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Dr. Manjula Nagaraj

Gynaecologist, Bangalore

350 at clinic
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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.
More about Dr. Manjula Nagaraj
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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Blocked Arteries: Know The Reasons Behind It

Non-invasive Cardiology
Cardiologist, Thane
Blocked Arteries: Know The Reasons Behind It

Blockage in heart is a common term used for narrowing of coronary arteries. Coronary arteries are vessels (which supply blood and thus oxygen and food) to continuously working heart muscles. Heart muscles which are not tired working from the birth till death, however, cannot sustain long without blood supply.

A reduction in blood supply gives rise to ischemia of heart muscles commonly manifested as chest discomfort or angina. A sudden complete shutdown of blood supply leads to heart attack leading to permanent damage to heart (if blood flow not reestablished promptly).

But what causes these arteries to block? Deposition of LDL cholesterol (low density cholesterol) in inner surface of coronary arteries is the primary reason of these blockages. LDL a normal component of blood (upto certain limit) starts depositing in arteries as early as 10 years of age!

Deposition of billions of LDL molecules over several years on inner surface of arteries gives rise to visible narrowings of these arteries. Flow ahead of these narrowings are reduced in proportion to the narrowing. At a level of 70 % narrowing the flow is reduced to give ischemia (and angina) during exercise. Gradually increasing degree of narrowing reduces the exercise needed for ischemia and angina; a narrowing of more than 90 % can give symptoms at rest. A sudden clot formation at any of these stages can block the blood flow suddenly giving rise to a heart attack. 

If LDL is a normal component of blood, why it is deposited in the arteries at first place? 

LDL above a certain limit  LDL-C ≤2.0 mmol/L in blood starts depositing in the arteries. Normal LDL value Diabetes, Hypertension, smoking, less exercise and genetics makes it more sticky thus making narrowing faster. This is why these risk elements need to be properly attended for prevention from heart disease. For treatment medicines are important for to halt the progression of narrowing of the arteries; There are surgical options like angioplasty (method of fast resolution of blockage;) and bypass surgery ( method of creating a whole new blood supply for the affected part of the heart) available. But Madhavbaug has developed a treatment that will effectively treat your blockage with the help of Ayurvedic Panchkarma sittings and lifestyle modifications. Kindly visit your nearest Madhavbaug Clinic for expert medical advice. If you wish to discuss any specific problem, you can consult a cardiologist.

3468 people found this helpful

The Dangers of Putting Off STD Testing

Diploma In Postpartum Depression, Formerly , House Job , Gynecology, MBBS
Gynaecologist, Delhi
The Dangers of Putting Off STD Testing

An STD or sexually transmitted disease is usually an infection which spreads from one person to another during sexual contact. Some STDs can also be transferred through touch, since they spread by skin contact. People hardly like to talk or discuss about STDs, but it is very important to rule out the possibilities of STD. Whether one likes it or not, if STD testing is ignored, then it can lead to long-term consequences.

Why STD Testing is Important?

Often STDs have no signs and symptoms, and the only way to know that are you suffering from an STD is to get tested for it. So it is a good idea to get yourself tested, as you never know if you might have STD even though you don't show symptoms. Also, when STDs are diagnosed, most of them can be cured.

Consequences of not Getting Tested

If one has STD and is not getting tested for the same, then it could lead to health problems which can cause permanent damages or might prove to be fatal. Some of the problems are:

  1. Undiagnosed and untreated STDs can lead to damaged reproductive system, leading to sterile men and women.
  2. Chlamydia, if untreated can lead to epididymitis and shrinkage of testicles and infertility in men. It also leads to pelvic inflammatory disease. But, good news is, it can be treated easily.
  3. Syphilis can make a person blind and deaf, and can also be passed on to babies.
  4. Gonorrhea, which can also be treated easily with antibiotics, can lead to infertility or death if untreated.
  5. Even HIV/AIDS if diagnosed in early stages can enable the patient to lead a normal life and does not mean only death, contrary to conventional perceptions.  

Symptoms of STD

While, gonorrhea, chlamydia and human papilloma virus (HPV) have no symptoms, the common symptoms of STDs might vary.

  1. In women, the common symptoms are pain and burning sensation during urination, blood in vaginal discharge as also abnormal vaginal discharge, abdominal pain, blisters, warts, and swollen glands.
  2. Men often experience inflammation of the testicles, prostate, sores, fever, urethral discharge and pain during urination.

If these symptoms are observed, it is vital to get tested for STDs. Also, the best way to protect your partner is not to practice unsafe sex and to refrain from the same until diagnosed and treatment is complete.

Getting yourself tested for STD is also beneficial, as it can prevent against complications like cancers and infertility. The standard STD panel of tests consists of Herpes IgG antibody and HIV antibody blood tests, along with a blood test for syphilis antibody and DNA urine test for gonorrhea and Chlamydia.

4983 people found this helpful

I am 37 years old women. I have vaginal itching just after periods. It is not my usual problem. So I have thought that it is because of my new sanitary pad. I have itching past one week. Could you suggest any medicines? Thank you.

BHMS
Homeopath, Raebareli
You need to take arsenic alba 30 - thrice daily 4 pills also take mixed fruit juice daily. Maintain hygiene.
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Hi, I am 24 years old and my wife is 26. She lost interest in sex after pregnancy. What can I do for it?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Hi, I am 24 years old and my wife is 26. She lost interest in sex after pregnancy. What can I do for it?
This is very common in women for a period of time after child birth due to hormonal fluctuations ; mood swings and tiredness in looking after the baby. I would suggest you give her some time and also ensure you do your share in managing the baby and household work. This will make her more relaxed and cheerful that will be of immense help.
3 people found this helpful
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All About Mineral Metabolic Disorders

MBBS, MD - General Medicine, DM - Nephrology, DNB (Nephrology)
Nephrologist, Delhi
All About Mineral Metabolic Disorders

Did you know that metabolism functions within a scope that goes beyond just maintaining your body weight? This chemical process is also subject to a number of complications and disorders, and can wreck your system without your knowledge. Mineral Metabolic Disorder is one such impediment that can easily corrupt your body and is characterized by an abnormal and unprecedented rise or fall of the level of minerals in the blood. This may result in a number of cardiovascular and bone diseases.

Minerals undoubtedly play an extremely vital role in the proper regulation of the body conditions and aid and abet growth and development. However, under certain (and mostly unforeseen) circumstances, the mineral levels have a propensity to differ substantially from the normal rates and may lead to several disorders. 

Causes:

  1. Mineral metabolic disorders may be genetic in certain cases, being transferred from the parent to the child via genes. 
  2. However, most mineral metabolic disorders are likely to arise as a result of certain clinical conditions pertaining to starvation, excess alcohol consumption,diarrhea and diet disorders. 

Effects: 
The most commonly observed and medically documented complications affecting metabolism as a result of sudden augment or fall in the following minerals are:

  1. Magnesium: hypomagnesaemia and hypomagnesaemia
  2. Calcium: nephrocalcinosis, hypercalcemia, osteoporosis, kidney stones, Paget's disease, osteomalacia, pseudohypoparathyroidism, rickets and hyperparathyroidism
  3. Iron:  hemochromatosis and cirrhosis
  4. Phosphorus: hypophosphatemia, osteomalacia, hyperparathyroidism, hypoparathyroidism and rickets.
  5. Sodium: hypernatremia and dilutional hyponatremia
  6. Zinc: nausea, skin rash, diarrhea, and difficulty in wound healing
  7. Copper: Menkes syndrome and Wilson's disease
  8. Potassium: Cushing's syndrome(from exposure to high levels of cortisol), Fanconi's syndrome, Bartter syndrome, Addison's disease and kidney disease. 

The ideal remedy to battle the majority of mineral metabolism disorders is to maintain a healthy lifestyle and follow a proper, filling, and balanced diet. In case the diseases crop as a result of genetic factors, consult your doctor immediately. However, in most cases, proper medication and a wholesome and nourishing food intake is recommended to fight most mineral metabolic diseases.

4585 people found this helpful

Penis size

PhD Human Genetics
Sexologist,
Penis size
"Your body is a beautiful, wonderful thing just how it is. Potential (meaningful) partners will care more about you than the size of your body parts, and you deserve to have acceptance and a realistic expectation of your body. Like the female body, the male body is beautiful regardless of what size it may be. There is no such thing as an inadequately sized penis, and therefore the need and desire for male penile enlargement is oftentimes unnecessary."

65 people found this helpful

Hi I am 24 years old. I eat alot raw rice much does it affect in the body? due to this white water is coming from my vagina. Some times not regularly does it affect in pregnancy?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
It is an abnormal food habit. In medical terminology it is called pica. Raw rice, if it is not properly washed, may have lots of impurities, insects. Moreover eatting lots of them may cause stomach ache, discomfort as they get swelled up in the stomach. Your cause of white discharge is not because of raw rice. It could be due to vaginal infection or may be a normal physiological discharge. To diagnose that an elaborate history is needed. Better, you should consult a gynaecologist for proper diagnosis and treatment. In pregnancy excessive discharge is very common and that could be normal but to assure that a doctor's opinion is needed. Because some of the infections of vagina leading to white discharge is harmful for the pregnancy.
3 people found this helpful
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Should You Undergo a Total Joint Replacement for Arthritis?

MS - Orthopaedics, MBBS
Orthopedist, Hyderabad
Should You Undergo a Total Joint Replacement for Arthritis?

Debilitating inflammation in the joints and its surrounding tissue usually characterize arthritis. This ailment can greatly weaken the body. At the point when joints are seriously influenced by joint pain, there are a number of treatment methods that may be available for the patient. Pain relievers, physiotherapy and other forms of treatment can help in offering relief. Yet, when these methods fail, one can go in for replacement surgery of the affected joint. This may not just lessen or eliminate the pain experienced but it can also it can reestablish better strength in the joint. Hip, knee, and shoulder joint substitutions are a portion of the more normal surgeries suggested when managing joint pain.

Joint Replacement Surgery for Various Joints: Arthritis can affect a variety of joints in various ways. In the shoulder, this can be found in the humerus (the upper arm bone) and a bit of the scapula (the shoulder bone). In the knee, it includes the finishes of the femur and tibia (the thigh bone and shin bone, separately) and the patella (the knee top). In the hip, the influenced zones are the femur and the attachment in the pelvic bones in which it rests (the hip bone socket). In simple words, an aggregate joint trade or replacement for joint pain includes replacing the harmed joint surfaces with simulated segments artificially.

Ideal Candidate: In the event that your joint pain is progressed yet you are generally healthy, joint substitution might be a choice. Notwithstanding, you should take the advice of an accomplished orthopedic pro who can give you moderate treatment choices and other negligibly intrusive ways to deal with the condition before resorting surgery.

As a rule, you may not be a decent candidate of the replacement if:

  • You have inadequately controlled diabetes
  • You are a chain smoker
  • You are extremely chubby
  • You have encountered contaminations in the influenced ligament joint before
  • The best contender for a ligament joint replacement surgery includes patients who:
  • Have joint pain that is extreme
  • Are encountering a debilitating effect in their personal life due to the painful symptoms
  • Have discovered moderate medicines, for example, mitigating drugs and non-intrusive treatment to be ineffectual
  • Are willing to effectively and regularly participate in a recovery program after surgery

The accomplishment of a joint substitution surgery relies on upon the stability of the remaining parts of the joint. In the event that the joint has endured a few diseases, or in the event that it has experienced a few surgeries, it may not be sufficiently solid to withstand a joint replacement procedure. What's more, if you there are immune system disorders or long ailments like diabetes at play, then there may be little chance of aligning with the new joint.

3992 people found this helpful

I am facing periods problem, have eaten medicine to stop pain and bleeding but no resolution.

MS- Gynaecology, MBBS
Gynaecologist, Delhi
I am facing periods problem, have eaten medicine to stop pain and bleeding but no resolution.
pain started now a days only or it is their rt from beginning. hw many days before pd it starts. get usg lower abdomen . u can start oral pill cyclically
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My wife takes freedom 5 IUDfor avoiding pregnancy for 5 years. Now she has a little bit of bleeding after the insertion of that IUD. Is it safe as the direction was that there will be little bleeding for some days? Or it is the better option for avoiding pregnancy while having unprotected sex?

DGO, MBBS
Gynaecologist, Delhi
My wife takes freedom 5 IUDfor avoiding pregnancy for 5 years. Now she has a little bit of bleeding after the inserti...
Mild bleeding post cu t insertion is common but if it lingers for a long time Then please contact your gynaecologist. Yes it is a good method of contraception.
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TVS report RIGHT OVARIAN CYST LIKELY TO BE BENIGN. Size is 3.96, 3.23 cm. Thin separation are seen within it. Right Ovary measures 5.50, 4.07 cm. Please suggest me what to do?

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Get ca125 report done and consult gynecologist. Treatment depends on all the reports and the symptoms.
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I'm married, completed approx 2.5 year's. We are getting problem in conceiving All test are normal. Not having any problems.

DNB (Obstetrics and Gynecology), PGDHHM, MBBS
Gynaecologist, Delhi
I'm married, completed approx 2.5 year's.
We are getting problem in conceiving All test are normal.
Not having any pr...
I can understand as sometimes it take little longer to conceive. I am giving some tips which can help you in conceiving: Tip #1: The biggest secret to getting pregnant faster is knowing when you ovulate (release an egg from your ovary). Think of the egg as a bull's-eye and the sperm as arrows. One of the arrows has to hit the bull's-eye in order for you to get pregnant. If you notice that you have irregular periods over the course of several months, pinpointing ovulation could be difficult. Ask your doctor for advice. Tip #2: Once you know when your egg will be released from your ovary, you can plan to have sex during your most fertile days: from three days before ovulation through the day of ovulation. (Starting a little sooner can't hurt; some women have gotten pregnant from sex that happened six days before they ovulated.) If you have a regular cycle of 28 days, days 12 to 16 days are said to be a woman's most fertile period counting from the first day of cycle. Tip #3: Sperm have their best shot at fertilizing an egg when they're healthy, strong, and plentiful. Several things can help your partner get his sperm supply in fighting shape: - Cut back on alcohol (studies show that drinking daily can reduce testosterone levels and sperm counts and raise the number of abnormal sperm) - Quit tobacco and recreational drugs (these can cause poor sperm function) - Eat enough of certain key nutrients – like zinc, folic acid, calcium, and vitamins C and D – that help create plentiful, strong, wiggly sperm - Avoid hot tubs, saunas, and hot baths, since heat kills sperm.
2 people found this helpful
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I am a 50 year old women going through menopause. My prolactin level is very high around 6000 but all my tests of the uterus biopsy, mammogram and MRI are normal. The doctor has said that my pituitary gland looks normal in size but he has referred me to a neurosurgeon. What is the reason for such high prolactin levels.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, if prolactinomas have been ruled out then repeated breast stimulation during sexual activity can keep up high levels and they can be controlled with dopamine agonists.
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Sex karne k baad periods let hona kya pregnancy ka symptom h? please give me answer as soon as possible.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Sex karne k baad periods let hona kya pregnancy ka symptom h? please give me answer as soon as possible.
Most important symptom of pregnancy is missed period. There r other symptoms but all of them appear 2 weeks after the missed period. Those r nausea, vomiting, breast fullness and increased urination. If you have a missed period then you should get urine pregnancy test done at home after 7 days of missed period to confirm it. Menses can also be missed by hormonal changes.
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How many times in a day sex is possible with pregnant women of child 6 to 7 month old and in what way can do sex by which she not to get any problem. Suggest me.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello- do not over indulge in sex with a pregnant female. Sex once a day is safe, any thing more thn that may cause complications in her pregnancy.
1 person found this helpful
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We are willing to have baby kindly suggest proper position & time for making my wife pregnant. Also my wife's uterus is smal in size - is this matter in any condition. Pls help.

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
We are willing to have baby kindly suggest proper position & time for making my wife pregnant. Also my wife's uterus ...
How small is the uterine size is the matter. Please post the ultrasound report. If she has regular cycles once in a month from D11to D17 try to have contact. Chances for pregnancy is more. Position does not matter.
1 person found this helpful
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I am pregnant and six month running. Now I feel severe pain in my back portion. Please suggest me.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am pregnant and six month running. Now I feel severe pain in my back portion. Please suggest me.
Take bed rest. Fomentation with warm water bag. Consult your obg. Doc. For multi vitamin & calcium tabs.
11 people found this helpful
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Managing periods

Doctor of Homeopathic Medicine (H.M.D.), Nutrition/ Diet planning, Diploma in Naturopathy & Yogic Science (DNYS), Cosmetology, BHMS, DND, Pranic Healing
Homeopath, Navi Mumbai
Managing periods
Hello,
During menstruation, women can get more stressed out and suffer from uncomfortable symptoms such as fatigue, mood swings, breast tenderness, bloating, cramps, headache, food cravings and constipation or diarrhea.
By eating the right foods and avoiding the wrong foods can help reduce stress and lethargic and stay bright and breezy.
Avoiding certain foods during your period may help discomfort.-----
Beverages: restrict consumption of beverages such as coffee, tea and soft drinks which worsen symptoms like anxiety, depression and breast tenderness. Instead have herbal tea and plenty of water to keep body hydrated.
Salt: controlling salt consumption can help you avoid bloating and the puffy, heavy feeling that comes with it.
High-fat foods: hormone changes during the menstrual cycle shows symptoms such as bloating and breast tenderness. Avoid foods such as whole-milk dairy products, sausages, burgers, cheese.
Sugary foods: due to hormonal changes during menstruation, blood sugar levels become unstable, and many women crave sweets. Eating foods high in sugar adds to your blood sugar fluctuations resulting in mood swings, tension, lethargic, immune system imbalance and fatigue.
Recommended foods during periods:-----
Beans: the high fiber content in beans helps reduce congestion, cramps, constipation and diarrhea.
Vegetables: green vegetables are rich in calcium, magnesium and potassium and thus help prevent menstrual pains, excessive bleeding and clot the blood.
Water: water retention is one of the main causes for cramps. To reduce water retention, drink enough water.
Whole grains: eating small amounts of carbohydrates every three hours and before bed can help combat premenstrual syndrome and also reduces neuromuscular tension, fatigue and depression.
Yogurt: yogurt contains live cultures and active bacteria which promote healthy digestion and also a good source of calcium.
Take care.



50 people found this helpful

All About Iron Deficiency - Anemia

Clinical Hematology , MD, MBBS
Hematologist, Noida
All About Iron Deficiency - Anemia

Anemia is a condition where the red blood cell count is reduced due to deficiencies within the system. This is usually caused by a lack of iron, folate and other related nutrients in the diet. Anemia is a major public health concern in India as over 50 percent of women are known to be anemic. This pushes up the mortality rate of young mothers and even children.

Some symptoms of Iron deficiency anemia
Anemia has a wide range of symptoms which varies from person to person. However there are some generic symptoms which can be noticed in most people. Some of these are

  1. Pale appearance of skin - Many people exhibit this symptom where their skin appears to be pale as there is a reduced amount of oxy - hemoglobin in the skin.
  2. Physical weakness, light headedness and fatigue - This is a general symptom, which many tend to suffer from and complain about. Fatigue and weakness may come in very quickly even with the slightest effort.
  3. Hair loss - Many women may complain about hair loss due to Iron deficiency  anemia.

Some other symptoms are:

  1. Breathlessness
  2. Constipation
  3. Missed or irregular periods
  4. Numbness or burning sensations
  5. Depression
  6. Tinnitus among others

Causes of Iron deficiency anemia
The primary cause of Iron deficiency anemia is the lack of iron in the diet which causes the hemoglobin in the blood to be reduced. Some of the patients may still have Iron deficiencyanemia as they have developed gastrointestinal disorders which prevents the absorption of nutrients like iron within the body.

How to treat Iron deficiency anemia
Diet related anemia can be easily cured or controlled with changing diets. Inclusion of certain foods within the diet can easily reverse the Iron deficiencies. Some of the food items that help with deficiencies are:

  1. Fortified cereals
  2. Green dark leafy vegetables
  3. Poultry items
  4. Eggs
  5. Meat

You may also require certain iron supplements if you have certain underlying conditions which is causing issues with iron absorption.

How to prevent Iron deficiency anemia
It is important, especially for women to go for regular checkups to your doctor and also a hemoglobin check up. Your doctor or dietician can tell you to include certain foods in your diet that include folate, iron and vitamin B 12 so that the level of hemoglobin in your blood can be maintained at healthy levels.

Related Tip: "Why Iron Is the Most Underrated Factor in Health"

4672 people found this helpful

How to get rid of the pain in periods The uterus gets swollen during the periods Any solution to get rid of it.

BHMS, DEMS
Homeopath, Pune
How to get rid of the pain in periods
The uterus gets swollen during the periods
Any solution to get rid of it.
Some pain, cramping, and discomfort during menstrual periods is normal. The medical term for painful menstruation is dysmenorrhea. Primary dysmenorrhea occurs in women who experience pain just before and during menstruation, but who are otherwise healthy. Women who have had normal periods that later become painful may have secondary dysmenorrhea. This condition is usually accompanied by a problem affecting the uterus or other pelvic organs. Home treatment= using a heating pad on your pelvic area or back massaging the abdomen taking a warm bath regular physical exercise eating light, nutritious meals practicing relaxation techniques or yoga taking vitamin b-6, vitamin b-1, vitamin e, omega-3 fatty acids, calcium, and magnesium supplements while reducing your intake of salt, alcohol, caffeine, and sugar to prevent bloating raising your legs or lying with your knees bent. If home treatment is not successful in relieving your menstrual pain, homeopathic treatment will give you best result without side effect.
1 person found this helpful
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