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Dr. Nirmala B.M  - Gynaecologist, Bangalore

Dr. Nirmala B.M

MD - Obstetrtics & Gynaecology, MBBS

Gynaecologist, Bangalore

33 Years Experience  ·  400 at clinic
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Dr. Nirmala B.M MD - Obstetrtics & Gynaecology, MBBS Gynaecologist, Bangalore
33 Years Experience  ·  400 at clinic
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Personal Statement

I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Nirmala B.M
Dr. Nirmala B.M is an experienced Gynaecologist in HAL, Bangalore. She has over 33 years of experience as a Gynaecologist. She studied and completed MD - Obstetrtics & Gynaecology, MBBS . You can consult Dr. Nirmala B.M at Green City Hospital in HAL, Bangalore. You can book an instant appointment online with Dr. Nirmala B.M on Lybrate.com.

Lybrate.com has a nexus of the most experienced Gynaecologists in India. You will find Gynaecologists with more than 42 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.

Info

Specialty
Education
MD - Obstetrtics & Gynaecology - BMC Banglore - 1993
MBBS - BMC BANGALORE - 1986
Languages spoken
English

Location

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Green City Hospital

#726, 17th Cross, Puttanhalli Main Road. Landmark: NearHotel NandhiniBangalore Get Directions
400 at clinic
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

Hi, I take the contraceptive pill and I have just started taking it over a week now but I have missed 4 days of it there.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, Fellowship in Assisted Reproductive technology, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Noida
Hi, I take the contraceptive pill and I have just started taking it over a week now but I have missed 4 days of it th...
Hello, now stop the pack and wait for menses and practice barrier contraception. Start fresh pack from day 2 of next cycle.

Hi, my follicular study is going i.e second time .At the first follicular study the follicle became a big cyst of size 40 mm but this time follicle at its normal size but egg is not rapturing even at the 23rd day .What can b the reasons? Please give some fruitful answer.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Hi, my follicular study is going i.e second time .At the first follicular study the follicle became a big cyst of siz...
Hi lybrate-user. You have PCOD and hormonal imbalance. It is difficult to get the normal ovulation. Even if it occurs the chances of pregnancy are less. And you will keep spending money for expensive tests and treatment. My suggestion is to start Homoeopathic treatment. It can cure the problem. Get natural cycles and also pregnancy by natural way.

Hi I have to take this injection on tuesday I do not know about this injection Hcg 5000 IU Injection Can you please tell me why I have to take this injection ?Thanks.

MBBS
General Physician, Mumbai
Hi I have to take this injection on tuesday I do not know about this injection Hcg 5000 IU Injection
Can you please t...
You will have to get clarification from your treating Gynaecologist because for us to answer we should come to know about your symptoms.
1 person found this helpful

Tubectomy - The Risks And Procedure You Must Be Aware Of?

MBBS, MD - Obstetrics & Gynaecology
Gynaecologist, Agra
Tubectomy -  The Risks And Procedure You Must Be Aware Of?

Also known as tubal sterilization, tubectomy is a permanent method of contraception in women. It is a surgical procedure in which a portion of the fallopian tubes are blocked to prevent an egg that is released from the ovaries, from reaching the uterus. In case an egg is present in the uterus, it carries with it the risk of fertilization, thus, can lead to pregnancy. Sometimes the patient may change her decision and ask for a reversal of the process. However, it should also be kept in mind that the surgery is a complex one. The results are often not guaranteed.

The Procedure

  • Tubectomy refers to cutting or blocking a small portion of the fallopian tubes that prevent the released eggs from reaching the uterus.
  • The surgeon reaches to the fallopian tubes by cutting open a portion of the abdomen in case of an open surgery.
  • Laparoscopic techniques are also available to conduct the surgery.
  • The fallopian tubes are blocked by an artificial clip to prevent the passage of eggs.

Are there any risk factors involved?

  1. Tubectomy may create a number of health complications in the long run.
  2. Tubectomy is not advised for patients who have previously undergone abdominal surgeries.
  3. Major risks of injury such as perforation surrounding blood vessels, internal haemorrhage or a severely life-threatening situation such as ectopic pregnancy may occur later on. Ectopic pregnancy is when fertilization and implantation occur within the fallopian tube instead of the uterus.
  4. Tubectomy is even more challenging than vasectomy and has higher chance of giving rise to health complications.

Although the procedure is complex, it has a few advantages as well. Minimally-invasive surgeries help in quicker recoveries. It is almost 99% effective as a measure of birth control and thus provides a permanent solution. This surgery can even be done immediately after delivery. Sometimes, in rural areas, family welfare departments, government hospitals and primary health care centres offer free surgery and care to aid and educate about family planning.

4633 people found this helpful

Acute & Chronic Pyelonephritis - How Can It Be Treated?

MD - General Medicine, DM - Gastroenterology
Gastroenterologist, Jaipur
Acute & Chronic Pyelonephritis - How Can It Be Treated?

Acute pyelonephritis is a suppurative inflammation of the renal parenchyma and the renal pelvis. It is a potentially life threatening condition caused by bacterial infection. It can occur suddenly and causes the kidneys to swell, which may damage them permanently too. If the condition occurs repeatedly, it is termed as chronic pyelonephritis.

The most common bacteria involved in causing pyelonephritis is Escherichia coli. Other causative bacteria are Klebsiella and Pseudomonas. Infection starts in the lower urinary tract as a urinary tract infection. Urethra provides an entry for the bacteria, which enter the tract and begin to multiply and spread up to the bladder. They further travel through the ureters to the kidneys. Any septic infection in the bloodstream can also spread to the kidneys and cause acute pyelonephritis.

How it spreads - Pyelonephritis spreads through two routes, homogenous or from the lower ascending tract (ascending infection).
Risk factors -  Urinary obstruction, vesicoureteral reflex, catheterization, pregnancy, Diabetes Mellitus, age over 65.

Symptoms - The symptoms are observed within two days of infection. Common symptoms include:

  • High fever of a temperature greater than 102 degree F
  • Pain in the pelvic region
  • Burning sensation during urination
  • Flank pain
  • Malaise
  • Presence of pus discharge or blood in the urine, fishy odor in urine and vomiting.

The symptoms observed can vary in children and older adults than they are in other people. Mental confusion is common in older adults and it often is their only symptom. In chronic pyelonephritis, people experience only mild symptoms or may even lack noticeable symptoms altogether, which is the major reason of negligence by the patient towards treatment. Flank pain in the abdomen and signs of infection can be observed.

Diagnosis - Uncentrifused urine is analyzed for the presence of pus cells. The leucocyte esterase dipstick method is used to check for Pyuria. However, it is less sensitive than microscopy. In the urine culture, significant bacteriuria is detected on presence of more than 105 colonies/ml of the sample. Imaging studies can be done to check for the presence of kidney stones. Amongst the inflammatory markers, the values of C-reactive protein (CRP), ESR, and plasma viscosity may be raised. An elevated white cell count with neutrophilia is seen on blood culture.

Complications - Abscess formation in either the kidney parenchyma or the surrounding retroperitoneal spaces is a common complication. Other complications include the development of a xantho-granulomatous or emphysematous pyelonephritis. In severe cases, there can be chronic renal failure too.

Treatment - The duration of treatment depends on spread of infection. Empirical antibiotic treatment can be started until the confirmatory tests reports of culture and sensitivity are observed. Antibiotics like Ciprofloxacin, Amoxicillin, Cefixime can be given. Medications for acute pyelonephritis are continued for up to 3 weeks, whereas for chronic conditions medicines should be given for 6 months.

Chronic pyelonephritis - It is a morphologic entity which is associated with a predominant interstitial inflammation and scarring of the renal parenchyma. There is a grossly visible scarring and deformation of the pelvic-calyceal system. Chronic pyelonephritis further leads to chronic renal failure.

The two forms of chronic pyelo-nephritis are

  • Chronic obstructive pyelonephritis, where obstructive lesions lead to recurrent bouts of renal inflammation
  • Reflux nephropathy.

Management includes controlling blood pressure to slow the progression of chronic kidney disease, long term antibiotic coverage for urinary tract infection, removal of calculi and antibiotic prophylaxis for vesico-ureteral reflex.

3056 people found this helpful

Hi, I am 26 years old, planning for second baby. 1st baby is normal delivery and one abortion 2 years before. I have pcod problem 1 doctor suggest me to do HSG test and one more doctor suggest me to do policular study which is best and what can I do now?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Hi, I am 26 years old, planning for second baby. 1st baby is normal delivery and one abortion 2 years before. I have ...
Both required. Any couple desirous of pregnancy and not getting same naturally must meet Gynecologist or infertility specialist accepting facts that it needs many reports and different trials of treatment. Means couple must have patience and go to one in whom they have trust to stick for long time.
1 person found this helpful

I feel itching and pain in my vagina during sexual intercourse. I have been married since 3 years but we don't do intercourse regularly. How to make it painless. Kindly guide us.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, You may be suffering from vaginitis and possible fungal infection. Please get yourself examined.

My period was on 14th June and I sex on 20 June. Till now upto 3 Aug my period has not come. I checked with preganews pregnancy kit and found negative result. Doctor told me to take Mala N1 tablet for 5 days. Is it ok for my health? My confusion is that Mala N1 is a contraceptives then why he gave it to me?

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
My period was on 14th June and I sex on 20 June. Till now upto 3 Aug my period has not come. I checked with preganews...
Dear user. FERTILE PHASE is the phase of a female's menstrual cycle when an egg (ovule) is released from the ovaries. In humans, ovulation occurs about midway through the menstrual cycle, after the follicular phase. The few days surrounding ovulation (from approximately days 10 to 18 of a 28 day cycle), constitute the most fertile phase. So if you have ejaculatory sexual inter course from day 10 from the first day of period and to day 20, the chances of pregnancy are much more. There are many determinants of pregnancy. You should be sexually matured. Your partner should be sexually matured. The period of your partner should be in the fertile stage. Female egg and male sperm cells should be healthy enough. Then female uterus should be capable to get conceived. If all these are satisfied, the pregnancy could be a result. Talk to a gynecologist for advice. Take care.

I am 25 year married I 9 month ago married and I can anal sex so can I do or not do.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Anal sex is not healthy at all. It increases the risk of infections due to the high number of infectious microorganisms. Also it causes physical damage to the anus and rectum due to their fragility. It carries a higher risk of passing on sexually transmitted infections because the anal sphincter is a delicate, easily torn tissue that can provide an entry for pathogens.
2 people found this helpful
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