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Dr. Ramesh S M

Gynaecologist, Bangalore

200 at clinic
Dr. Ramesh S M Gynaecologist, Bangalore
200 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Ramesh S M
Dr. Ramesh S M is a trusted Gynaecologist in Tavarekere, Bangalore. He is currently associated with Shobha Hospital in Tavarekere, Bangalore. Book an appointment online with Dr. Ramesh S M and consult privately on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 35 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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Shobha Hospital

#171/A, P.R. Building, 16th Main, 1st Stage, Tavarekere Main Rd, BTMBangalore Get Directions
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Hi doctor. I am 19 years old female. My periods have always been normal until I missed in the month of April. My last period was on 11 march 2016. I had a lot of exam stress so I attributed it to the same. However I did an ultrasound which did not show any abnormality in my ovaries whatsoever. Then on 4 june 2016 I took tab estrogen and progesterone and got my period on 10 june 2016. I again missed my cycle in july and went for a hormonal profile which showed that my LH waz 26.47 and FsH 7.07 and PRl 28.09. My endocrinologist said you have PCOS although I do not have any other symptom other than a bit of weight gain. He started me on metformin 500 mg and gave diving 10 for 7 days to induce periods which I did not get even after waiting for 15 days. So today I went to an ob/gyn and he said to increase metformin to 1 g and take krimson 35 for a month or two and check. I am really worried. Is this a very big issue? Will it affect my fertility in any way? Web makes PCOS look like something very evil. Please help.

MS - Obstetrics and Gynaecology, MBBS, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Pune
MISS EVEN IF YOU HAVE PCOD THAT MEANS THAT YOU ARE NOT OVULATING REGULARY AND HENCE YOU R MISSING PERIODS. THERE IS NO POINT IN TAKING METFORMIN OR ANY OTHER DRUGS. PCOS IS NOT A DISEASE BUT A CHANGE THAT HAS HAPPENED BECAUSE OF DERANGED LIFESTYLE. YOU DONT NEED TREATMENT IS BECAUSE YOU HAVE INCIDENTLY FOUND THAT AND RIGHTLY AS YOU SAY YOU DONT HAVE ANY SYMPTOMS. EVEN IF YOU TAKE TABLETS YOUR PERIODS WOULD COME REGULARLY TILL YOU ARE ON TABLETS AND ONCE YOU STOP THEM THE PERIODS WOULD RETURN BACK TO THE ORIGINAL STATE. I WOULD ADVICE NOT TO GET BOTHERED BY THE PERIODS. IF YOU DOINT HAVE THEM FOR 2 TO 3 MONTHS THEN YOU CAN TAKE TABLETS. WHATEVER TREATMENT I GIVE IS AFTER MARRIAGE
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Hi, My wife is 35 weeks pregnant and doctor has recommended her Martifur 100 100 mg tablet for 7 days (2 times a day) for a UTI. The pus cells in her routine urine test is 10-12 and urine culture tests came negative. Now, we are concerned whether she should take this med or not? Is this medicine pregnancy safe, as some links on google tell yes and some no? So, I want to know the opinions from doctors.

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Navi Mumbai
Though Martifur is currently allowed in the pregnancy according to recent guidelines But its use is specially Restricted during the last few weeks of pregnancy, since it has risk of Hemolytic anaemia to the fetus. Since she is in her 35th week, I would advice to not continue wid it. Better be safe.
3 people found this helpful
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I am 28 years old. And iI am sixth month running pregnant women. I Gottested by hiv lost month in karimnagar got positive and again tested immediately in Vijaya diagnostics and again got positive. Doctor advice me you and your husband go to ictc centres for test. And for me just confirmed by Western blot method. We went to ictc Gandhi hospital and tested by three methods and I got positive and my husband got negative hiv. Again after three months you will be confirmed by test doctor said to my husband. And my cd4count is 626. Can I confirmed by Western blot method after three months? Is there any chance to get hiv negative result? Based upon cd4count at what stage iI have hiv? Pls leave a reply my mind was totally confused and very disappointed.

C.S.C, D.C.H, M.B.B.S
General Physician,
A CD4 count is a lab test that measures the number of CD4 T lymphocytes (CD4 cells) in a sample of your blood. In people with HIV, it is the most important laboratory indicator of how well your immune system is working and the strongest predictor of HIV progression. To understand why it’s important, it’s helpful to know what CD4 cells are. CD4 cells (often called T-cells or T-helper cells) are a type of white blood cells that play a major role in protecting your body from infection. They send signals to activate your body’s immune response when they detect “intruders,” like viruses or bacteria. Once a person is infected with HIV, the virus begins to attack and destroy the CD4 cells of the person’s immune system. HIV uses the machinery of the CD4 cells to multiply (make copies of itself) and spread throughout the body. This process is called the HIV life cycle. So, during your regular check-ups, your HIV care provider will want to know your CD4 count to help keep track of how healthy you are and whether the virus has progressed in your body: The CD4 count of an uninfected adult/adolescent who is generally in good health ranges from 500 cells/mm3 to 1,200 cells/mm3. A very low CD4 count (less than 200 cells/mm3) is one of the ways to determine whether a person living with HIV has progressed to stage 3 infection (AIDS). (See Stages of HIV Infection.) Your CD4 count is also used to help you and your HIV care provider decide when to start antiretroviral therapy (ART).
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I have lower back pain and lower abdomen cramps. Breast tenderness, is it possible I am pregnant? I am in 15 dpo.

DHMS (Hons.)
Homeopath, Patna
Hello, Lybrate user, lower back pain, breast tenderness might cause under gastric disorder, irrespective of pregnancy as well. Tk, care.
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After unprotected sex she had her periods on next day. Is there any chance of pregnancy?

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
Psychologist, Palakkad
Dear user. TO CAUSE PREGNANCY on a woman, sperm should be ejaculated inside the vagina or fresh sperm should be inseminated inside the vagina with some means during the fertility period of the woman. 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. Her egg and your sperm cells should be healthy enough. Then her uterus should be capable to get conceived. If all these were satisfied, the pregnancy could be a result. Semen do not pass through clothes to make pregnancy. Sex during periods does not cause pregnancy. In the given case, there are less chances of pregnancy. Take care.
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I'm suffering from diabetes and high cholesterol and have developed frozen shoulders in both my arms. I have polycystic ovaries I'm obese.

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
Frozen shoulder is a known condition in diabetic patients. The only way to treat is physiotherapy and exercise.
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Am 31 weeks pregnant. I have gestation diabetes. Pls tel me proper and healthy diet plan.

MBBS
General Physician, Faridabad
Here's a sample vegetarian meal plan if you have gestational diabetes. However, a customised diet plan works best. This is because it is based on your weight, height, activity levels, stage of pregnancy and your glucose levels. You can try different variations of this sample meal plan to keep your taste buds happy. Early Morning (between 6 AM – 7 AM) A glass of milk (250 ml approx.) without sugar with 20gm roasted gram Breakfast (between 8 AM – 9 AM) A cup of milk (approx. 150 ml) without sugar and two whole wheat bread slices with 50gm cottage cheese (paneer) or one boiled egg / two vegetable stuffed chapattis with a bowl of curd / two small dosas or four idlis with sambhar. Use only 1 tsp of oil for cooking. Mid Morning (11 AM) One medium-sized fruit (150 gm approx.) such as guava, pear, plum, apple, sweet lime (musambi), peach or jamun. Lunch (between 1 PM to 1:30 PM) Start with one quarter plate of salad (cucumber, tomato, carrot, radish), one or two bowls of seasonal vegetable, one bowl of dal, about 150 ml (1 cup) curd, three chapattis / two chapattis and 3 tablespoons of rice. Use about 2 tsp of oil when cooking the lunch. Evening (4 PM) A cup of milk without sugar or lassi Evening Snack (6 PM) A bowl of sprouts with vegetable juice or soup. Dinner (8 PM – 8:30 PM) Similar to lunch. But you can try different dishes to add variety to your meals. For example, you can take cottage cheese with peas (matar paneer), mixed vegetable, soya nuggets curry, whole moong dal, masoor daal, or black chick pea gravy, green beans and carrots and so on. Use about 2 tsp of oil for cooking dinner. Bed Time 1 glass milk (250 ml approx.)/ 1 cup milk (150 ml approx.) with one small sized fruit (150 gm approx.)
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I am 28 years female and I have pcos problem so that I am not getting pregnant please give me some advise how can I conceive.

MD-Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Haldwani
Hello lybrate-user- pcod is caused by improper food intake and improper routine specially done in the time of menses. Try this ayurvedic treatment- a) tab kuberaksha vati 1 tab twice daily. B) tab hyponid 1 tab thrice daily. C) do basti treatment by nearby ayurvedic doctor (it is a very effective treatment in ayurveda for pcod). D) maintain proper eating routine, avoid fast foods and spicy diet.
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Hello. I am not getting periods from February. I consulted a doctor and she said maybe lack of blood. I did not take blood test. So,wat should I do now? Suggest me anything to regulate my cycle.

MBBS, MD
Gynaecologist, Delhi
There are so many reasons for secondary Amennorhoea, - get Ultra Sound Lower Abdomen, Blood TSH, CBC, and get FSH, LH AND Prolactin level only on 2/3 day of the menses so that this should not be repeated if future also.
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I am 29 years old. I want some medicine name for my wife. Make her ready for sex.

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG
Gynaecologist, Kolkata
This problem needs to be addressed sensitively as in women, often there are hormonal and other problems. If we don' t treat it, the problem will not be solved.
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She is pregnant with 6 months, she wants to do sex, what you say it is OK or not?

Fellowship in Gynae Endoscopy, FMAS, DNB, DGO, MBBS
Gynaecologist, Delhi
Dear patient, it is safe to have sex during pregnancy unless your doctor has adviced not to for some complications.
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Period stopped and milk is coming from breast, taking montair, lorfast am, for throat Allergies. Pexep CR 12.5 and zupion SR for mental relief. please suggest.

MBBS, DPM
Psychiatrist, Agartala
Sorry to reply you so late. Let me know your age and marital status for how many days your milk is coming .is it for first time. You get done one blood investigation called serum prolactin level only if it happens for next month too. Nothing to worry much. Continue your pexep and zupion medicines.
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Last day he and his girl friend did oral Sex. And he erect semen into her side of a triangular part on vagina. Not over there, and within in five minutes she wash her that part using water. And now she is Virgin only, but the problem is now they having some doubt that, is there any chance to get pregnant? Hers last period was Feb 24 th and this happened in 25 th March. And she having also late period. Any chance for pregnant? Please reply.

Diploma in Community Medicine, MBBS Alternative Medicine, Diploma in Acupuncture
Alternative Medicine Specialist, Delhi
no. there no chance of pregnancy. if semen entered in vagina and girl washes it immediately so there no chance of pregnancy. but if you have still in doubt so you can check by preganews kit. use you first urine of the day.
1 person found this helpful
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Weight Gain: Muscle Building Part I: Reasons and Benefits

MBBS
General Physician, Delhi
Weight Gain: Muscle Building Part I: Reasons and Benefits

In this new age 'Weight Gain' is the most dreaded phrase when people left and right are obsessed with losing weight by any and every means possible, to look good and achieve an attractive personality.

Let me start with a ridiculous point, weight is NOT equal to fat (a misconception I've observed in my patients). A human's body weight consists of his/her ENTIRE body weight, including weight of internal organs like heart brain etc, bones, water content and MUSCLES.

In this series of sections on Weight gain - We will first talk about Muscle Building its Reason and Importance.

Muscle Mass

The term muscle is derived from the Latin musculus meaning 'little mouse' maybe because contracting muscles look like mice moving under the skin. Muscle cells contain 'Protein Fibres' of actin and myosin that move against each other producing contraction that changes the dimensions of the cell. Muscle is used to produce force and motion.

This may seem like a small point but is extremely essential. Muscles are responsible for maintaining and changing posture, all external movement as well as internal organ motion e.g. contraction of the heart.

Studies from the CDC have found that muscle-building exercises can also

  • Improve Balance, reduce the likelihood of falls
  • Improve Blood-sugar control
  • Improve sleep and mental health


Gaining muscle mass is not only about looking good, it also has health benefits.

The Importance of Muscles

More Muscle Equals More Strength - The more strength you have, the more physically you're prepared for everyday activities; carrying groceries, lifting kids (or your significant other), and enjoying recreational sports.

  • Muscle Helps Control Blood Sugar - DIABETES SUGAR intimidating modern day diseases, yet easily manageable if you can build a healthy body.
  • Building Muscle Usually Builds Bone too - Bone density is an important issue, especially among women and the elderly. Building muscles can improve bone density and prevent osteoporosis.
  • Building Muscle Helps Manage Body Fat - Gaining muscles boosts your Basal Metabolic Rate (BMR). that is the amount of energy (fat) you're spending when you're just sitting doing nothing (for all practical purposes). It controls fat gain and prevents obesity and related conditions like Diabetes, Hypertension etc. Strength training is especially important for dieters. When you lose weight, up to a quarter of the loss may come from muscle, which can slow your metabolism. Strength training helps you rebuild any muscle you lost by dieting -- or keep you from losing it in the first place.


Building Muscle Builds Self - Confidence - It plays a critical role in promoting metabolic health, bone strength, maintaining body weight and reduces stress.

2 people found this helpful

doctor has diagnosed pcod to me. Conceiving problem. Age is 38, 8 months marriage. AMH is 7.2 TSH 3 INSULIN FASTING 96 GLUCOSE 136 PROGESTERONE 40 ESTRADIOL 60 PROLACTIN 11 REGULAR PERIODS but weight has gained drastically from 52 kg to 59 kg in one year hair become thin, too much hair fall, skin become rough.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi Raj you will need ovulation induction in view of ovulation induction. You should modify lifestyle in such a way like low carbohydrates diet and exercise daily have healthy lifestyle.
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I took contraceptive pill but my period was missed. So,I took a pregnancy test and it turned out to be positive and I want to abort it. Please help 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
Psychologist, Palakkad
Dear user. ABORTIONS can be performed as early as an intra-uterine pregnancy can be identified by ultrasound, which is usually about 3-4 weeks after your Last Menstrual Period (LMP). In the first trimester, two options are available: Aspiration is done by a physician in the clinic or the Abortion Pill which you take at home. Do not take any decisions before consulting your gynecologist. Take care.
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I want to check my fiancee virginity and want to confirm that she is not involved in a physical relationship with someone else before me. How can this be possible?

BAMS
Sexologist, Nashik
Its not possible. Don't try this. Every relationship depend upon trust. Trust your fiancee and have good relationship.
1 person found this helpful
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I had unprotected sex on 7th feb and my last periods finished on 6th Feb. I also took unwanted 72 pill after unprotected sex. What is the side effect of unwanted 72 pill? I am bleeding slightly after 5 days of taking the pill. Is there any reason to worry about. Is this bleeding a sign of pregnancy?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
First of all, you did unprotected sex in your safe period, so there was no need to take ipill as you cannot be pregnant-----secondly sometimes bleeding occurs 2-5 days after taking ipill, nothing to worry about, it will subside but your next periods can be disturbed-----so take precautions this month while having sex and consult me if you want to have knowledge of how to calculate days of having unprotected sex in a females menstrual cycle-------------------------
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Is it possible to know pregnancy in 12 days and what are early symptom of pregnancy.

DGO, MBBS
Gynaecologist, Bhavnagar
When you miss a period by two days, you can know whether there is pregnancy or not by pregnancy test. Early symptoms of pregnancy include in spite of missed period, nausea, vomiting, giddiness, constipation etc.
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Meri age 30 years hai mera 9 months ka baby boy hai. Delivery k 7 months k baad mere period strt hue pr regular date me nhi rhta please mai kya medicine lu jisse mere period jaldi aur regular rhe aur isse koi side effect bhi na ho.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
delivery ke bad period ek sal tak irregular hote hai. kuch lene ki jarurat nahi hai. sirf contraceptive use karo jisse pregnancy na rahe
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