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Dr. Nandha Parmesh

Gynaecologist, Bangalore

200 at clinic
Dr. Nandha Parmesh Gynaecologist, Bangalore
200 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Nandha Parmesh
Dr. Nandha Parmesh is one of the best Gynaecologists in Banashankari, Bangalore. You can consult Dr. Nandha Parmesh at Varalakshmi Hospital in Banashankari, Bangalore. Book an appointment online with Dr. Nandha Parmesh on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 41 years of experience on Lybrate.com. You can find Gynaecologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Varalakshmi Hospital

#726,23Road Cross,2Nd Stage, Krishna Rajendra Road, Banashankari. Landmark:Near Upahar Sagar HotelBangalore Get Directions
200 at clinic
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

I have a gay sex unprotected sex and 3 month after I go for HIV test and get a negative result but am facing mouth sores and small nodes on necks am I safe or not should I go for any other tests.Please tell sir .

BDS, D.pharm
Dentist, Chennai
See it's very risky to have unprotected gay sex. Well if h I v showed negative then take it as your luck. Next time be careful and don't worry abt the nodes.
1 person found this helpful
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Sir my wife is pregnancy just 2 month so why type of food, and diet is good for her, wht to eat n not eat?

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
Sir my wife is pregnancy just 2 month so why type of food, and diet is good for her, wht to eat n not eat?
Hello, Give her homecooked fresh meals. Avoid giving her excess salt, sugar ,processed products. Include lots of fresh fruits and vegetables in her diet.
2 people found this helpful
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Good morning, last month I got pregnancy, Every day I have fever and headache. Please give solution for above problem.

MBBS, DNB (Obstetrics and Gynecology), MNAMS, Training in USG
Gynaecologist, Delhi
Good morning,  last month I got pregnancy, Every day I have fever and headache.
Please give solution for above problem.
Hi Don't worry about these symptoms as some ill health is possible in early pregnancy. If you have recordable fever than you can consult physician and take tablet. Paracetamol.
3 people found this helpful
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Please give me the name of tablets for remove pregnancy it going on before last 20 days and my mc date is in every month but this you month I lost. please kindly help me.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Please give me the name of tablets for remove pregnancy it going on before last 20 days and my mc date is in every mo...
Hi lybrate-user first you need to get urine pregnancy test to rule out pregnancy if positive then visit local gynaecologist for termination of the pregnancy.
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Hello me and my wife planning for baby we had done with all reports my sperm rate s 60 it is normal or to increase my rate which tab should I take ?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Hello me and my wife planning for baby we had done with all reports my sperm rate s 60 it is normal or to increase my...
It is not just 1 figure, full semen check up, your history and examination which can guide. So genito-urinary surgeon. In case you got report done without medical advise, just wait to give sometime to nature.
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I am 24years old. My last period 9th feb today 37 days still m not period now m pregnant or not.

DGO, MAOGD, MBBS
Gynaecologist, Panchkula
I am 24years old. My last period 9th feb today 37 days still m not period now m pregnant or not.
Hi I understand your concern. If you cycles got delayed you should get urine pregnancy test done then only we can be sure about reports. Conclusively can be said then only.
1 person found this helpful
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Super Fact of the Day: You can heat a cup of coffee if you yell long enough!

PDDM, MHA, MBBS
General Physician, Nashik
Super Fact of the Day: You can heat a cup of coffee if you yell long enough!
If you yell heartily and continuously for 8 years, 7 months and 6 days, you will have produced sound energy enough to heat a single cup of coffee!

Would you like to share this interesting fact with family or friends? go ahead and share!
561 people found this helpful

I sex with my husband in period 3rd day on 5th September it start itching till it is not stopped what can I do please help me is it a serious problem help me.

MD
Gynaecologist, Mumbai
This may be an infection pl avoid sex during bleeding pl take clingen vag tab for 6 days no sex during treatment.
1 person found this helpful
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I actually had a sex last month 23th of April. Not my period date was 13th of may and till now I have not got period. What would be the reason. I don't want to get pregnant at this time please help me with my problem.

MD - Alternate Medicine, PGDIP.IN GERIATRIC CARE, Post Graduate Diploma in Holistic Healthcare
Ayurveda, Balasore
I actually had a sex last month 23th of April. Not my period date was 13th of may and till now I have not got period....
Hi, hope you are not pregnant as per your sex with your partner. Periodic delay might be other causes. Try to regulate your cycle with balanced diet and by uterine tonic. Period will come to normal be stress free. Stress causes delay in menstruation.
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Is sex safe during periods? Please help because every time I do not want to take pills as they have side effects.

Diploma in Family Medicine, M.Sc - Psychotherapy
Sexologist, Pune
Is sex safe during periods? Please help because every time I do not want to take pills as they have side effects.
Ms. Lybrate-user you need not take pills every time you have sex. Try going on a regular oral contraceptive pill. Best is insist your boyfriend uses a condom. Having sex during periods may be safe to avoid pregnancy but it is going to increase your chances of getting a sexually transmitted infection.
19 people found this helpful
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Hi If there is chance pregnancy of the ladies after stop their period.Please help

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
There is virtually no chance of conceiving after a lady has undergone menopause (cesation of period for more than a year or so ). Cases have been reported with assisted reproductive technique. But that is not a common thing.
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Dear Dr. agar kisi prostitue ke saath unprotected sex hota hai fir uske baad uska hiv test karaya aur negative aya to uske baad aur koi test karana chahiye kya.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Turant hiv test karke faida nahi hai. 3 mahine bad test karvana padega. Agar aap usase bhi santust nahi hai to wapas 3 mhine ke bad kar sakte hai.
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I am 27 years old female. My period came 5 January 2016-9 jan 2016. But after 16 days heavy bleeding came. So I went to Dr. and he told me its ovulation bleeding. My but now my period not come on 5 february. And I am married and trying for baby. So can my period will come or can I get pregnant.

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
I am 27 years old female. My period came 5 January 2016-9 jan 2016. But after 16 days heavy bleeding came. So I went ...
Please wait till the end of february. If still your periods do not come then do a urine pregnancy test.
2 people found this helpful
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I am 5 months pregnant. My fasting blood sugar level is 98.9mg/dl, OGTT-1HR= 188.4mg/dl, OGTT -2HR = 167.9mg/dl, OGTT-3HR =115.5mg/dl. Now pls tell me what diet I have to follow for healthy baby n safe delivery.

M.D. - Ayurveda, B.A.M.S (Bachelor of Ayurvedic Medicine& Surgery), N.D.D.Y(Diploma in Naturopathy,Diploma in Yoga)
Ayurveda, Pune
I am 5 months pregnant. My fasting blood sugar level is 98.9mg/dl, OGTT-1HR= 188.4mg/dl, OGTT -2HR = 167.9mg/dl, OGTT...
Stop sugary foods. And sweet fruits like banana, grapes. Avoid potatoes. You can take 1/2 tsp of turmeric mixed with 1/2 tsp amla powder. With water once at night. Test should be repeated after 3 wks.
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What is Infertility?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Jhansi
What is Infertility?

1. What is infertility?
Infertility is a term that is used to describe the inability of an individual to successfully contribute to the process of conception. In females, it refers to their lack of ability to conceive post having regular, unprotected intercourse. In some cases, it also refers to their inability to carry a pregnancy to its full term. A normal fertility helps conception in the first 12 months of trying for almost 86% of couples, with around 7-8% couples conceiving in their second year, depending on their age. Hence, many practitioners also treat an inability to conceive within the first 12 months as infertility. 

2. Is infertility a global problem?
Sub-fertility as well as infertility are a global public health issue affecting approx. 8-12% couples, worldwide. It is prevalent in both males and females. While over 10% of women world-wide, who have been in stable relationships for over 5 years yet been unsuccessful in conceiving, have been estimated to be inflicted with this problem; the count is much smaller in the case of men, primarily because of non-acknowledgement, even though it contributes to almost 50% of reported cases.

3. Do infertility problems occur only among women?
No, infertility problems are as common in men as they are in women. Almost 50% of cases of infertility are attributable to male infertility related issues. However, due to the social structure prevalent, most of such male infertility related issues go unacknowledged.

4. What could be the probable symptoms that suggest a possibility of infertility related problems?
Though the process of conception and the possibility of infertility related problems could be time-driven factors, some symptoms could indicate a bent towards infertility and could be medically examined and addressed in time to curb the problem at the very onset. Some of these indications include:

Indications in Females:
Infertility symptoms in females can be related to either one of multiple of these problems:
Changes in menstrual cycle: Irregular or infrequent periods mean that the number of days between two cycles varies each month. This is a common indication of infertility as it reflects that the ovulation cycle is not stable, i.e. the body is not producing ovules (egg) regularly or at times not at all. 
Abnormalities in periods: Sudden changes in the bleeding pattern – heavier periods, no period or cramping and pelvic pain associated with periods – could also be indicative of an underlying fertility related problem.
Hormonal Disturbances: Sudden changes in skin like more than usual acne, changes in sexual drive, unexplained and sudden growth of facial hair, excessive weight gain/loss, etc. 
Other Symptoms: Other symptoms such as pain during sex, milky-white discharge from breast/nipples (unrelated to lactation) can also be indicative of infertility and one should seek medical advice at the earliest.
Age-related: As one advances in age, the egg count decreases rapidly along with a related deterioration in the egg quality. Hence, if a woman is in her early 30s and is failing to conceive, it could be related to a fertility problem. 

Indications in Males:
Infertility symptoms in men can be quite elusive as they are very closely related to the cause of infertility. These often go unnoticed until the point that the couple start trying for a baby. Some of these are: 
• Sudden changes in sexual drive.
• Pain, inflammation or lump in the testicles or if the testicles are small and firm.
• Problems related to ejaculation and erection
• Sudden, unexplained changes in hair growth patterns.
• Known semen abnormalities

5. Who are at risk of infertility problems?
Age is one of the most crucial risk involved in fertility related matters. For couples who start trying for a baby later in age, the chances of infertility increases manifolds. Couples where either partner is in their mid-30s or into 40s are at higher risk of infertility problems. While a man’s overall lifestyle, health and other factors can affect his chances of contributing to a successful conception, in a woman age and chronic health conditions play a major role.

6. What increases infertility risk in men?
While health and lifestyle are the most important factors that contribute to their fertility levels, including their sperm quality and count, there are many other factors that affect fertility and push towards higher infertility risk among men. Some of these include:
• Age
• Alcohol and tobacco consumption
• Excessive physical exercise, especially excessive cycling
• Weight related issues 
• Exposure to toxins at workplace or as part of a medical treatment like chemotherapy/radiation
• Surgical procedures like vasectomy or its reversal
• Family history of infertility or fertility related disorders or other genetic medical conditions like cystic fibrosis
• Medical history of sexually transmitted infections (STIs)
• Certain chronic problems like high blood pressure, diabetes, renal or hormonal problems 

7. What can increase the risk of infertility among women?
Ovulation related issues contribute to over 25% of female infertility cases, with tubal blockage and uterine problems coming in as the other infertility causes in women. However, some other factors like the ones enlisted below also put females at risk of infertility:
• Advanced age
• Frequent or heavy alcohol or caffeine consumption
• Cigarette smoking
• Weight-related issues
Eating disorders and lack of balanced healthy diet
• Intense and extended athletics or no exercise at all
• History of STIs, endometriosis, polycystic ovarian syndrome (PCOS) or fibroids
• Chronic health issues like high blood pressure or diabetes. 
• Hormonal problems like thyroid etc. 
• Mental stress and fatigue

8. How is age related to a woman’s ability to conceive or infertility aspects?
A woman’s fertility rate begins to recede with her age. As a woman nears her mid-30s, her natural fertility starts to fall and many experience difficulties in conception as well as multiple pregnancy failures. The reason for this is that the ovarian reserve in women is fixed since birth and as they age it starts to fall drastically as the follicles keep leaving the reserve in a continuous flow (menstrual cycle). This follicular depletion accelerated as she approaches 40s and decreases not just her egg count but its quality too, as she ages. For men, this progressive drop in fertility rate hits after the age of 40. 

9. What are common causes of infertility in men?
One of the most common causes of infertility in men are semen disorders. The semen comprises a milky white fluid and sperms that are ejaculated during orgasm. Abnormal semen contributes to over 75% cases of male infertility. The common semen related disorders include:
i. No sperm presence in semen
ii. Low sperm mobility
iii. Abnormal sperm shape/size
iv. Low sperm concentration (under 10 million/milliliter) in the semen (Ideal: 20 million/milliliter of semen)
 

The major causes of these abnormalities and a consequent infertility in men are:
1. Ejaculation Disorders
2. Frequent use of saunas, hot baths etc. that lead to overheating of testicles.
3. Testicular infections
4. Testosterone deficiency
5. Deformed or undescended testicles that usually happens as a birth defect or abnormal fetal development.
6. Genetic disorders like Klinefelter's syndrome that lead to abnormally developed testicles.
7. Very frequent intake of medications like Sulfasalazine, Anabolic steroids (frequently taken by athletes), etc. or exposure to chemotherapy/radiation.
8. Conditions like hypospadias (a condition where the urethral opening is not at the tip of the penis but at its underside) or cystic fibrosis.

10. What are common causes infertility in women?
There are a number of conditions that lead to fertility among women, such as:

1. Ovarian Disorders: The most commonly reported reason for infertility among women is a disorder in the ovulation process. 
Ovulation involves the production and release of egg. This cycle happens on a monthly basis. However, certain situations lead to a malfunctioned ovulation. These causes include:
i. Polycystic ovary syndrome (PCOS) which lead to mal function of ovaries
ii. Very high prolactin levels in non-lactating females
iii. Damaged or abnormal eggs – Poor egg quality is common in older women
iv. Thyroid disorders
v. Medical conditions like cancer, diabetes, AIDS, etc. 
vi. Premature (before the age of 40) ovarian failure 

2. Uterine Disorders: Once fertilized, the egg travels from the ovary to the uterus and it is important that the uterus be healthy to receive and nurture the fertilized egg. However, at times, disorders of the uterus lead to infertility problems in women. Uterine disorders can be attributed to one or more of these reasons:
i. Pelvic or cervical surgery that may cause scarring or damage of the uterus or fallopian tubes or at times shortening of the cervix which serves as the mouth of the uterus.
ii. Endometriosis – a condition where the cells that line the uterus start growing outside the uterus.
iii. Sterilization treatments like tying of tubes, etc.
iv. Uterine fibroids or endometrial polyps

3. Medications: Certain medications like those used in chemotherapy or certain NSAIDS like aspirin and ibuprofen lower fertility rates in females.

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Can premature delivery be predicted? I have a friend who is very thin and is 5 months pregnant. The doctor has told that the fetus is not developing properly and there is a good chance that the child may be born with some disabilities. The doctor has given the approximate delivery date of December, where as she will be in her 9th month in February. I just wanted to ask whether doctor can predict such premature delivery?

M.B.S.(HOMEO), MD - Homeopathy
Homeopath, Visakhapatnam
Can premature delivery be predicted? I have a friend who is very thin and is 5 months pregnant. The doctor has told t...
Preterm delivery is birth occurring before 37 completed weeks of gestation. Preterm birth is the primary cause of morbidity and mortality in children especially if this occurs before 34 weeks of gestation. If preterm birth could be predicted and treated accordingly, this would greatly reduce mortality, morbidity and associated costs. There have been many attempts to develop an accurate and efficient method to predict preterm premature rupture of membranes (PPROM) and preterm labor that leads to spontaneous preterm birth (SPB). However, the initial signs and symptoms are most often mild and may even occur in normal pregnancies, making early detection rather difficult. The aim of this paper is to provide an overview of the current methods employed in predicting preterm birth occurring due to preterm labor and PPROM. Among these methods are risk scoring systems, cervical/vaginal screening for fetal fibronectin, cervical assessment by ultrasonography, uterine activity monitoring, biomarkers such as endocrine factors, cytokines and enzymes, fetal DNA and genetic polymorphism. SPB is multifactorial, and so it is highly unlikely that a single test can accurately predict SPB. A combination of biological markers is also reviewed in the estimation of the risk of preterm delivery. Inaccurate measurement of cervical length or measurement at the wrong gestational ages has the potential to result in many false-positive results, which will lead to mistreatment and overtreatment of women. We do not want to have another clinical scenario similar to the rollout of fetal heart rate monitoring in which our testing has resulted only in increased maternal morbidity (ie, increased cesarean delivery) without a demonstrated improvement in neonatal outcome. Hence, pay good heed to the technique and timing of cervical length measuremen.
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One year crossed, trying for baby Last period date of her is 05 nov 2016 Her cycle is 30 days What is the exact dates to have sex and it is ok to have daily from 5th day to till 30th day.

MD - Obstetrtics & Gynaecology
Gynaecologist, Yamunanagar
One year crossed, trying for baby Last period date of her is 05 nov 2016
Her cycle is 30 days What is the exact dates...
Dear .as one year has passed with regular intercourse without concieving you need to get certain tests done for yourself n your wife .also intercourse with maximum benefit from day 12 to 18.
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Benefits of Waternut ( Singarda )

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Unani Specialist, Hyderabad
Benefits of Waternut ( Singarda )
Health & medicinal benefits of singhara or indian water chestnuts-
It helps in premature ejaculation. Eat for minimum 30 days daily 5 grm and see the benefits.
1) singhara is used for treating diarrhoea, dysentery, thyroid problem, swelling and bronchitis.
2) it is natural antioxidant, prevents wrinkles, protects from uv rays and helps to cure weakness.
3) it helps to prevent sugar, ulcer, gout and heart diseases.
4) singhara is very rich in carbohydrate and 100 gm of it gives 115 calories.
5) it help in proper functioning of thyroid.
6) the fruits are used to treat sore throat, anemia, fractures, urinary disorders, and in leprosy.
7) it is anti oxidant and help to cure cough.
8) singhara peel can be grind and applied on swelling to get relief.
9) regular eating of its flour helps to gain weight.
10) for eczema cure, dried singhara should be mixed with lemon juice and applied regularly on affected area.
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Hello Doctor, My Mother's menstruation cycle is not getting stopped. her age is 43 yrs, She got her periods January 1st 2015 and then it continued for almost 8 days, later it stopped for 5-6 days and again started, this continued till date. Due to this her haemoglobin reduced to 4.5. So our family doctor suggested to get her admitted in hospital and get the blood transfusion done. So we admitted her on 28/01/2015 and continuous 3 days the blood transfusion was done. In total there were 3 bottles blood transfused in her body. Along with the blood transfusion Pause-MF tablets were given just to stop her bleeding, as her bleeding was heavy. Also through saline Pause injection was given. This procedure made her HB rise till 10 and also bleeding stopped, but as the injection course was over the bleeding started again in heavy manner. We consulted one Gynaecologist who gave us solution to insert Mirena Device which would stop her bleeding and other Gynaecologist suggested to remove the Uterus. So my question is which procedure would sense effective in case of this problem? Will Mirena insertion be suffice? Will it have any side effects in future on my Mother's body? Also when we are supposed to remove the uterus? Does it have any side effects on post removal? If yes then please let me know. Below are the details of the sonography reports and blood reports. HB previously: 4.5 HB current : 10 Pap Smear Test : Normal Sonography details: Clinical profile: Menorrhagia Uterus is anteverted and measures 120*59*83 mm The endometrail echo is central and is thick (17.9mm hperplasia) No focal/diffuse uterine abnormality seen. A well defined this walled cyst with clear contents is seen in the right ovary. It measures 52*39mm. The left Ovary is (32*17mm) looks normal. No andnexal abnormality is seen. There is no free fluid see in the cul-de-sac. IMPRESSION : Bulky uterus with a thick endometrial echo. For further avaluation. Right ovarian cyst. Tablets given to stop her bleeding: Xamic (2 times a day) course for 3 days. Just need a avdvise on which would be the right procedure to be followed? Mirena or Uterus removal and also its side effects ans future complications if any? Thanks

MBBS, MS
Gynaecologist, Kolkata
Dc is a must before anything else can be planned. moreover there is a 5cm cyst which also needs to be investigated b4 any definitive treatment
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