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Dr. Manjula Shivashankar

Gynaecologist, Bangalore

500 at clinic
Dr. Manjula Shivashankar Gynaecologist, Bangalore
500 at clinic
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Manjula Shivashankar
Dr. Manjula Shivashankar is a renowned Gynaecologist in Malleshwaram, Bangalore. She is currently associated with Northside Manipal Hospital in Malleshwaram, Bangalore. Book an appointment online with Dr. Manjula Shivashankar on

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Northside Manipal Hospital

#71, 11th Main, Malleshwaram. Landmark: Opp. Malleshwaram Railway StationBangalore Get Directions
500 at clinic
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Omega 3 Deficiency - How It Affects You?

Doctrate in Dietetics, Ph. D - Psychology
Dietitian/Nutritionist, Delhi
Omega 3 Deficiency - How It Affects You?

Omega 3 is a necessary chain of fatty acids in the body. They can't be produced by the body and are hence very vital. Omega 3 deficiency means the absence of long chain fatty acids that are required to regulate body function like the cardiovascular, inflammatory and immunity of the body. A deficiency in Omega 3 can be identified easily compared with the lack of other nutrients as there are many symptoms of Omega 3 deficiency. Here are some of them-

1. Heart Problems
Fatty acids help in reducing heart diseases like high cholesterol and high blood pressure. They slow down the development of blood clots and plaque, which eventually cause clots in arteries. Thus it reduces the risks of heart attacks and other heart-related problems. So if you are suffering from one, you might think about consulting a doctor as these might be due to deficiency of Omega 3.

2. Poor Mental Health
Omega 3 acids are considered to be crucial for memory and mental performance. They help in building cell membranes around the brain, which are essential for brain health. Hence the intake of right amount of Omega 3 fatty acids is important when it comes to efficient brain function. Deficit or poor academic performance are some results of less Omega 3 in the body.

3. Depression
Omega 3 fatty acids are highly effective in preventing and managing depression. A low level of this healthy fat may increase the risk of depression as well as worsen the symptoms. In fact, Omega 3 fatty acids are more effective than placebos for depression in both adults and children.

4. Poor Vision
Falling eyesight or other eye problems are other signs of essential fatty acid deficiency. These fatty acids are an important component of fat molecules, which keep the eyes healthy. They also take care of the proper drainage of the eye fluids thus causing the risk of high eye pressure and glaucoma.

5. Joint Pains
A low level of Omega 3 fatty acids may lead to inflamed joints, which may eventually cause arthritis. The Omega 3 acids have anti-inflammatory properties that help in reducing the pain and inflammation of the body. The fatty acids also assist in easing joint tenderness, decreasing stiffness and may help lessen the need for medication.

If you feel you have these problems as well, then don’t forget to visit a doctor. A medical practitioner can help in improving the situation before it has worsened too much. So be sure to consult one before it’s too late.

8503 people found this helpful

I am 42 years old. I have a problem of fluid cysts on both left and right ovaries.

General Physician, Nashik
Dear, are you overweight along with it. Kindly consult privately for personalised management. Also refer to my article on pcod.
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I am 18 years old and I am getting my periods regularly and the flow continues till 4th day. I have sex twice in a month with my partner and it pains alot in my stomach on the first day. Are there any chances of pregnancy?

Homeopath, Faridabad
Hi. If your periods are regular, then the chances of getting pregnant are remote! Only painful menses doesn't mean that you are pregnant. To avoid having this fear always, use protective measures rather!
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My daughter is getting some blood clot on her breast normally on Monday her age is 12.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
If its a painful swelling that you are referring to please enquire if she has hurt herself or fallen over. If not does she generally have a tendency to bleed easily. In this case she needs a clotting test - bt, ct done. Please give her ice packs locally to see if it helps as well.
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Helo doctor, My fiance got some problem with her masturbation, she more often never get a period on time normal than usual delays up to 10 days delays , is this problem will reduce the possibilities of to get pregnant? Whats the reason for it and what are the remedies are available to avoid this kinda period delays and stay healthier for herself.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Get an ultrasound done. delayed periods have no connection to habits. it's hormonal imbalance in body of women. very common. yes if not corrected she will have problems with conceiving
1 person found this helpful
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I am 23 years old female. I have a hypothyroid. My tsh range is 8.29. Also having irreular periods. Is there any problem? is it easily curable? and what food and exercise I have to do? please help me.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
YOU CAN TAKE TAB.THYRONORM 100MCG BBF. irregular periods due to may be cured by medicines...due to it cause in infertilty .Goitrogens are naturally occurring substances in certain foods that interfere with the production of thyroid hormones (the hormones that people with hypothyroidism lack). They include some of the most commonly consumed foods of the health-conscious community: broccoli, cauliflower, kale, spinach, radishes, soybeans, peanuts, pine nuts, peaches and millet. The good news is that many health professionals believe that cooking may inactivate goitrogens. Although these foods provide many benefits for healthy people, goitrogenic potential should be considered by at-risk groups: people who have a family history of hypothyroidism, those who already have symptoms, and women approaching menopause. Some goitrogens, such as soy isoflavones, pose a particular quandary for menopausal women—they can reduce certain menopausal symptoms, such as hot flashes, but are thought to aggravate hypothyroidism. Hypothyroidism could explain menopausal symptoms such as depression, weight gain, and lethargy. People with deficient thyroid function often feel cold, which might help differentiate the two conditions. It is unknown whether other phytoestrogenic foods are thought to affect thyroid functioning. While avoiding goitrogens may mitigate symptoms of hypothyroidism, many other dietary and nondietary factors are also involved. At least a dozen vitamins and minerals are recommended for preventing low thyroid function—iodine, an essential trace element present in the thyroid gland, being the most widely recognized. Iodized table salt generally contributes enough iodine to the American diet to prevent goiter, a swelling of the thyroid gland visible around the Adam’s apple and associated with hypothyroidism; however, it may not be enough to counter other effects of low thyroid function. Iodine may be available in land-grown foods, but because the amount varies considerably depending on the minerals in the soil, seafood is a more reliable source. A significant amount of iodine is found in kelp, but excessive amounts (more than 600 mcg per day for prolonged periods) may actually trigger hypothyroidism, so moderation is the key.
2 people found this helpful
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I am 24 years old. I am 24 weeks pregnant. I am suffering from cramps in lower legs. What should I do? Also suggest me diet chart.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
This is normal for pregnancy. If troublesome, take calcium, perform light exercise. Don't take any drugs without consulting gynecologist.
1 person found this helpful
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I am 22 yrs old and my height is 4.11 please suggest me how to reduce the breast size.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Start a great exercise plan. Another thing that reduces breast size is exercise. Since most of the breast volume is fatty tissue, losing weight will also help you decrease your breast size. You should focus on fat-burning exercises and limit your sugar intake so that you will reduce more of your body fat. When you begin to tone and shape your body, you will notice that your breast size also decreases. This is simply the reduction of the fatty tissue present in your breasts. Myself being a homoeopath will prescribe you PHYTOLACCA BERRY 3X TABS ( Wilmar Schwabe India) taken 2 Tabs two times a day and claim to burn excess fat in the mammary glands which inevitably decreases breast size
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My wife and I are planning for a baby. Right now she is not pregnant. She does swimming. Will swimming to be stopped or it has problem. She swims everyday and because we have decided to go for baby we would like to take precautions. Please educate us what else can be avoided and is there anyway without waiting for periods we should know that pregnancy has arrived.

Ayurveda, Nashik
swimming is good she can continue even in pregnancy. blood test - beta hcg. 1) Sexual intercourse - from day 10 to day 18 of your period. 2) Do not use any lubricants. 3) Sexual intercourse should be in supine position only. 4) Take pillow below buttocks keep that for min.30 minutes after sexual intercourse. 5) Do not eat heavy food in that day 6) Male partner should have milk after intercourse to regain energy.
1 person found this helpful
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Sir my wife is pregnant from past 5 months is it safe to have vaginal or anal sex in this time. please suggest me.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Yes vaginal sex can be practice during pregnancy. After 5 months of pregnancy one needs to change the position of male partner. Intercourse can be practised in male standing position or sideways position. Male partner should not lie on the tummy or growing fetus. Anal sex is not good for both of you and for the baby also. Anal sex can expose its participants to two principal dangers: infections due to the high number of infectious microorganisms not found elsewhere on the body, and physical damage to the anus and rectum due to their fragility. Risk of injury to the woman is significantly higher because of the durability of the vaginal tissues compared to the anal tissues.
6 people found this helpful
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Hello. I am 23 year old. During my periods on first day due to unbearable stomach pain I always take 1-2 pain killer a day. Is this okay. I am worried?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, Its perfectly fine to take a pain killer in denomination of just 1 or 2 pills a day during menses. Its not addictive at all.
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Eating Healthy

Dietitian/Nutritionist, Delhi
Eating Healthy

Healthy eating is not about strict dietary limitations, staying unrealistically thin, or depriving yourself of the foods you love. Rather, its about feeling great, having more energy, improving your health, stabilising your mood. If you feel overwhelmed by all the conflicting nutrition and diet advice out there, you're not alone. It seems that for every expert who tells you a certain food is good for you, you'll find another saying exactly the opposite.

What you can do:
1. learn how your diet affects your mental as well as your physical health
2. set yourself up for success by making changes gradually
3. don't think of food as" off limits"
4. reduce your portion sizes -and fill up with more fruit and veg
5. learn to spot hidden sugar in your food and avoid it 
6. differentiate between healthy and unhealthy fats
7. find out how fiber intake can fill you and help lose weight
8. drinking plenty of water and keeping well hydrated

We all know that eating right can help you maintain a healthy weight and avoid certain health problems. Studies have linked eating a typical western diet filled with processed meats, packaged meals, takeout food and sugary snacks with higher rates of depression, stress, bipolar disorders and anxiety. Eating an unhealthy diet may even play role in development if mental health disorders such as alzheimer's disease and schizophrenia or an increased risk of suicide in young people.
Instead if emphasising one nutrient, we need to move to food based recommendations. What we eat should be whole, minimally processed, nutritious food as close to its natural form as possible.

  • Eat breakfast and eat smaller meals throughout the day
  • Avoid eating late at night
  • Cut back on sugar
  • Moderation and not feeling stuffed is the key to a healthy diet
  • We need a balance of proteins, fat, fiber, carbohydrates, vitamins and minerals to sustain a healthy body.
14 people found this helpful

Greetings doctor I'm Jessica my age 28 my weight 98 kgs now we are planing for children. I don't have any diabetics and I'm not using any medications. Any side effects will come at this weight pls suggest me some people told don't try pls replay me.

MD Gynaecology, MBBS
Gynaecologist, Ahmedabad
Lybrate-user, obesity can be a deterrent factor when you r trying to concieve due to reasons like 1. Difficult penetration 2. Hormonal imbalance. Give urself 6 months to loose at least 25 kg by proper diet, yoga and nutrition counselling. This six months will go a long way in boosting not only your fertility but also your self esteem!
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Hi. My prignent hona chahati hoon mera period details ye hai month 12 say 17 tak hy kab sex kab tak karay tho my prignent ho Sakti hu. 2 months back abortion huya hy mera please suggets me.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello- Abostion k bad dobara pregnancy k liye kam se kam teen mahina jaroor rukein nahi to fr se abortion ho sakta hai. Uterus ko puri tarah se theek hone mai teen mahine lagte hai. Pregnancy k liye aap apne period k tees din ki cycle mai bech k panch din sex karein,inme sabse jyada pregnant hone k chance hote hain.
5 people found this helpful
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Good morning doctor. I am a working female, married just 4 days before. And my leave will end in 2 days and will go to other country. My husband do sex with me 2-3 times every day without condom. Is there any complication in it.

Diploma in Anesthesia, MBBS
General Physician, Hyderabad
There will not be any problem as far having sex more number of times. This is the age and time for more frequency and eventually which will come done. enjoy the phase. as for usage of condom, as long as you remain loyal to each other there will not be any problem. unless you are thinking of postponing pregnancy there will not be any need for condom usage. have good time and enjoy
1 person found this helpful
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Dear sir & mam Good evening Muzko puchna h ki agar koi girl physical relation banati h mere sath me safety factor (condom) use karta hu or safely sab kuch hota h fir bi me ESE hi usko pil tablet unwanted 72 deta hu to eska kitta side effect hoga .aage in future koi problems to nhi aayegi usko.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, Ipill is not recommended if sex is protected and there has been no condom misadventure as this can cause irregular menses and often change the pattern of future bleeds.
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5 Tips For Weight Loss During Pregnancy

B.A, Fellowship in Applied Nutrition , PG Diploma in Dietetics and Nutrition, Certified Diabetes Educator
Dietitian/Nutritionist, Gurgaon
5 Tips For Weight Loss During Pregnancy

Being overweight doesn't stop you from getting pregnant but if not managed properly, the excess kilos can have quite a few side effects. Amongst these are an increased risk to infections, gestational diabetes, labor issues and premature birth. Losing weight in the first and last trimester is normal as long as the weight loss is not drastic. Here are a few simple tips to help manage weight during pregnancy effectively.

1. Eat frequent, small meals

Pregnant women are often advised to eat for two. Instead of piling food onto a plate three times a day, break your meals down into smaller bites at more frequent intervals. Eating every two hours is a healthy habit to inculcate. Along with helping maintain portion sizes, this also makes digestion more comfortable.

2. Avoid empty calories

When faced with a choice between fruits and chips, choose the former. Pregnancy cravings are normal but eating a tub of ice cream does not give your body or your baby any nutrition and only lead to unnecessary weight gain. Avoid anything with added sugar and solid fat like soft drinks, fried food, cheese and desserts. These can easily be replaced by fresh juices, nuts, yogurt and fruit sorbets. Also try avoiding caffeine.

3. Drink plenty of water

Apart from preventing dehydration, drinking water also helps in weight maintenance. Filling your stomach with water reduces hunger and thus leads to lesser snacking. Water is also known to increase metabolism.

4. Exercise

Regulating your food intake is only one half of weight maintenance. The second half is regular exercise. Consult your doctor to create a workout regime suited to you. If you were a regular gym enthusiast before pregnancy, there should be no reason to stop now but if you lead a sedentary life before pregnancy don't try and start an intensive gym routine. Light yoga, walking, swimming and cycling are great exercise options for pregnant women.

5. Take your prenatal vitamins regularly

Prenatal vitamins are an essential source of the extra nutrition your body needs during pregnancy. While this can in no way replace meals, it should never be missed out. Prenatal vitamins also help maintain weight by giving your body the nutrition it needs without the accompanied calorie and thus can also help maintain pregnancy weight.

The key to maintaining weight during pregnancy is to know your body's requirements and address them properly. For this reason, it is very important to consult your doctor or a dietician to help understand your calorie needs.

3825 people found this helpful

My wife was pregnant of 1 months but she has done abortion but now she is suffering from bleeding please advice him.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist, Pune
Hello Lybrate user, Take complete bed rest,take pillow below both legs, Use warm water for drinking,take healthy ,warm food,fresh fruits,dry fruits,take proper rest,sound sleep. Avoid- chilled water,cold drink, foods kept in fridge,oily,spicy,outside food,water, avoid late night works, travelling. best luck..
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Pelvic Pain - 4 Ways It Can be Treated

MD - Obstetrtics & Gynaecology, Advanced Infertility
IVF Specialist, Kolkata
Pelvic Pain - 4 Ways It Can be Treated

Pelvic pain is most common in women, though sometimes it occurs in men as well. There is absolutely no reason why pelvic pain cannot be treated and therefore women need not panic if they are experiencing such pain. The treatment of any pain can be done methodically after discovering its cause. Thus, before jotting down the treatments for pelvic pain, it is important to explore the reasons that cause pelvic pain in women.

Reasons for pelvic pain

  1. Reproductive organs in women play an important part in causing pelvic pain. The reproductive organ is complex when it comes to women and many small or big problems there might end up leading to pelvic pain.
  2. Any urinary infection or bladder irritation might also lead to pelvic pain.
  3. The nerves and muscles of the abdomen may cause pain in the pelvis area as well. In fact, the nerves and muscles are very tender near the pelvis area and care should be taken so that one does not strain them or pull the ligaments. This can cause severe pain.
  4. Another interesting point to be noted is that sometimes even after going through a lot of examinations, no causes of pelvic pain are found. In such cases it is understood that the pelvic pain is a manifestation of the remains of a long forgotten injury or accident.
  5. It has been examined and found out that physical abuse can at times lead to chronic pelvic pain. Though this link has not yet been understood properly, but it is seen to be true.

Treatments for pelvic pain

  1. The most basic treatment is to apply heating pad on the affected area. Heat helps in relaxing the muscles and nerves thereby, lessening the pain. However, this would reduce the pain, but cannot make it disappear in a day. Thus, it is a continued process for a week or 10 days till the pain recedes.
  2. Relaxation techniques like meditation, breathing exercises, yoga and even muscle exercises like jogging help in reducing the pain. However, this should be done under guidance. One wrong move can actually aggravate the pain instead of lessening it.
  3. Then there are painkillers which are non-steroidal and help in lessening the pain. Painkillers have a correct dosage and must be taken only after consulting a doctor. Self-medication in such cases can prove disastrous.
  4. At times, when all medications fail, surgery is the last resort.

Thus, these are some of the treatments that can be undertaken if and when you are experiencing pelvic pain. All these are connected to the root cause and must be followed only under medical supervision.

2351 people found this helpful

After intrauterine death at 32 weeks delivered by cesarean. We will plan to conceive within 6 month after cesarean? is it okay?

Gynaecologist, Pune
Yes, but do get the details of the 1st iud so that certain tests and precautions can be taken for next time.
2 people found this helpful
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