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Dr. Prema Koujali

Gynaecologist, Bangalore

300 at clinic
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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 25 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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English

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Cloudnine Hospital - Malleshwaram

#47, 11th Main, 17th Cross, Malleswaram. Landmark: Near MES CollegeBangalore Get Directions
300 at clinic
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Is bleeding with vomiting normal during pregnancy? If not what may the possible causes be?

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Is bleeding with vomiting normal during pregnancy? If not what may the possible causes be?
At times with excessive vomiting slight streak of blood come ,this is normal .if bleeding is repetitive then consult your doctor. You can take digene gel.
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I have a problem of sleep I am not able to sleep whole night I try to sleep but didn't fell asleep what should I do what kind of problem I have.

BAMS
Ayurveda, Ambala
I have a problem of sleep I am not able to sleep whole night I try to sleep but didn't fell asleep what should I do w...
Causes of lack of sleep: • stress • Anxiety • Depression • Pain • irregular schedule of sleep such as sleeping during day time & working during nights. • Excess intake of alcohol, caffeine (tea, coffee) • Due to drugs, Due to high blood pressure. • Aging These are some instructions & methods for good sleep: • Frequent oil massage of head with oil relax your mind and enhances sleep. You can also do foot massage daily it destress you. • Do not take stress. Do meditation and long breathing pranayams to relax the mind. • Do not take caffeine, tea & alcohol in excess and these are stimulant,(activate) your brain result in lack of sleep. • Avoid drinking alcohol & smoking. • Avoid sleep during day time as it makes it harder to fall asleep at night. •Try to sleep early at night. Do not think during sleep. Do exercise and long walk daily. • Avoid to take sleeping pills because these are habit forming drugs and these drugs disturb your normal sleep pattern. • Take a bowl of curd daily in afternoon and one glass of milk at night daily.
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I had an unprotected sex after 42 days of my delivery c section. What could I do to not conceive again.

Fellowship in Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Bangalore
I had an unprotected sex after 42 days of my delivery c section. What could I do to not conceive again.
Dear Lybrate user, There are various contraceptives which can be used e.g. Condoms, CuT like devices or oral pills.
1 person found this helpful
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I have 6 months baby girl now I am pregnant again its safe for my baby to continue this pregnancy.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I have 6 months baby girl now I am pregnant again its safe for my baby to continue this pregnancy.
Hello, If your first child was a vaginal delivery then you may consider to continue the pregnancy, as its already 6 months of breast feeding , you can switch your child to formula milk and weaning foods as necessary.
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Me and my wife are planning to have a child from last 6 months but are not able to conceive yet. Can you suggest some reasons to conceive?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Me and my wife are planning to have a child from last 6 months but are not able to conceive yet. Can you suggest some...
To get pregnant you need to have regular sex i. E. 3-4 times a week for one full year before you start seeking medical help. If you want to make her pregnant fast then you can follow this calender method. If a women’s menstrual cycle varies from 26days to 31days cycle, The shortest cycle (26 days) minus 18 days = 8th day. The longest cycle (31 days) minus 10 days=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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On my 15th day I have 20 mm size of follicle on my right ovary and 9 mm thickness of endometrium is that any chances for am I pregnant?

MD - Obstetrtics & Gynaecology, DGO
IVF Specialist, Mumbai
On my 15th day I have 20 mm size of follicle on my right ovary and 9 mm thickness of endometrium is that any chances ...
Please note the follicle size and endometrium seems to be fine. So chances of you getting pregnant looks fine. All the Best!
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I am 25 years old guy married two months ago my wife she feels sick constipated she farts a lot she took medicine for fever it got fyn but after two days she feel again fever 99 body warm we r thinking it can b pregnancy coz sometimes I see her breast got swollen pls suggest.

Masters in Human Nutrition and Nutraceuticals
Dietitian/Nutritionist, Madurai
I am 25 years old guy married two months ago my wife she feels sick constipated she farts a lot she took medicine for...
To combat constipation. Take plenty of water, buttermilk, fiber rich foods, n fruits. Fever n pregnancy has no link. Fever may be the result of some infection in the body. Increase in breast size may be linked wid pregnancy or some tyms a hormonal imbalance due to fever. For the better results pls consult a gync. Take lot of vegetables. Avoid junk n processed foods n also outside hotel foods for combating constipation. Take asafoetida if you hav constipation as a home remedy..
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I have pcod. My egg size is 5mm on 13 th day and 16 th day. Its not vary. So I stop the usage of dufeston tablets. Egg not growing then I get periods normally? Any lagging to come periods? In this stage any chance to I get pregnant. Pls tell me.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
As egg is not growing this month menses will be delayed and you will not get pregnancy this month. Dose of clomiphene citrate needs to increase from the next month for egg growth. Duphastan is not needed in this cycle and in any cycle in future as our body secretes the same if pregnancy occurs.
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Mam, I had safe sex on 9th july . My date is on 20th july . But on 17th july it occurred a little bleeding not as a regular. Is it a serious problem. I do not wanna pregnancy. Please tell me something.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Mumbai
Mam, I had safe sex on 9th july . My date is on 20th july . But on 17th  july it occurred a little bleeding not as a ...
Dear Sanjeev , even safe sex has a little chance of failure. We will have to wait & see whether you get your scheduled period in July. If you don't then please revert back for assistance. Thanks & regards
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My name is ram and I am a male BT I want to change my gender into female its possible for me? Or can I am pregnant after this gender transformation!

MBBS, MD - Obstetrtics & Gynaecology, Fellowship in Laparoscopy, DNB (Obstetrics and Gynecology)
Gynaecologist, Delhi
My name is ram and I am a male BT I want to change my gender into female its possible for me? Or can I am pregnant af...
Okie, yes you can go ahead with sex transformation surgery under plastic surgeon. Vagina can b created for sexual intercourse, but pregnancy is not possible presently.
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period comes late because I have a menstrual diary app in my phone and it said my period would come yesterday but it didn't. I also started a new exercise which is walking and not normal walking but walking fast.what to do

MBBS
General Physician, Chandigarh
period comes late because I have a menstrual diary app in my phone and it said my period would come yesterday but it ...
A couple of days plus or minus is not an issue your dates depends on when you ovulated which generally you can't make out so don't worry continue with your exercises.
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I am 25 years. First pregnancy. I am now 37 weeks + 5 days pregnant. My scheduled c section is on 14th Nov, 5 days later. C section was an elective choice I made. My latest ultrasound done on 37 weeks shows dat baby weight is 2821+-200 gms. Growth is 11 percentile. Also fetal somatic size showed 36 weeks. I am very worried about the maturity and weight of the baby. Pls advice. Pls. How much weight can I xpect at birth. I was under tremendous stress during my entire pregnancy due to my in laws.

MBBS, MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology)
Gynaecologist, Bangalore
I am 25 years. First pregnancy. I am now 37 weeks + 5 days pregnant. My scheduled c section is on 14th Nov, 5 days la...
Dear Raj Lakshmi. Babies attain their lung maturity by the end of 34 weeks and are self sufficient by the end of 38 weeks. As per your dates you will be 39 by the time of delivery which is perfect. So don't worry about the maturity. You can expect baby wt to be btw 2.7 to 3 kg.. Good luck and try to enjoy the remaining of your pregnancy :)
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After missing periods in how many days should I check m preg means if I missed periods on 27 april after how many days I check the test that m preg n wat r d early signs of pregnancy.

BHMS
Homeopath, Hyderabad
After missing periods in how many days should I check m preg means if I missed periods on 27 april after how many day...
After you miss the periods then you can check after 1 week. First get tested with home kit test and for confirmation go for urine for HCG test. Early signs of pregnancy will be reeling, weakness, nausea etc.
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Can there be increase in endometrial lining thickness becoz of uterine polyp. Is it possible to have polyp of size 8.4mm for endometrium lining of 13mm thickness?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Can there be increase in endometrial lining thickness becoz of uterine polyp. Is it possible to have polyp of size 8....
Yes it is possible and 13 mm is normal not high but I suggest that you get treated for polyp first and then try for a baby by taking tablet like fertomid. Presence of pregnancy along with polyp does increase chances of a miscarriage.
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hellow sir my age 21 female Mere periods late hote hain this dawa li fir hue aur unusual bhi 1day bht kam hua aur fir next day se hua hi nai plz help

BHMS
Homeopath, Faridabad
hellow sir my age 21 female
Mere periods late hote hain this dawa li fir hue aur unusual bhi 1day bht kam hua aur fir...
Hello, Tell me since how long you have been suffering from this problem? Any associated symptoms or complaints? Any medical condition do you have? Have you got your investigations done (if yes, share the reports with me)? Answer all these questions for proper diagnosis and proper treatment. Any nutritional deficiency can also lead to irregularity. Take more of green vegetables, nuts, salads, seasonal fruits, yellow coloured veggies, milk & milk products, plenty of water and enough of sleep & rest. Take homoeopathic medication for your irregular menses – Schwabe's Five Phos. And Alfaalfa Tonic – both thrice daily for 1 month. There after revert me back..take care.
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Recurrent Pregnancy Loss - 5 Reasons Behind It!

MBBS, MS - Obstetrics and Gynaecology, DNB (Obstetrics and Gynecology)
Gynaecologist, Bangalore
Recurrent Pregnancy Loss - 5 Reasons Behind It!

Recurrent pregnancy loss refers to the situation when three consecutive pregnancy loss takes place. A pregnancy loss is a clinically defined pregnancy which ends before twenty weeks.

Causes of recurrent pregnancy loss

  1. Major cases of pregnancy loss occur due to genetic abnormalities and chromosomal abnormalities. The abnormality may occur from the sperm, egg or the early developed embryo.
  2. Recurrent pregnancy loss may occur in a woman due to ascending maternal age. This happens because of poor quality of the egg, which further leads to chromosomal abnormalities. In some cases, the pregnant mother or the father can have some gene irregularities. In such cases, the would-be-born infant is affected, and this causes pregnancy loss or miscarriage.
  3. Uterus abnormalities also lead to recurrent pregnancy loss. This may happen because of poor supply of blood to the uterus. Abnormalities in the uterus are in-born in some women and in others these may develop over time.
  4. Women having a poor immune system are likely to suffer pregnancy loss. Abnormalities in hormone secretion like thyroid or diabetes may also cause pregnancy loss in women.
  5. If a woman suffers from abnormalities in blood clotting, the chances of miscarriage are enhanced.

Testing for recurrent pregnancy loss
Several tests and examinations should be carried out for detection of pregnancy loss. 

  1. Karyotype analysis of the woman and her male partner has to be conducted. Karyotype refers to the genetic or chromosomal constituents of an individual and this test is carried out to detect abnormalities in genes and chromosomes of the parents, which cause miscarriage when passed on to the developing infant.
  2. Another test includes the evaluation of the uterus and the uterine cavity. This is done by ultrasound, saline ultrasound, MRI, hysterosalpingogram X –ray or by hysteroscopy. These tests help to get information on the uterus shape, about fibroid presence, detect abnormalities within the uterus and observe the opening and closing of the tubes. Tests to detect the functioning of hormones are also carried out.

Treatment
The treatment for women with recurrent pregnancy loss depends upon the underlying causes of the pregnancy loss.

  1. In case of patients with karyotypic abnormalities, genetic counselling is recommended, where a specialist is consulted to know about chromosomal abnormalities.
  2. Prenatal genetic studies are carried out by some couples to know about the offspring’s genetic make-up. This is done with chorionic villus sampling or with amniocentesis. A process known as in vitro fertilization (IVF) can be carried out.
  3. In case of uterine abnormalities, a surgery may be performed and medications for reducing blood clot are used if antiphospolipid syndrome is detected.

Recurrent pregnancy loss may happen due to various reasons and proper tests, and treatment procedures should be carried out for curing pregnancy loss. This phenomenon affects a woman and her partner deeply. If you wish to discuss about any specific problem, you can consult a gynaecologist.

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My wife is facing fever and pain in stomach bt she is nt getting her periods n its being delayed by 20 days We did nt hve penetrative sex with in a mth bt had oral n masturbated sex a lot n even checked through preganews she is not pregnant now what can b d reason of delay of period? I can not c her in pain.

DHMS (Hons.)
Homeopath, Patna
My wife is facing fever and pain in stomach bt she is nt getting her periods n its being delayed by 20 days We did nt...
Hello, Lybrate user, Menstrual disorder is caused due to stress, anxiety,depression, malnutrition,anaemia, over exertion, Pcod, thyroidism ,results in ,delayed, painful,excess & frequent blood flow during menstruation. * Tk, plenty of water to hydrate yourself ,to eliminate toxins & to dilute your blood to establish your flow by regulating metabolism to absorb neutrients to nourish your body. * go for meditation to reduce your stress, anxiety to calm your nerve to ease your stress, improving Oxygen volume in blood in order, to establish your smooth flow, improving haemoglobin level. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion, avoiding gastric disorder. * Tk, Apple, carrots,cheese, milk,banana, papaya, pomegranate, spinach,almonds, walnuts to improve your haemoglobin to release your flow, timely. * Tk, Homoeo medicine, gentle & rapid in action with no adverse effect, thereof. @ Pulsatilla 200-6 pills, thrice. @ Belladonna 30-6 pills, thrice. * Ensure, sound sleep in d night for at least 7 hrs.* * Avoid, caffiene,junkfood, dust,smoke, exertion > Your feedback will highly b appreciated for further, follow up. Tk,care,
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10 Ways To Boost Your Fertility

MBBS, MD - Obstetrtics & Gynaecology, Certified IVF Specialist
IVF Specialist, Gurgaon
10 Ways To Boost Your Fertility

Pregnancy can be easy and smooth, while on the other hand, it might be time consuming, marred with conception difficulties all along the way. Pregnancy may seem exciting to some, whereas it can be stressful for others. Regardless of whether it is the first child you are planning or have had a successful pregnancy previously; there are some tips you need to keep in mind in order to improve fertility and give birth to a healthy child.

Some fertility boosting factors are:

  1. These fantastic swimmers are at the very root of male fertility. Some important components which need to be taken into consideration are sperm count, sperm motility (the ability of the sperm to swim around the female reproductive tract) and morphology (shape and size of a sperm). In order to have all these parameters in check and working fine, one needs to abstain from smoking and limit alcohol consumption among many other lifestyle modifications.

  2. Having unprotected vaginal intercourse during the woman’s fertile days in a month helps improve chances of conception.

  3. Fertility becomes a challenge when you are either overweight or underweight. The weight of a woman affects ovulation (The release of eggs from the ovaries) and causes hormonal imbalance; factors which make it very difficult to conceive. Keep your weight levels in check and that could prove primarily essential in bettering your fertility.

  4. Staying well nourished boosts your odds of conceiving! Make sure to include enough protein, iron, zinc, vitamin C, and vitamin D in your diet, because deficiencies in these nutrients have been linked to lengthened menstrual cycles (and therefore less frequent ovulation) and a higher risk of early miscarriage. Consult gynaecologist if you should take a daily multivitamin supplement. And be sure to eat protein-rich foods, such as meat, fish, low-fat dairy products, eggs, and beans.

  5. Beware of STDs or Sexually Transmitted Diseases. One is the most prone to STDs of any kind if he/she happens to engage in unprotected sexual intercourse; having a number of sexual partners just ups the chances of getting afflicted by STD. Protected vaginal intercourse helps prevent STDs, thus enhancing fertility and subsequently, chances of conception.

  6. According to several studies, the lubricant one chooses surprisingly plays a significant role in determining fertility. Not all lubricants boost fertility and sperm motility (sperm count). Baby oil or egg whites are a few good examples of such lubricants.

  7. While a limited amount of caffeine consumption is good, overdoing it might spoil and hamper fertility. Limit caffeine intake and keep it within a level of 200-250mg a day.

  8. Smoking, besides playing havoc with every organ in the body, affects the reproductive organs and thus fertility. In men, it leads to reduced sperm count and in women, it causes DNA damage. Stub the bud right now and never get back to it.

  9. Certain toxic chemicals can lead to female and male infertility. So it is advisable that you stay away from chemicals such as pesticides, organic solvents and lead, the primary toxins which pose a severe threat to fertility.

  10. Exercising regularly can never go wrong. It gives you the strength and stamina, boosting your overall health. However, vigorous exercises, especially when you are trying to conceive, will do you no good. It might adversely lead to the suppression of certain hormones such as progesterone (pregnancy stimulating hormone) and might affect ovulation, hence affecting fertility. Aim at a regular 20 minutes session of light exercises; mild cardiovascular exercises such as walking can work wonders, especially in such circumstances.
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Dear sir ,me and my girl met physically on 2nd of this month, her period time is 15th of this month, but till today period not came, so yesterday and today morning 2 times she checked pregnancy with home test kit, it showed negative 2 times, no early symptoms are appearing, and 1st time in her life 8 days delayed period, so please suggest us sir, and is there any chances for pregnancy.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Dear sir ,me and my girl met physically on 2nd of this month, her period time is 15th of this month, but till today p...
Hello, If pregnancy is ruled out then the delay is likely to be stress induced and if menses do not arrive in next 7 days then she can opt for a withdrawal bleed with progesterones.
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When I sex my sperm out from my wife vaginal whats reasons my sex time very week please give me suggestion.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
When I sex my sperm out from my wife vaginal whats reasons my sex time very week please give me suggestion.
Hello- More 85% of semen/sperm spills out from vagina after sex normally, so nothing to worry about that. However your ejaculation time must be at least 15 minutes or more to stimulate your partner properly during sex. If you are facing difficulties in achieving such a level, its better to consult a sexologist. Medications with slightest of modification in your daily life can make your sex life pleasurable and you can enjoy your fatherhood.
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