fr delivery im getting world please help.

C.S.C, D.C.H, M.B.B.S
General Physician,
Hi im 9 months pregnant. According to my scanning report my delivery will be today 18 june and doctors even told m to...
It is normal for the delivery to be delayed for a week if the usg is normal and your doctor may decide on caesarean if needed.
1 person found this helpful
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I am not able to conceive because my husband do not do sex regularly. He never feels the libido and excitement. What to do to boost his libido.

MBBS DGO PGDCC
Gynaecologist, Belgaum
I am not able to conceive because my husband do not do sex regularly. He never feels the libido and excitement. What ...
U can have sex from D10-D16 on alternate daysof ur menstrual period if you have regular periods to become pregnant .
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Homeopathy and Fertility

BHMS
Homeopath, Delhi
Homeopathy and Fertility

Approximately 15-20% of couples worldwide have difficulties conceiving, and this can be due to many causes, including hormonal imbalances in one or both partners. Infertility has become a more serious problem in the past century, and its causes are mostly related to our way of life. Smoking, drinking and an unhealthy diet, together with high levels of stress, will definitely affect your ability to conceive, creating imbalance in your body. Homeopathic medicine is widely used as an alternative to conventional medicine, helping the body to treat itself and infertility homeopathic treatments are available for both men and women; there are many homeopathic medical journals that will attest to their efficiency.

Homeopathic medications for fruitlessness include an all-characteristic methodology. Discover the best vitamins, herbs and supplement mixes accessible to help you get pregnant actually.

Barrenness homeopathic medications are turning out to be more prevalent among couples who experience fruitlessness issues, since they are all-normal, work generally quick and are moderate in contrast with customary drug.

The most vital components of fruitlessness homeopathic medicines, which will work ponders much of the time of barrenness are the accompanying:

Ripeness Diet-

In spite of the fact that it may sound somewhat ungainly, it is really a solid eating routine arrangement, which is useful for ripeness, as well as numerous different advantages for your body. Most importantly, you ought to surrender smoking and drinking liquor, and attempt to lessen your caffeine admission. Eat whatever number natural products of the soil as could reasonably be expected; it is vital to just eat natural food, to stay away from herbicides or pesticides which cause harm to the body.

Homeopathic meds for infertility in females because of corrosive vaginal releases:

There are top-grade homeopathic drugs for infertility in females because of corrosive vaginal releases. These homeopathic pharmaceuticals for infertility in females are utilized where the vaginal releases are harsh, dangerous and slaughter the sperms. It is a homeopathic prescription for infertility in females when the vaginal release resembles the white of an egg, bitter, abundant and warm. In such cases, it supports simple origination. Next homeopathic pharmaceutical is shown for infertility in ladies who have harsh, bothering, rich, nectar shaded vaginal releases. The release likewise notices harsh.

Homeopathic medications for infertility in females due to excessively abundant or excessively drawn out periods:

Two superb homeopathic prescriptions for infertility in females from bountiful or delayed periods are there. One is fundamentally utilized when a female with infertility has excessively abundant and too dependable periods. The periods likewise show up before time. To endorse the other, the fundamental symptoms are early and abundant menses with infertility. Leucorrhea, paleness, shortcoming, tiredness and exhaustion may likewise endure with menorrhagia. Among these homeopathic solutions for infertility in females, one medicine is additionally recommended where a propensity for incessant premature births is available.

All the medicines have to be taken under the guidance of the experts.

3115 people found this helpful

Hi I am 15 weeks pregnant and today something hit on my stomach, is this harmful to my baby? should I go to the doctor?

D A, MBBS
Anesthesiologist, Bangalore
U should visit a doctor. You may have to get a ultrasound to check whether there is no intrauterine bleed and to know the well being of the fetus.
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My gf cycle use to start on 25 of every month. After her period got over We had unprotected sex. After a day she took an ipill. 7 days later she got her periods on 11 June. It's 26 July still she didn't had her chums. Is she pregnant? M really worried.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
My gf cycle use to start on 25 of every month. After her period got over We had unprotected sex. After a day she took...
Hi lybrate-user she could be pregnant as you had sex in fertile period. Ipill is not 100%sure. Bleeding after pill could be implantation bleeding. Please get a urine pregnancy test to rule out pregnancy.
1 person found this helpful
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My friend is in live in relation ship with his girlfriend. He wants to do sex with her and she too. He is of 31/08/1994 and her d. O. B. Is 12/08/1995. He is worried if condom failed during sex or any kind of pregnancy issue occurred. Which type of condom is more reliable? She doesn't want to take any i-pills. What should be the correct time of their 1st sex. What may be pros and cons?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
If condom fails i-pill is the only choice or she can take oc pills like novelon for 21 days in a month. Durex or Kohinoor are among the best condoms available in the market. If a women’s menstrual cycle varies from 26days to 31days cycle, The shortest cycle (26days) minus18days=8th day. The longest cycle (31days) minus 10days=21st day Thus, 8th to 21st day of each cycle counting from first day of menstrual period is considered as fertile period. That is UNSAFE PERIOD during which you should not have it. Period other than this fertile period in a menstrual cycle is considered as SAFE PERIOD.
5 people found this helpful
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Am six week pregnant. Having a bleed slightly with no cramps. But am worried. I had some oral sex morning with husband. Why bleeding occurred.

MBBS, DNB (Obstetrics and Gynecology), MNAMS, Training in USG
Gynaecologist, Delhi
Am six week pregnant. Having a bleed slightly with no cramps. But am worried. I had some oral sex morning with husban...
Hi You should not be doing it during pregnancy specially in first 3 months. For your bleeding, you do an ultrasound
1 person found this helpful
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Sexual Problem having white colour ejaculation takes place from the vagina continuously leads to lower back pain and weakness.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
It must be a vaginal infection, can be transmitted from your partner as well. Use clingen v vaginal pessary for 6 nights, avoid sex then. May need couple therapy if problem continues.
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Hi doctor & good day. I am a married man and we don't have baby yet. We are trying for a baby. I am a social drinker and a smoker too. Its been one year over after my marriage and still we don't have a baby. Kindly give some suggestions.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Hi doctor & good day. I am a married man and we don't have baby yet. We are trying for a baby. I am a social drinker ...
Avoid smoking and alcohol. And both of you need check up by infertility specialist to diagnose the cause so that we can treat the cause soon and give you pregnancy.
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Hello sir My girlfriend 20 year old She doing fingering 7-8 time in a day And she reached organism 8-9 times in a day Is it normal? Or Side effects I worried about that works Please tell me sir What side effects of excess fingering?

B.H.M.S,
Homeopath, Muzaffarpur
Hello sir
My girlfriend 20 year old
She doing fingering 7-8 time in a day
And she reached organism 8-9 times in a day...
Hello lybrate-user, excess fingering makes weakness in health. 2nd thing is by this act there may be chance of get infection of genito urinary tract. Out of above it makes spoil the carrear. It is a mental problem. If you feel need you contact me with detail of your girl friend then homoeopathic medicine will be adviced for her, which help her to get rid of this act. You sugest your girl friend to avoid junk, spicy, and non veg. Food. Take plain and vegeterian diet.
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My wife is 6 months pregnancy. Please tell me good diet for her also suggest me precautions.

DNHE, Fellowship in Cardiac Rehabilitation, BHMS
Homeopath,
My wife is 6 months pregnancy. Please tell me good diet for her also suggest me precautions.
Diets at 6 months of pregnancy: 1. Protein: this important nutrient should be a part of her daily diet. However, she should avoid fatty fish and the skin, also meat fat. It is in fact a good idea to avoid too much meat, and especially red meat. 2. Carbohydrates: a portion or two a day of carbohydrates is recommended during pregnancy. But keep in mind that this depends on how much weight she has gained. You should go for: potatoes, pasta, sweet corn, seeds and nuts, oats 3. Dairy products: yoghurt, cheese and milk (for calcium rich diet) 4. Take plenty of fluids 5. Vegetables: beetroot cabbage asparagus spinach carrots pumpkin turnip eggplant/brinjal green beans tomatoes 4. Fruits: bananas, grapes, apples, pears, oranges follow the below diets chart: breakfast 1 cup of low-fat milk 2 pieces of kaak 1 orange snack #1 1 small whole-wheat hotdog bun 2 tbsp peanut butter topped with thinly sliced banana lunch a bowl of mixed salad 1 cup of rice or pasta or 1 medium baked potato 2 cups of stew prepared with meat or chicken, or a piece of grilled fish filet snack #2 4 dried apricots or 3 dates 1 cup of plain yoghurt or fruit flavored yogurt dinner a bowl of vegetable soup cheese or egg sandwich made with brown bread snack #3: 1 glass of low fat milk 1 cup of whole grain breakfast cereals avoid: caffeine and alcoholic drinks undercooked meats and spicy foods non pasteurized cheeses smoking.
6 people found this helpful
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We are having sex but while we are doing sex, her vagina get fill with blood. Please advise.

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Reasons could be many as inflammation, atrophic vaginitis, sexually transmitted disease, trichomoniasis, abnormal growths, endometriosis, polyps it requires detailed investigation better it would be for you to get her checked up from qualified gynecologist.
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C.S.C, D.C.H, M.B.B.S
General Physician,
Coffee Drinking Is Good For You?

It appears that, in large populations of people, drinking coffee may (on average) confer health benefits. In particular, the risk of cardiac death and of overall mortality appears to be lower in coffee drinkers, with the optimal benefits seen in people who drink 3 - 4 cups per day. Whether caffeine has anything to do with such health benefits is not entirely known. Coffee contains a host of active substances aside from caffeine - substances that are thought to act as antioxidants and anti-inflammatory agents, for instance - that may be contributing to this beneficial effect.

Epidemiological studies like this one, no matter how well they are performed, cannot possibly answer whether a specific individual will realize health benefits from coffee drinking. They can only tell us about the average response, across a large population.

We know that some individuals (probably determined by their genetic makeup) are particularly sensitive to caffeine, and may suffer severe sleep deprivation, jitteriness, or palpitations after drinking coffee (or any other caffeine-containing food or medication). We also know that caffeine sensitivity can change dramatically at various periods in one?s life (especially during pregnancy, when sensitivity to caffeine almost always increases). Drinking coffee is clearly not a good idea for everyone.

As a general rule, then, coffee drinking appears to have health benefits. But at least until routine genetic testing is available that might tell us about our own individual sensitivity to caffeine, whether coffee drinking is a good idea for us is something we?re just going to have to figure out for ourselves.

Read all about coffee and your heart.

Cardiac mortality: Compared to people who drank no coffee, people who drank one cup per day experienced an 11% reduction in cardiac mortality.This mortality
benefit ?peaked? (at about 20%) for people who drank 3 - 4 cups per day, and then began to diminish as the amount of coffee consumption increased beyond that level.
Cancer mortality: Several reports over the years have suggested that coffee might reduce the risk of certain cancers. In this large study, however, there was no difference in cancer mortality between people who drank no coffee, and people who drank from 1 to 6 cups of coffee per day.

Overall mortality: Compared to people who drank no coffee, coffee drinkers had a reduced mortality rate. Again, this mortality benefit seemed to peak at between 3 - 4 cups per day (at about a 15% reduction in mortality).
4 people found this helpful

Hi Dr. I am 36 years old. My first baby is 6 months old now. Breastfeeding is still going. I want to conceive soon for second baby. Please suggest regarding breastfeeding and how I can know that my body is ready for 2nd baby. I have pcod also.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
Hi Dr. I am 36 years old. My first baby is 6 months old now. Breastfeeding is still going. I want to conceive soon fo...
Better wait for 2 years before next pregnancy. Good for health of both children. Gradually replace breast feed with weaning food.
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Meri shadi 2 year hogaye magar mujhe baby nahi hota maine dawa bhi start ki usse bhi nhi ho rha hai.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Meri shadi 2 year hogaye magar mujhe baby nahi hota maine dawa bhi start ki usse bhi nhi ho rha hai.
Please provide meall the details regarding your aand your husbands diagnostic reports since you started treatment.Myself is a homoeopathic physician and I will guide you accordingly.
1 person found this helpful
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