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Dr. Nagamani Pindikura

Gynaecologist, Bangalore

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Dr. Nagamani Pindikura Gynaecologist, Bangalore
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Nagamani Pindikura
Dr. Nagamani Pindikura is a renowned Gynaecologist in Yelahanka, Bangalore. She is currently associated with Ashwini clinic in Yelahanka, Bangalore. Book an appointment online with Dr. Nagamani Pindikura on Lybrate.com.

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Ashwini clinic

148/a, narayana nilaya, sf - 407, 4th phase, 7th cross, Yelahanka new townBangalore Get Directions
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Infertility - A Complete Guide!

MS - Obstetrics and Gynaecology, MBBS, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Pune
Infertility - A Complete Guide!

The term infertility in females explains a wide range of disorders but in order to simplify things, lets’ just say, infertility in women is a condition in which women are unable to conceive. There are numerous reasons that can be responsible for this situation and although some are preventable or curable, most others have no specific cure or treatment.

Ovulatory Disorders

One of the most common reasons for infertility is an ovulatory disorder. Almost 30 percent of female infertility is caused due to this reason. 70 percent of such infertility is treatable with drugs such as Reprones/Menogan and Clomiphene. Here is a list of causes of failed ovulation-

  1. Disruption in the complex hormonal balance.

  2. Ovaries fail to produce mature eggs. Polycystic ovarian syndrome is the most common disorder causing this problem. This syndrome has reduced FSH production and increased production of LH, Oestrogen and Testosterone. Suppressed FSH production may cause the partial development of ovarian follicles.

  3. Hypothalamus may malfunction thereby causing the pituitary to malfunction, thus losing control over the process or FSH and LH production.

  4. Physical damage to the ovaries by multiple surgeries or due to the formation of cysts.

  5. A rare case of premature menopause.

  6. Problems of the follicle.

  7. Poor functioning of fallopian tubes

Diseases or disorders in the tube have been another major reason of infertility in women. Almost 25 percent of women infertility occurs due to this reason. Although treatments exist, success rates of the treatments are as high as 30 percent. The causes of tube damage may be as follows-

  1. Infection caused by bacteria or viruses

  2. Abdominal diseases like colitis and appendicitis

  3. Previous pelvic or abdominal surgeries.

  4. A condition called ectopic pregnancy which occurs in the tube, and even if very carefully but successfully overcome, may leave permanent damage.

  5. Rare congenital defects in which women may be born with tube anomalies.

Endometriosis

This is the condition where the endometrium expands excessively thereby preventing individuals from getting pregnant. This affects almost 10 percent of the population of infertile women. Almost 40 percent of women with endometriosis are infertile.

Other Factors

Other additional factors may include:

  1. Abnormal uterus

  2. Congenital diseases

  3. Behavioural factors like personal habits, lifestyle and health factors.

  4. Exercise and diet- extremely overweight or underweight women may have problems in conceiving.

  5. Cigarette smoking reduces the chances of conceiving by one-third.

  6. Alcohol increases the chances of birth defects.

Hence, pregnancy is tougher than it might really seem. If you wish to discuss about any specific problem, you can consult a gynaecologist.

Why women do not enjoy sex after manopause at around age of 55 but man still enjoy.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
Because after menopause, the hormone levels decrease in women and also some problems occur in vagina and also psychological causes are there.
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1 year passed of my marriage. I want a baby but fails to conceive. My wifes reports are normal. My sperm count is 45. And motile 30. What is the best way to increase this as fast as can. And to conceive baby. Pls advise. Any medicine are food.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
1 year passed of my marriage. I want a baby but fails to conceive. My wifes reports are normal. My sperm count is 45....
You might need some Medicines to enhance your fertlity, also we would need to see all your reports, after which we shall be able to advise you further on this, for which you may get back to us on an online consulting.
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Hello Doc! Is it safe to have sex during 5th month of pregnancy? People around me tell me that one should have sex during pregnancy to get normal delivery is that true?

C.S.C, D.C.H, M.B.B.S
General Physician,
YOu can have sex till delivery time and it is not a rule that you should have sex for normal delivery.
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Age 28/F married. I conceived which I came to know via prega news meter. I doubted as it was 10 days above of my periods cycle but not get periods. We are not ready to have baby now so could you please suggest us the way to get dissolve it. Weigh: 45 to 49.

MBBS, MD - Obstetrtics & Gynaecology, Fellowship in Laparoscopy, DNB (Obstetrics and Gynecology)
Gynaecologist, Delhi
Age 28/F married. I conceived which I came to know via prega news meter. I doubted as it was 10 days above of my peri...
Meet a gynecologist and take medicine under supervision. It's not crocin tablet that you can take without supervision. U might end up in emergency.
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Ultrasound - How it is Beneficial over Other Imaging Techniques?

DNB (Radio Diagnosis), MBBS
Radiologist, Hyderabad
Ultrasound - How it is Beneficial over Other Imaging Techniques?

Ultra sound is commonly known as sonography. It is a process of reproducing ultrasound images of soft tissues of a particular body part and other organs on the computer screen with the help of the echoes of the sound waves produced by the transducer, a high-frequency generating instrument.
Ultra sound is commonly used during the different stages of pregnancy to denote the foetal health, date of delivery, birth defects etc. However, in recent times, the ultra sound has also been associated with the diagnosis of other body parts such as the eyes, heart, gall bladder, liver, ovary, uterus, kidney, uterus, testicles, and ovaries. Ultra sound has also been useful in conducting biopsies for suspecting cancer patients, although not all of the cancers are detected by this imaging process. 3D & 4D ultrasound imaging are useful for looking at a particular body portion with much more precision and in slow motion respectively.

The advantages of ultra sound are:
1. The process of ultrasound imaging is a painless and a fast one. It does not require any insertion of needles or similar objects to denote the problems of the concerned body part.
2. The process is more convenient as compared to other similar imaging processes like MRI, mammogram and x-rays as they can capture images of the soft tissues, blood flow & cysts more clearly than the other processes.
3. The process is free of any harmful effects as there are no chances of exposure to radiation as compared to similar processes such as CT scans or X-rays. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

4891 people found this helpful

I am 26 yrs old female I have heavy period problem. I take oral - l as medicine.

B.H.M.S.
Homeopath,
Hi, please stop that tab. First. Very dangerous for your menses. After that wait for 2-3menses you wil see progress in your menses. Just after you stop d that tab. Take single dose of sepia 0/1 thnks.
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How Your Salad Maybe Causing More Harm Than Good!

Doctor of Naturopathy & Natural Medicines, DM - Clinical Haematology
Dietitian/Nutritionist, Agra
How Your Salad Maybe Causing More Harm Than Good!

Salads are often a meal option when you want to throw in a whole lot of fresh vegetables and nice dressing to go with it, for a comprehensive meal. It's light and fresh and extremely nutritious. That is what most people think.

However, in some cases, your salad may be doing more harm than good to your health:

  1. Eating fresh, raw vegetables may be good once in a while, but eating too much of raw veggies make it difficult for your digestive tract to break down and digest. You may start suffering from gas, indigestion or bloating.
  2. Most people eat salads to lose weight, but this works only according to your body type. There are certain body types for whom too many damp foods like salads, actually causes the body to retain the dampness and thus making it harder to lose weight.
  3. Avoid those so called 'fat free' salad dressings that have become so popular in the market. Such dressings take the fat out of it and try to replace it with something that is artificial and genetically modified. They also have high level of fructose corn syrup that is extremely damaging by adding to your fat and making you resistant to insulin.
  4. Avoid vegetables that have been grown with fertilizers and pesticides and opt for organic produce instead. Genetically modified (GMO) crops have been known to be the cause of several chronic diseases and conditions.
  5. A distinction must be made between healthy and unhealthy fats. Processed oils and refined oils that are added to salads can increase LDL cholesterol and make you prone to coronary heart disease.
  6. Adding too much protein to your salad can be counterproductive and redundant, exposing you to the risk of cancer.

This however, doesn't mean that you should stay away from your favorite salad, but to be aware of what goes into it and how much. Don't always be fooled by its freshness and pockets of flavor.

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A girl had sex 2 month before she is also getting her period but her nipples aeronals are becoming dark is she pregnant or there is other please answer me these question.

DGO, Advanced Infertility, Post Doctoral Fellowship in Reproductive Medicine
IVF Specialist, Gurgaon
A girl had sex 2 month before she is also getting her period but her nipples aeronals are becoming dark is she pregna...
PLEase get a pegnancy test done and let me know the report. if there is any doubt please get a blood test for confirmation, the test is called beta hcg.
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Hello Doctor, I have eight month completed in pregnancy. Now I suffered from cold & cough running nose. Please suggest some natural remedies. This cold & cough are harmful for my baby.

FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), (MRCOG), MD obs and gynaecology, DGO
Gynaecologist, Mumbai
Hello Doctor, I have eight month completed in pregnancy. Now I suffered from cold & cough running nose. Please sugges...
Simple cold and cough no but if with high temp yes they are. Check full blood count for your wbc and platelet count. Take Vit c 1000 mg daily, plenty of warm water and if can't sleep take one alaspan daily for few days. Also can take ginger lemon tea if you fancy.
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How Can Stress Affect Sexual Performance?

MBBS .DGO.DA.(Trained in Andrology)
Sexologist, Ernakulam
How Can Stress Affect Sexual Performance?

As the saying goes, it is all in the mind. This is very true especially when it comes to physical intimacy, where though the body plays a major role, the mind is what drives it completely. In surveys, it has been found that people enjoy sex the most when they are in a happy mood. It is very common to find people not even think about sex when they are upset and depressed.

In both male and female sexual dysfunctions, stress is the most common cause. Stress, for whatever reasons, affects sexual life and relationships in the long run. There are some strong connections between how stress affects sexual performance. Read on to know how the human body reacts to stress, which also explains the strong connection between sex and stress.

  1. Body image: When a person is stressed, there are effects like overeating, which lead to poor body image. These reduce the tendency to have sex, as the person’s self-image does not remain very positive.
  2. Hormone changes: Stress also affects the pituitary gland, which is the master gland controlling all other hormones. The thyroid, adrenals, and other male/female hormone producing organs are affected, thereby, affecting the entire cycle of menstruation, ovulation, and fertility.
  3. Stress hormone: The hormone cortisol (known as the stress hormone) is produced by the body when a person is in stress. When these are constantly produced as in the case with people who are constantly stressed, the production of sex hormones is reduced, thereby reducing libido.
  4. Blood circulation: Stress causes vasoconstriction or narrowing of blood vessels, which reduces blood flow to the target organs. Reduced blood flow to the sexual organs translates to lesser amount of sex.
  5. Lifestyle changes: Some of the ways a person tries to manage stress is through excessive smoking, eating, drinking, and drug abuse. All these spell doom for a sex life, and may even cause irreparable damage to relationships. Smoking has been shown to be a major cause of impotence. Drinking leads to dehydration, which affects lubrication and therefore leads to painful sex, which may not be continued. Binge eating not only tires a person, but also leads to obesity, which again is not inviting for sex.
  6. Unhealthy relationships: When the person around is not nice to be with, it becomes a deterrent. Imagine someone who is stressed constantly, throws tantrums, has temper outbursts, and is generally cribbing and unpleasant. There is no doubt that the partner is not going to be happy with someone like that.

So, while sex is mostly thought of as an act of pleasure, it may not be the case always. There is a vicious cycle between stress and sex, which definitely can be managed. If you wish to discuss about any specific problem, you can consult a Sexologist.

3178 people found this helpful

I have been experiencing sticky opaque cervical mucus since yesterday. I have a 35 day cycle and I gt my periods on d 16th of may. Hw do I knw wen il ovulate. Im realy anxious to conceive.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
I have been experiencing sticky opaque cervical mucus since yesterday. I have a 35 day cycle and I gt my periods on d...
Generally ovulation occurs 14 days back to next cycle, for exact dates of ovulation you can use ovulation kit.
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Adenoidectomy - Procedure and Risks

DNB (ENT), MBBS
ENT Specialist, Bangalore
Adenoidectomy - Procedure and Risks

Adenoidectomy is a surgical procedure to remove the adenoid. The adenoid is a gland which is present on the roof of the mouth; its role is to produce antibodies to protect the body against infections. Usually the adenoid glands diminish during your adolescence and disappear by the time you are an adult. Respiratory and throat infections that are chronic in nature, are the main causes of infection in the adenoid glands.

Reason for the removal of adenoids
Throat infections that occur frequently can lead to the enlargement of the adenoid glands. When these glands become enlarged, it results in breathing problems and blockage of the Eustachian tubes. Blocked Eustachian tubes can cause infections in the ear which, in turn, causes severe hearing problems.

The procedure
The surgical procedure is performed under general anesthesia in an outpatient mode. The removal of the adenoid glands takes place through the mouth. Initially, a small instrument is put inside the mouth to keep it open. After this, the adenoids are located in the mouth, following which they are scrapped off with a curette or by applying heat to the area by the process of diathermy (a technique to stimulate circulation by heating up a part of the body with the application of localized heat currents). Once the procedure is completed, you will be discharged on the same day.

Post procedure
Post-surgery, you may experience a sore throat for a few weeks. You must drink plenty of fluids to prevent dehydration. Keeping yourself hydrated also helps relieve symptoms of post-surgical pain, if any. Oily and spicy foods should also be avoided as it may cause pain inside the mouth. Applying ice can also relieve pain symptoms. However, don’t apply ice directly wrap it in a cloth and then apply it on the neck. Do not undertake any stressful or strenuous activity for 7-10 days post-surgery to further facilitate the recovery process. Post-surgery, the risks of throat and ear infections are greatly reduced. Breathing through the nose also becomes relatively easier. If you wish to discuss about any specific problem, you can consult an ENT specialist.

2875 people found this helpful

Brain Foods That Help You Concentrate

MD - General Medicine
Sexologist, Delhi
Brain Foods That Help You Concentrate

Brain foods that help you concentrate

Ginseng, fish, berries, or caffeine?

Listen to the buzz about foods and dietary supplements, and you'll believe they can do everything from sharpen focus to enhance memory, attention span, and brain function.

But do they really work? there's no denying that as we age, our body ages right along with us. The good news is that you can improve your chances of maintaining a healthy brain if you add 'smart' foods and drinks to your diet.

Caffeine can make you more alert

There's no magic bullet to boost IQ or make you smarter -- but certain substances, like caffeine, can energize you and help you concentrate. Found in coffee, chocolate, energy drinks, and some medications, caffeine gives you that unmistakable wake-up buzz though the effects are short-term. And more is often less: overdo it on caffeine and it can make you jittery and uncomfortable.

Sugar can enhance alertness

Sugar is your brain's preferred fuel source -- not table sugar, but glucose, which your body processes from the sugars and carbs you eat. That's why a glass of something sweet to drink can offer a short-term boost to memory, thinking, and mental ability.

Have too much, though, and memory can be impaired -- along with the rest of you. Go easy on the sugar so it can enhance memory without packing on the pounds.

Eat breakfast to fuel your brain

Tempted to skip breakfast? studies have found that eating breakfast may improve short-term memory and attention. Students who eat it tend to perform better than those who don't. Foods at the top of researchers' brain-fuel list include high-fiber whole grains, dairy, and fruits. Just don't overeat; researchers also found high-calorie breakfasts appear to hinder concentration.

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Please help I think i'm pregnant. Me and my fiancé intimated on friday what should I do now if I get pregnant. Friday we had sex not even a week has been please help.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Please  help I think i'm pregnant. Me and my fiancé intimated on friday what should I do now if I get pregnant. Frida...
Hi lybrate-user, if you had emergency contraceptive pills or not then you can't do anything now. Because emergency pill has to be taken within 72 hrs of unprotected intercourse. Please await period if missed period then get pregnancy test done.
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Act: Protected vaginal sex and unprotected oral sex (kiss one time and fingering, no cuts on fingers) 9.5 weeks 4th gen CMIA test for me and my sex partner NEGATIVE, 12 weeks CMIA COMBO test for Me NEGATIVE and 15 weeks (101 days) rapid card test (lab test) NEGATIVE for me. Can I consider now all these tests are conclusive? Since CDC and WHO recommend window period 3 months. Can I resume unprotected sex with my wife?

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
The window period is the point from first infection until the test can reliably detect antibodies in the blood. For the ELISA test this window period is 4 weeks to 3 months. A 4th generation test like the one you took, also known as a DUO or Combo test, looks for both antibodies and P24 protein antigens. SO ALL TEST ARE CONCLUSIVE.
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I am married. My wife has some problem with getting pregnant. Its been 5 years we have got married. Please advice an appropriate doctor with low budget treatment.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am married.
My wife has some problem with getting pregnant. Its been 5 years we have got married.
Please advice an ...
As you r married since more than a year with regular sex (3-4 times a week) that is the time you should seek medical help. There r 2 basic tests which r needed in such case. Semen analysis (15 million/ml is normal count) and hsg to find out about the fallopian tube potency. If both r normal which is usually the case next treatment is with climiphene citrate for 5 days with follicular monitoring. If you want to delay the treatment then you can try calender method: 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.
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I am 21 years old. My prblm is im not getting periods regularly. Is this creates any problems in future? Plzz suggest me and what should I do to get periods regularly?

Diploma In Postpartum Depression, Formerly , House Job , Gynecology, MBBS
Gynaecologist, Delhi
I am 21 years old. My prblm is im not getting periods regularly. Is this creates any problems in future? Plzz suggest...
Hi, if you do not get periods regularly then there can be a hormonal disturbance. Are you overweight and do you sometimes skips months, then surely you could be having hormonal disturbance but not to worry since it is curable. Also the earlier the better since it can make conceiving a baby difficult. So go for hormonal tests. Fsh, lh, prolactin, tsh on the second day of your periods and also go for a pelvic ultrasound to see your ovaries.
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