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Dr. Prema Koujali

Gynaecologist, Bangalore

300 at clinic
Dr. Prema Koujali Gynaecologist, Bangalore
300 at clinic
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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. Prema Koujali
Dr. Prema Koujali is a renowned Gynaecologist in Malleshwaram, Bangalore. You can meet Dr. Prema Koujali personally at Cloudnine Hospital - Malleshwaram in Malleshwaram, Bangalore. Book an appointment online with Dr. Prema Koujali on Lybrate.com.

Find numerous Gynaecologists in India from the comfort of your home on Lybrate.com. You will find Gynaecologists with more than 26 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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#47, 11th Main, 17th Cross, Malleswaram. Landmark: Near MES CollegeBangalore Get Directions
300 at clinic
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Nothing posted by this doctor yet. Here are some posts by similar doctors.

Im 27 yrs old. My period was delayed up to 2 months. I consulted a doctor and had an ultrasound sound and she told me that its pcos problem now i am taking medicines but m my problem has not yet solved. I want to know is their any natural remedy to this? I don't want to have pills as my joints started to pain after having those medicine.

BHMS
Homeopath, Sindhudurg
Allopathic treatment have lots of side effects. Start taking homoeopathic treatment for pcod without side effects. Message menstrual history in details for treatment.
2 people found this helpful
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Sir, we have planned to have a group sex tomorrow with our college girls, so please tell me about group sex is better or not?

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Noida
Hello, its fine but you should be using barrier contraceptives each time you change your partner and don't use the same for all as this may spread infection.
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I want to postpone my periods for 2 days.

MD, BHMS
Homeopath,
Please to postpone periods use ferrum met and ferrum phos both in 30 alternately every 2 hours in homeopathy. Thank you.
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Pulmonary Hypertension: How to Treat It?

MD PULMONARY, DTCD
Pulmonologist, Faridabad
Pulmonary Hypertension: How to Treat It?

Pulmonary hypertension mainly occurs due to narrowing of the arteries of the lungs as a result of which the flow of blood is restricted. In this kind of condition, blood fails to carry oxygen to your heart and thus your heart gets adversely affected. The blood pressure of your body will get increased to a great extent if this situation remains untreated, thus leading to bdreadful consequenses, specifically situation like heart failure, serious pulmonary diseases, blood clots in lungs and congenial heart defects, etc.

There are certain forms of pulmonary hypertension, which are serious in nature and worsen with time, so much so that they are even fatal at times. It also includes forms which are non curable in nature, however, in order to improve the quality of life, symptoms can be reduced with proper treatment. The treatment for pulmonary hypertension is often complex and it takes some time to find the most appropriate treatment and requires extensive follow-up care. Your doctor might also need to change your treatment if it's no longer effective. However, when pulmonary hypertension is caused by another condition, your doctor will treat the underlying cause whenever possible.

Common Treatments for pulmonary hypertension:

Medications:

  1. Blood vessel dilators (vasodilators): Vasodilators open narrowed blood vessels. They are one of the most commonly prescribed vasodilators for pulmonary hypertension is epoprostenol (Flolan, Veletri). The drawback to epoprostenol is that the effect lasts only for few minutes. This drug is continuously injected through an intravenous (IV) catheter via a small pump that you wear in a pack on your belt or shoulder.
  2. Ventavis: Another form of the drug, iloprost (Ventavis), can be inhaled six to nine times a day through a nebulizer, a machine that vaporizes your medication. Because it's inhaled, it goes directly to the lungs.
  3. Treprostinil (Tyvaso, Remodulin, Orenitram): It is another form of the drug, which can be given four times a day and can be inhaled or can be taken as an oral medication and can also be administered through injection.
  4. Endothelin receptor antagonists: These medications reverse the effect of endothelin, a substance in the walls of blood vessels that causes them to narrow. These drugs may improve your energy level and symptoms. However, these drugs shouldn't be taken if you're pregnant. Also, these drugs can damage your liver and you may need monthly liver monitoring.
  5. Sildenafil and tadalafil: Sildenafil (Revatio, Viagra) and tadalafil (Cialis, Adcirca) are sometimes used to treat pulmonary hypertension. These drugs work by opening the blood vessels in the lungs to allow blood to flow through more easily.
  6. High-dose calcium channel blockers: These drugs help relax the muscles in the walls of your blood vessels. They include medications, such as amlodipine (Norvasc), diltiazem (Cardizem, Tiazac, others) and nifedipine (Procardia, others). Although calcium channel blockers can be effective, only a small number of people with pulmonary hypertension respond to them.
  7. Soluble guanylate cyclase (SGC) stimulator: Soluble guanylate cyclase (SGC) stimulators (Adempas) interact with nitric oxide and help relax the pulmonary arteries and lower the pressure within the arteries. These medications should not be taken if you're pregnant. They can sometimes cause dizziness or nausea.
  8. Anticoagulants: Your doctor is likely to prescribe the anticoagulant warfarin (Coumadin, Jantoven) to help prevent the formation of blood clots within the small pulmonary arteries. Because anticoagulants prevent normal blood coagulation, they increase your risk of bleeding complications. Take warfarin exactly as prescribed, because warfarin can cause severe side effects if taken incorrectly. If you're taking warfarin, your doctor will ask you to have periodic blood tests to check how well the drug is working. Many other drugs, herbal supplements and foods can interact with warfarin, so be sure your doctor knows all of the medications you're taking.
  9. Digoxin: Digoxin (Lanoxin) can help the heart beat stronger and pump more blood. It can help control the heart rate if you experience arrhythmias.
  10. Diuretics: Commonly known as water pills, these medications help eliminate excess fluid from your body. This reduces the amount of work your heart has to do. They may also be used to limit fluid buildup in your lungs.
  11. Oxygen: Your doctor might suggest that you sometimes breathe pure oxygen, a treatment known as oxygen therapy, to help treat pulmonary hypertension, especially if you live at a high altitude or have sleep apnea. Some people who have pulmonary hypertension eventually require continuous oxygen therapy.

Surgeries:

  1. Atrial Septostomy: If medications don't control your pulmonary hypertension, this open heart surgery might be an option. In an atrial septostomy, a surgeon will create an opening between the upper left and right chambers of your heart (atria) to relieve the pressure on the right side of your heart.
  2. Lung Transplantation: In some cases, a lung or heart lung transplant might be an option, especially for younger people who have idiopathic pulmonary arterial hypertension.

Reducing Complications:

  1. The complications need to be reduced by taking proper health care. Healthy diet needs to be taken regularly along with proper medications. Smoking should be stopped and exercising sessions should be attended daily without any fail
  2. Overweight or obesity needs to be controlled properly for reducing the complications. Specialized caring strategies need to be maintained for avoiding severe kinds of health complications that are quite annoying.
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At times I feel like having unprotected sex with my partner but we do not because hes afraid if something goes wrong! I know is not right but yes I want to feel him properly just for 1 time n I do not feel good with protection What do I do? What is the right time for unprotected sex? I should go for it or not?

Diploma in Family Medicine, M.Sc - Psychotherapy
Sexologist, Pune
At times I feel like having unprotected sex with my partner but we do not because hes afraid if something goes wrong!...
If is the pregnancy that you are worried about, it might be safe to have unprotected sex in the last week of your cycle i. E. One week before the next due date of menstrual periods. If you are worried about sexually transmitted infections, then there is no solution, you have to use barrier condoms all the time.
2 people found this helpful
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Why our stomach will pain during periods.

MBBS
Sexologist,
Why our stomach will pain during periods.
Stomach pain is normal during periods. It is due to contraction of uterus to expel unfertilized eggs and other waste materials from uterus.
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I am 29 I am not getting monthly periods from one year I am married and my husband forces me to take I pill and I have put on 6 kgs and I have gastric problem also

FRAS, MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Alternative Medicine Specialist, Ernakulam
Taking such hormonal pills will create havoc in your system and your body will get damaged and your natural cyclic hormonal changes and periods will have serious troubles and you might also end up in infertility in future, stop taking I pill and take authentic ayurveda treatment to recover your body from the harmful side effects of this drug and make your periods normal, consult me privately for further details.
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I have menstrual cycle pain before period and after period stomach pain very serious is any tablet for that?

DHMS (Hons.)
Homeopath, Patna
I have menstrual cycle pain before period and after period stomach pain very serious is any tablet for that?
Hi, take, homoeo medicine: @ pulsatilla 30-6 pills, thrice a day, hold it on restoration of period, restart on cessation of period. @ colocynth 200-6 pills, thrice at d time of period, or sos. Take, plenty of water with balanced diet on time. Take care.
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I'm 25 years old and 13 weeks pregnant. I have a doubt whether we can lay on desk at work by sitting on chair for more than hour. Because my stomach is paining after waking up n when I lay down I can feel my stomach is compressed.

MBBS, MD - Anaesthesiology, FIPM
Pain Management Specialist, Pune
I'm 25 years old and 13 weeks pregnant. I have a doubt whether we can lay on desk at work by sitting on chair for mor...
Should not assume such posture as it will compress your womb and baby's nutrition is affected. As pregnancy progresses the size of womb will increase and this posture will be hazardous. Take rest take lying down on bed and preferably in lateral position.
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Hi I am married 5 months back and I want be pregnant and my last period was on 4th and when ever we do sex semen come out for which we are much worried and what is the best suggestion to do me pls help me in this.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist, Delhi
Hi I am married 5 months back and I want be pregnant and my last period was on 4th and when ever we do sex semen come...
Even if whole of the semen flows out, the few drops inside also contains millions of sperms which, if healthy will swim up to cause a pregnancy. 5 months is too small a time, give yourselves an year atleast and practice midcycle coitus that is sex during 7-18 th day of cycle.
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Hello sir or madam I want to ask uh related sex. One of my friend she did sex with his b. F now he left her. ND she is going to engaged with anther person is he come to know about his virginity? She is crying a lot tell me any solution pls which can hide her lost virginity. Wt she will do now? She just want to die she feels it's her big mistake how can I understand her tell me any solution?

LCPS, BAM&S
General Physician, Pune
Virginity is nothing but a septum in vagina which gets torn off after first sex. But the septum can get torn by exercise, sports, gymnastics etc. So loss of virginity doesnot mean anything. But to avoid guilt, it's better to share it with would be husband. It's for him to be mature and understand.
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I need a good doctor for depression n pcos I have pigmentation all over face n weight gain my face look like guy many people ask me if I am gay I have very sensitive stomach so no medicine suits my stomach I get motions immediately.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
I need a good doctor for depression n pcos I have pigmentation all over face n weight gain my face look like guy many...
Pcos is a lifestyle disease where in there is a basic metabolic problem, the cells can not use insulin and hence glucose and this excess glucose is then stored as fats in the body. The hormonal disturbance also results in excess of estrogen and androgens which cause weight gain, w ater retention, acne, hirsutism, pigmentation on nape of neck etc. These excess androgens (male hormones) make a person have a" different appearance" and this is the major facotr operating in your case. Your weight seems ok for your height but if could do well with some 10-15% loss, and this will need to be done with diet, exercises and medicines. The best treatment for pcos is pregnancy if you are married, you could go for infertility treatments, if you are not, you can visit a gynecologist for evaluation and doctor will prescribe you medicines to control the androgens in your body. Do not worry about the medicines causing tummy upset. Mention this to the gynec doctor and they will prescribe appropriate medicines along with hormones and others, to tackle your issue. Do not neglect the treatment for avoiding medicines. At times the medicines to control androgens and pcos take time, and the pigmentation may also need some attention by a skin specialist if needed.
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What precautions to take if you are pregnant?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist,
What precautions to take if you are pregnant?
Proper diet, excercises, mental relaxation, proper rest, nutritional supplements, vaccinations, repeated examination and reports depending on stage of pregnancy.
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My girlfriend is having heavy menstrual cramps and as per her it's paining a lot. Please advice. What are the reasons of such cramps and how to get relieved from such pains.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist,
My girlfriend is having heavy menstrual cramps and as per her it's paining a lot. Please advice. What are the reasons...
Cramps are normal during menses and if severe, she can take some pain killer and see. If the cramps are along with vomits or verys evere, see a gynecologist who will examine and give required medicines. The cause of pain is the spramodic contractions by the uterus to drive out the blood, but there may be some serious issues too like endometriosis etc which are tackled and diagnosed only on personal consultation.
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Certified * (GMHAT-PC) University of Chester, (U.K.)* Master Hypnotist, California (U.S.A.), Ph.D (Psychology), D.M. , D.C.H. , M.B.A.
Psychologist, Nagpur
Psychotherapy & Hypnotherapy Clinic

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2 people found this helpful

I m 25 n my breast size is less. Plzz help me wid as soon as posible n without side effects.?

M.Ch - Plastic Surgery
Cosmetic/Plastic Surgeon, Mumbai
Without scar breasts augmentation is possible with ur own body fat. Its a natural and scar less option.
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I want to get pregnant in next few months. I want to understand diet chart to get followed to make my body compatible for the change. Pls suggest a proper diet plan.

MD - Alternate Medicine, Doctor of Homeopathic Medicine (H.M.D.)
Homeopath, Delhi
I want to get pregnant in next few months. I want to understand diet chart to get followed to make my body compatible...
Please follow any balanced diet chart as per your food habits you don't need to change any food habits as such.
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