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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 30 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
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How to Have More Regular Sex Post Delivery?

MBBS, MCCEE, Fellowship in Sexual Medicine
Sexologist, Jaipur
How to Have More Regular Sex Post Delivery?

Marriage is believed to be a license for sex, there is always a partner available anytime, anywhere. Right? Maybe, in the initial stages, before the realities of marriage set in (that too provided you have the privacy and the household chores in order). With kids entering the scene, this scene changes completely. For both men and women, life changes drastically, and sex soon becomes a thing of the past.

While the woman undergoes a lot of physical changes and the new one becomes the centre of all her attention, the male is confused somewhere between frustration and loss of attention.

Suddenly, everything revolves around the new one, and somewhere, the physical intimacy between the couples is completely lost. Most couples resign to it as a way of life, a part of parenthood. Some get frustrated and may even look for sex outside marriage. Come to think of it, what created the child is taken away completely by the child.

However, the scene need not be as bad too. There are always ways and workarounds and taking out a couple of hours for the couple should not be a problem, if planned nicely.

Lost privacy: With the kid on the scene, the couple often loses privacy (of the house sometimes, of their bedroom for sure). This is also one of the main reasons for the loss of sex. Maybe, after a year (or earlier depending on a case-to-case basis), try to have a separate bedroom for the child. This not only gives you privacy but also can lead to a romantic night. So, growing a baby does not have to take you away from your partner!!

Planned dates: Ensure the kid (or kids) is taken care of. Get your close family or friends to babysit them and get yourself out of the environment physically. Being at home will make you constantly want to supervise if things are going well. Trust your babysitters, and they will be fine. Do this at least once a month (or more frequently if possible) to keep the romance alive.

Plan your day: With a newborn baby around (or for that matter, with a child around, whatever the age), there is never an end to the to-do list. Getting to bed very late completely drained does not allow for any physical intimacy between you and the partner. Once in a while, wind up a little early, leave some things for the next day and take some time out with the partner. Even some heartfelt talk would leave you feeling close and be a great way to end the day. Sex, for sure, demands some physical energy and reserve it!! If you wish to discuss about any specific problem, you can consult a sexologist and ask a free question.

6566 people found this helpful

I am a girl of age 21 and I masturbate a lot whenever I am alone due to which I'm unable to concentrate on studies and I sleep alot and always tired sleepy.

DNB (Obstetrics and Gynecology), MS - Obstetrics and Gynaecology, Royal College of Obstetricians and Gynaecologists (MRCOG)
Gynaecologist, Kolkata
I am a girl of age 21 and I masturbate a lot whenever I am alone due to which I'm unable to concentrate on studies an...
This is very common at your age. If you are getting addicted to it then try to indulge yourself in some other healthy activities. Go to gym and try some workouts without giving much pressure to your body. That will help.
2 people found this helpful
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Hi, main 43 ki hu meri date 2 september ko aaye muze next month 22 se 27 date tak periods chahiye. Meri periods 2 s e3 din tak rahti hai kya aap muze iske bare mai upaay bata sakte hai.

DHMS (Hons.)
Homeopath, Patna
Hi, main 43 ki hu meri date 2 september ko aaye muze next month 22 se 27 date tak periods chahiye. Meri periods 2 s e...
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. * 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. * 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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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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Hello doctor I wants to know that when the unprotective sex is safer in a month as my date is 30 april to 4 may, and how I calculate my ovulation date after every period n I also wants to know d difference but ovulation and fertilization, pls help me doctor. I will be thankful to u.

M.Ch - Urology, MS, MBBS
Urologist, Dehradun
Ovulation is relase of ovum. Fertilisation is union of sperm and ovum and occurs if you have sex. The middle ten days between two periods are the most fertile days. You must use contraception during this period to prevent pregnancy.
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I am 27 years old having irregular periods but after marriage come regularly. I am planning for baby but did not get success. I have gone through a pelvic ultrasound and reports are normal. Now since two months I have periods in 15 days. In start n end of the month. First tym in month have very less bleeding n in second half of month normal bleeding. I want to know why this happens to me. Somebody told me that because of that I will not be able to conceive. But I want to conceive as soon as possible. Please guide me. What should I do.

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Kolkata
I am 27 years old having irregular periods but after marriage come regularly. I am planning for baby but did not get ...
First stop all types of drugs, allopathic, homeopathic and aurvedic for 3 months. Wait for normal regular cycles to get restored. Have adequate sleep, simple home food, and take steps to avoid mental and physical stress. If the menses regularise, then try for pregnancy from 10th to 20th day (beginning on 1st day of bleeding). If still not successful after 3 months, go for semen analysis and HSG/Laparoscopy. If menses go not regularise, few hormone tests may be required in addition.
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I am 21 years old female recently I took abortion pill and done my abortion I completed 25 days but bleeding is not stopped some times stop and some time not stoping. Its normal or any problem medicine name is mifepristone-miscopristone tablet when can stop my bleeding.

Fellowship in Minimal Access Surgery, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Bangalore
Dear Lybrate user, You should get ultrasound of lower abdomen done and show to Gynaecologist. The abortion is likely to be incomplete.
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BHMS
Homeopath, pathankot
Acne and pimples are not a problem, it is only a body secretion that get deposit on the face or any other part. Use of oil controlling creams never cure your acne but only suppress the oil production for a time being. This is not a permanent treatment for your illness. Suppuration causes more collection of pus inside the body and become the cause of infection. So never use oil controlling creams and anti perspirants. I only advice to take homoeopathic medicine which control the oil production inside the body decrease the chances of pimples.
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I am overweight and also have pcod and thyroid because of which losing weight is becoming difficult. Any advice on what could be done to lose weight and eradicate pcod?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am overweight and also have pcod and thyroid because of which losing weight is becoming difficult. Any advice on wh...
Primary objective of your treatment is weight reduction and maintain normal BMI of 18-25. This will regularize the monthly cycles and also help you get pregnant. You can take Metformin to reduce weight. You don’t need to take any medicine till 3 months for the menses to come. Only after 3 months of missed menses you should take medicines like progesterone Tablet (Deviry 10 mg twice a day for 5 days) for getting menses. For reducing your weight you should have brisk walk or jogging for 4-5 km daily, high protein diet (fish, chicken, mutton without fat, pulses, mushrooms), low carbohydrate diet (avoid rice, chapatti, bread, poha, upma, idli, dosa, potato, sugar etc and can use bhakri instead) and low fat i. E. Less oil and preferably use rice bran oil.
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My wife got birth to healthy child one month back. Both the mother n child r fine. But just yesterday her blood discharge has increase to somewhat more. Kindly let me know why? An any medicince to continue.

MD - Maternity & Child Health
Gynaecologist, Bangalore
Do not worry if it is only once. If it increases need to consult doctor again. Stree women health care centre bangalore
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I had unsafe sex with my wife and she got pregnant. But after 2 months we came to know about pregnancy. But she does not want baby. What is the medicine to abort pregnancy. please tell as soon as possible.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
The only option for termination of 2 months old pregnancy is that you go to a nearby gynaecologist. She will get a few blood tests and an ultrasound done and then prescribe you medicines for abortion if the pregnancy is less than 7 weeks. If the pregnancy is more than 7 weeks, then she will have to undergo a surgical procedure for termination of pregnancy. So, don't panic and seek the advice of doctor as soon as possible.
2 people found this helpful
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Hi Before I get married I was too thin after I got my daughter. I became fat because I used to take ipill is it just because of ipill m fat.

PGDD, RD, Bachelor of Home Science
Dietitian/Nutritionist, Mumbai
The reason for weight gain is not exclusively the pill. There are a lot of changes in our lifestyle after marriage. Eating habits, style of food, increased work. These can cause weight gain. Also post pregnancy we tend to neglect our health by not eating nutritious foods. So, eat small and frequent meals. Avoid too much junk foods. Exercise at least 3 times a week.
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Nausea and Vomiting during Pregnancy!

M.Sc - Dietitics / Nutrition (Delhi University)
Dietitian/Nutritionist, Panipat
Nausea and Vomiting during Pregnancy!
Nausea (feeling like vomiting) and vomiting are common, especially during the early months of pregnancy.

Are there things I can do to make myself feel better?
There are many comfort measures to help pregnant women who suffer from nausea and vomiting during early pregnancy. Changes in diet, sleep pattern and lifestyle can help.

Few suggestions are given below:-

1. Changes in lifestyle
* Get up slowly from lying down position and do not lie immediately after eating.
* Keep your head higher than your feet when lying down.
* Go outside for fresh air as much as possible.
* Rest or nap often
* Dentify conditions which make vomiting worse, such as certain foods, odours, activities or stress and avoid them.
* Wait about half an hour after dinner to brush your teeth

2. Changes in diet

* Eat bland foods that are high in carbohydrates and low in fat such as toast, bread, rice, cereal, crackers and potatoes.
* Eat foods that are high in protein such as lean meat, eggs and dishes made with beans and pulses.
* Eat foods high in vitamin b6 like whole grains and cereals, wheat germ, nuts, seeds, legumes, corn
* Avoid greasy, fatty, fried and spicy foods.
* Drink 10-12 glasses of liquids such as coconut water, buttermilk, milk and fresh juices.
* Avoid excess of tea, coffee and aerated drinks
* Do not drink alcohol
* Try to eat every 2 to 3 hours, even if you are not hungry. Have small frequent meals than large meals.
* Have a snack such as yoghurt, milk or a small sandwich before going to bed.
* Sniffing lemon or ginger can sometimes relieve nausea.
* In case if you have nausea and vomiting in the evening, have a good meal in the morning and a light meal at night and vice versa.

When should I call my doctor?
Call your doctor right away if you:

* Have been vomiting for almost 24 hours.
* Have been stomach pain, fever, dizziness, severe weakness or feel faint.
* Have weight loss of more than 2-5 kgs.
* Have very dark yellow urine or do not urinate for long periods.
* Feel your mouth is dry and your hands and feet are cold.
* Feel very thirsty.
* Have a fast heartbeat.
* Vomit blood.


12 people found this helpful

Is it good to conceive after D and C which happen in 3 jan and after D and C periods happen on 3 feb can I try for conceive right now.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Is it good to conceive after D and C which happen in 3 jan and after D and C periods happen on 3 feb can I try for co...
After D&C you should wait for at least 2-3 months, so that your body may recover from weakness and uterine muscles strengthen again for new conception. Till then take diet rich in iron calcium and vitamins
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Hi my last menstrual period was 21/ 12/2016. Did not get periods last month. Now Feb 24th I got little bleeding. But blood flow is not as normal. Kindly advise.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Jalandhar
Hi my last menstrual period was 21/ 12/2016.
Did not get periods last month. Now Feb 24th I got little bleeding. But ...
please take rajahpravartini vati 2 tabs twice daily .take asokarista 4 tsf in half glass of water half an hour after meals.continue the regime for one month .Take a week time break and again take it for one more month.Good luck n stay in touch
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Can HIV Be Diagnosed Through Oral Manifestation?

M.D.S, Post-Graduate Certificate in Oral Implantology (PGCOI) , B.D.S
Dentist, Hyderabad
Can HIV Be Diagnosed Through Oral Manifestation?

HIV is a systemic disease which affects all parts of the body. The oral cavity also has some tell-tale symptoms which indicate HIV / AIDS. A careful examination and detailed history of symptoms is essential. In some cases, the oral manifestations could be the area where HIV is suspected. This can help in reducing morbidity and improves prognosis. The oral lesions that occur in HIV patients can vary and differ significantly in children and adults. While there are a variety of oral lesions in HIV-infected individuals, listed below are some common infections seen in HIV patients. These are a combination of fungal, viral and bacterial infections.

  1. Candidiasis: Candida is an opportunistic fungus that is normally present in the oral cavity and with reduced immunity of HIV, recurrent bouts of the infection begins to show up. It can be in the form of regular thrush which is whitish and cannot be scraped off (pseudomembranous candidiasis), hyperplastic candidiasis (white patches which can be scraped off) or erythematous (reddish patches). Candida can involve any part of the oral mucosa including the pharynx and the palate.
  2. Herpes Simplex: This is the most common viral infection seen in patients with HIV/AIDS. There could be primary or secondary infection of herpes virus, especially inside the mouth and the vermillion border of the lips.
  3. Herpes zoster: This virus, when already present in the body, can be reactivated with HIV/AIDS and with oral herpes. The distinction with herpes simplex is from their distribution. These are unilateral, along the distribution of the maxillary or mandibular nerve. The lesions appear both on the facial skin and the oral mucosa. While the facial ones break open and form crusts, the mucosal ones coalesce to form larger lesions.
  4. Hairy Leukoplakia: This is present in about 20% of asymptomatic HIV patients. Onset of hairy leukoplakia is an indication of rapid progression of HIV with increased CD4 counts. The typical lesion is a non-movable, hairy lesion along the side of the tongue and can spread to the top and the undersurface of the tongue. There are large amounts of Epstein-Barr virus (EBV) identified from biopsies of hairy leukoplakia.
  5. Cytomegalovirus: If the ulcers have a necrotic base with a halo surrounding it, it is CMV infection, usually seen on any oral mucosal surface.
  6. Periodontal disease: This is one of the bacterial infections that manifests itself in HIV patients. It can take two forms such as Linear Gingival Erythema (LGE) which can subsequently lead to Necrotizing Ulcerative Periodontitis (NUP). The oral hygiene is generally good with minimal plaque and there is rapid bone loss and soft tissue reddening and swelling. The, mouth, therefore is certainly a window to one’s health.

Diagnosing HIV with Western Blot Test-

It is a series of blood screenings are performed to test for HIV. The enzyme-linked immunosorbent assay (ELISA), also known as an enzyme immunoassay (EIA), is the first test that your healthcare provider will order to screen for HIV. ELISA, like the Western blot test, detects HIV antibodies in your blood. Antibodies are proteins your immune system produces in response to the presence of foreign substances, such as viruses. If you test positive for HIV on the ELISA test, your provider will order the Western blot test to confirm HIV infection. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

2925 people found this helpful

I am a 26 year old female. I took I-pill on 20th October 2016 and I had withdrawal bleeding on 26th October. Today it's 16th November and still I didn't get my regular periods. Should I wait or should I take a pregnancy test. How long should I wait?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MS - Counselling and Psychotherapy
Ayurveda, Jammu
I am a 26 year old female. I took I-pill on 20th October 2016 and I had withdrawal bleeding on 26th October. Today it...
Hello lybrate-user that bleeding was your periods n now your cycle will start from that particular day. U can ask for further information n details.
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I Had just forplayed with my gf on 18 may night, I am 90% sure sperm did not entered but maybe precum did And I have not ejaculated inside her .After 2 days she had bleeding. And that day. She took unwanted 72 in about 66 hours, but only half pill as it was already bleeding it was about 21-26 may she bleeds. N now its 29 June . I am very depressed .whether it could be a pregnancy or the side effect. As her age is about 18 . please reply sir. I will be very thankful to you.

BDS, Certification in hypnotherapy, Certification in N.L.P, Certification in Gene and behavior, Psychology at Work
Psychologist, Gurgaon
I Had just forplayed with my gf on 18 may night, I am 90% sure sperm did not entered but maybe precum did And I have ...
Hey if the bleeding has started, she has obviously not conceived. Contraceptive pills do have adverse side- effects even still if you wish to get rid of your doubts, get a prega-news or a similar kind of a self test pregnancy kit/(available at pharmacy/medical store). It is cheap and accurate and she can easily use it.
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I am 1 n half months pregnant but I don't see any normal pregnancy symptoms like vomiting, giddiness, altered sense of smell. Is this normal?

Minimal invasive surgery in gynaecology, MD - Obstetrtics & Gynaecology, DNB, MBBS
Gynaecologist, Mumbai
I am 1 n half months pregnant but I don't see any normal pregnancy symptoms like vomiting, giddiness, altered sense o...
If your pregnancy test is positive, do an ultrasound to confirm the site of pregnancy, period of gestation and the viability. Symptoms of pregnancy are varied and differ from one person to another.
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I am 21 years old. I am having bleeding in vaginal discharge but not continue. What is the reason of this. I Am also having irregular periods.

BHMS
Homeopath, Faridabad
I am 21 years old. I am having bleeding in vaginal discharge but  not continue. What is the reason of this. I Am also...
Hi. Bleeding per vagina can be due to many reasons, will have to look into the matter. If you have got some investigations done, share the reports with me. Meantime, start with homoeopathic medicines: Schwabe's Five Phos./ thrice daily and Pulsatilla 1M/ one dose once only - take these for 1 month. Revert me back with your status. Take care.
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