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Dr. Rupa S Ayengar

Gynaecologist, Bangalore

Dr. Rupa S Ayengar Gynaecologist, Bangalore
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Rupa S Ayengar
Dr. Rupa S Ayengar is a renowned Gynaecologist in Jayanagar, Bangalore. She is currently associated with Rupa's Clinic in Jayanagar, Bangalore. Book an appointment online with Dr. Rupa S Ayengar on

Find numerous Gynaecologists in India from the comfort of your home on You will find Gynaecologists with more than 44 years of experience on 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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No.1306, 28th Cross,13th Main,4th Blk, Jayanagar, Bangalore - 560011 Jayanagar 4 Block Bangalore KarnatakaBangalore Get Directions
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Do incomplete medical abortion has complication or I can still have misoprostol and make it complete .

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi Priya , if their is incomplete abortion which can give rise to infection and creat problem in future pregnancy . Don't take any medicines without doctor's supervision.
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What's the minimum time that required to bring a orgasm in woman and also multiple orgasm?

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Failing to do Foreplay can ruin mood or leave you unsatisfied. Sex without foreplay means you’re not taking your needs into consideration, because foreplay is much more important to women than to men. Foreplay is a set of emotionally and physically intimate acts between couple meant to create sexual arousal and desire for sexual activity. Vagina secretes natural lubricating solution which is secreted by bartholin's gland. Foreplay also helps in secreting natural lubricant which will improve sex life.
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Stress Management

M.S. Counselling and Psychotherapy
Psychologist, Bangalore
Stress Management

What is stress?

There are situations in life when a person is required to perform beyond his/her normal capacity, or situations when some expectations are not met. This creates anxiety, fear and anger. This is a situation where a person feels inadequate, under-confident and experiences loss of control. This affects a person's physical and mental wellbeing. This feeling of fear, anxiety, restlessness is commonly known as "tension or stress".

Symptoms of Stress :

  1. Anger and Aggression: While under stress a person starts doubting his/her own capacity and efficiency because he/she feels inadequate or incapable of performing certain tasks. This creates a lot of anger or frustration and sometime, may result into aggressive behaviour. 
  2. Irritability: Under stress people get irritated for no reason. There is loss of patience, loss of sense of humour.
  3. Sleep Disorders: A person under stress may not be able to sleep at all or in some cases sleep excessively.
  4. Eating Disorders: A person under stress may lose appetite or in some cases, tend to overeat resulting in harmful effects on body.
  5. Anxiety: Stress may cause a lot of anxiety and restlessness. The person under stress may not to able to concentrate and unable to focus on any activity, making things more complicated.
  6. Depression: In a few cases a person under a lot of stress may go into depression.
  7. High BP: Body and mind are closely connected. Hence stress in mind creates stress in the body and under stress, blood pressure may rise.
  8. High Sugar Level: Stress may increase the blood sugar levels.
  9. Headache or Unexplained Body Pains: Stress may cause headache or body aches in different parts of the body, without any physical reason for it. 

Sometimes, there may not be any symptoms for stress but the trauma manifests in the form to heart attack, Stroke etc.

What causes stress ?

  1. Relationship Issues - Conflicts in relationships is a major cause of stress.
  2. Life style - Working for long hours, sedentary life style, unhealthy food habits, along with insatiable urge for money causes a lot of stress.
  3. High expectations from oneself and from others - The peer pressure, the pressure of constant deadlines builds up a huge stress. When a person has very high expectations from himself/herself without corresponding efforts, there is a fear of failure which causes lot of tension. At the same time, having unrealistic expectations from others also is a definite reason for disappointments, resulting in stress.
  4. Physical and Emotional Abuse - When a person is physically or emotionally abused and unable to defend himself/herself for various reasons, it causes frustration. This results in anger and stress.
  5. Competition - Unhealthy competitions with others create a feeling of inadequency and result in lower self esteem and sadness, thereby causing stress.
  6. Health Issues - Chronic and serious health issues cause lot of tension.
  7. Suppressed Emotions - Lack of freedom to express own emotions and feelings, amounts to stress.
  8. Lack of Assertiveness - Inability to say "No", when wanting to say so, inability to fight for one's own rights, causes tension and anger.
  9. Boredom - Lack of creative/interesting occupation may cause stress especially in old people or people with physical disabilities.
  10. Low self esteem, feeling hopeless and helpless - If a person has low self esteem and does not value oneself, it causes lots of negativity and stress.

Why stress management is important?
Body and mind affect each other's functioning. When the mind is stressed out, it gets reflected in the body in the form of high blood pressure, high sugar levels, indigestion, acidity, heartburn, ulcers, skin rashes, headache, nausea, cancer, eating disorders, psychosomatic pains etc. It may trigger asthma, migraine etc.

Because of these harmful effects of stress, the body's capacity to function reduces. At times, it may cause serious threat to one's life. Hence, it is very important to learn to relieve and also to manage stress, in order to have a long and healthy life.

There are a number of ways to relieve stress:

  1. Sleep, take rest, relax.
  2. Take a break from daily routine, do something different, take a short vacation.
  3. Go for a walk/jog/run/cycling. Practice Yoga, meditation, deep muscle relaxation, etc.
  4. Spend time with friends and family.
  5. Play with children.
  6. Spend time with pets.
  7. Pursue a hobby like reading, gardening, painting, music, dance, singing, cooking, etc.
  8. Recreation - Watch a movie, play, picnic, go for a drive or shopping.
  9. Pamper yourself with beauty treatments, massage, or your favourite food/drinks. 

How to manage Stress?
Stress is inevitable part of life now. Right from a kid going to Pre-Nursery school to senior citizens staying alone at homes and having severe health problems; all are under lot of stress. No one can avoid stress. But there are certain ways to manage your stress-

  1. Self-awareness. Learn more about your own self. Understand what induces stress in you, what tasks are difficult for you, what situations are difficult for you and then try to figure out the reasons why it is so. Try to resolve or modify your thoughts and attitude.
  2. Identify stressors and explore options. Once you identify what is causing your stress, try to find more options to resolve your issues.
  3. Reasonable Expectations and Feasible Goals. Have reasonable expectations from yourself and from others. Have goals which are possible for you to achieve.
  4. Learn assertive techniques. Learn to express your feelings, learn to fight for your own rights, understand and respect other's rights.

Try to minimise stress in life and lead a happy healthy life.

2866 people found this helpful

How can we justify quantity of milk by breastfeed?

MD - Paediatrics
A good question ,it is very easy if u feed ur baby she goes to sleep well for 2 hours ,she is passing regularly,she putting on weight,she is playful means she is adequate ly breastfeed
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Sir its a my wife's problem. Actually she is my fiance. His vagina getting no shape. Sir can you suggest any good gel or medicines to get tight shape for happy sexual felling.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Sir its a my wife's problem. Actually she is my fiance. His vagina getting no shape. Sir can you suggest any good gel...
First of all you want to know that it is not the Vagina that is loose,it is your Pelvic Floor Muscles.It is important to know when going about looking for a natural way to fix a loose vagina that you target the correct area. The pelvic floor muscle is what surrounds both the vagina and vaginal wall muscle. When the pelvic floor muscle is tight everything else will be nicely held and supported in place. The reason the vaginal wall muscle becomes loose is because it sort of looks and acts like a folded, very elastic and stretchy accordion. So when the pelvic floor muscle stretches, the vaginal wall muscle can’t help itself and will unfold more and more with it to. The 3 Main Reasons for a Loose Vagina • Natural Aging process (because of wonderful gravity kicking in, but that’s when exercises are coming in. You can maintain a tight vagina until death) • Vagina loosens after multiple births (e.g. four babies over four years, and not having a break in between to strengthen the pelvic floor muscle after each one.) • There are rare cases where vaginal looseness happens due to severe medical conditions Natural Methods for a Tight vagina or Pelvic Floor Muscles 1 Have an Orgasm – the fun part about toning your pelvic floor muscles When you have an orgasm – that is actually your pelvic floor muscle contracting. So the more you orgasm the more you start toning up your pelvic floor muscle. As your pelvic floor muscle becomes stronger, so will your orgasms . 2. Kegel Exercises are also known as pelvic floor exercises because they specifically target this area and prevent weakness in the pelvic floor area. The pelvic floor is often referred to as a “hammock” of muscles that hold all of the pelvic organs in place. Kegel exercises are a great place to start treating vaginal looseness, especially if you are struggling to reach climax temporarily. Plus, they can be done in the privacy of your own home, when no one is around, so no one has to know you are doing them. Kegel exercises can only help though if they are done on a regular basis. Pelvic floor muscle training exercises can help strengthen the muscles under the uterus, bladder, and bowel (large intestine). They can help both men and women who have problems with urine leakage or bowel control and Vaginal looseness. A pelvic floor muscle training exercise is like pretending that you have to urinate, and then holding it. You relax and tighten the muscles that control urine flow. It is important to find the right muscles to tighten. The next time you have to urinate, start to go and then stop. Feel the muscles in your vagina, bladder, or anus get tight and move up. These are the pelvic floor muscles. If you feel them tighten, you have done the exercise right. If you are still not sure whether you are tightening the right muscles, keep in mind that all of the muscles of the pelvic floor relax and contract at the same time. Because these muscles control the bladder, rectum, and vagina, the following tips may help: • Women: Insert a finger into your vagina. Tighten the muscles as if you are holding in your urine, then let go. You should feel the muscles tighten and move up and down. PERFORMING PELVIC FLOOR EXERCISES: 1. Begin by emptying your bladder. 2. Tighten the pelvic floor muscles and hold for a count of 10. 3. Relax the muscles completely for a count of 10. 4. Do 10 repetitions, 3 to 5 times a day (morning, afternoon, and night). You can do these exercises at any time and place. Most people prefer to do the exercises while lying down or sitting in a chair. After 4 to 6 weeks, most people notice some improvement. It may take as long as 3 months to see a major change. After a couple of weeks, you can also try doing a single pelvic floor contraction at times when you are likely to leak (for example, while getting out of a chair). A word of caution: Some people feel that they can speed up the progress by increasing the number of repetitions and the frequency of exercises. However, over-exercising can instead cause muscle fatigue and increase urine leakage. If you feel any discomfort in your abdomen or back while doing these exercises, you are probably doing them wrong. Breathe deeply and relax your body when you do these exercises. Make sure you are not tightening your stomach, thigh, buttock, or chest muscles. When done the right way, pelvic floor muscle exercises have been shown to be very effective at improving Vaginal looseness.. 3.Exercise, Sweat, Exercise, Sweat Do explore other forms of exercise too, like yoga for strengthening your core muscles which together will help keep your pelvic floor muscles tighter for longer. 4. A Healthy Diet – Fruits, Vegetables, Juices, Smoothies To keep the muscles in your body strong, you don’t just need exercise, you also need to feed the muscle correctly daily to ensure its correct growth and repair. So, ensure you get a healthy diet full of wholegrain organic carbohydrates, organic lean animal protein (excellent muscle builder), and organic fruits and vegetables if you wish to keep your vaginal muscle healthy and strong. To all the women out there who currently have vaginal looseness, don’t fret, there is so much you can do about it starting today. Try my suggestions above right away, and you could start feeling the benefits of a tighter vagina, and raised confidence levels sooner than you think! You have the power to do anything after all…
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I have pcos. My bleeding is very lite from past 2 periods. This time I did not get bleeding also. The bleeding is coming only at my urination. This is happening from past 10 days. Wat is reason? Why it is coming? I did UPT the result is negative. I am using metformin and ovaa should now. But still bleeding is occurring only at urination daily. Wat is the main cause pls let me know madam.

MD - Obstetrtics & Gynaecology, MBBS
I have pcos. My bleeding is very lite from past 2 periods. This time I did not get bleeding also. The bleeding is com...
PCOS is a illness where due to hormonal imbalance the lining of the uterus is not formed well and hence menses are scanty or the bleedibg occurs over many days. PCOS patients also do not ovulate regularly hence there is infertility. You need to be guided by an expert gynecologist for the treatment. Do not lose heart, you will conceive. Meanwhile you can reduce your weight if it is excess for your height.
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I am 36 years unmarried girl. I am having depression, stress and lethargy from last 8 yrs. I am taking medicines regularly from last 8 yrs. My problem is that I know I should exercise and take healthy diet. But I do not exercise as I do not feel motivated. I feel lack of energy and no mood for exercise. I eat junk food for taste. I am unable to get rid of junk food. And I do not feel motivated to cook food for myself. My younger brother told me to prepare food for myself as I should make food myself. But I do not feel motivated at all. I do not feel motivated in any way. I have made daily routine for myself but unable to follow. I am unable to change the lifestyle as I want. What should I do?

Ph. D - Psychology, Professional Certified Coach
Psychologist, Ahmedabad
I am 36 years unmarried girl. I am having depression, stress and lethargy from last 8 yrs. I am taking medicines regu...
Dear friend it is very normal looking at your depression history for you to lack motivation. What needs to be worked on is slow and steady work. On creating a burning desire to have a different life. And in order to create this change you need support and step by step guidance. Someone who understands you and your stage and have knowledge to guide you through change process one step at a time and one day at a time. You need to consult a psychologist. If someone has positive psychology and life coaching back ground that would be great. Feel free to contact me for initial free consultation via my website. Wishing you very best.
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My friend got pregnant due to pre-cum one week back i. E, on last week Wednesday, she don't want to get pregnant now, is there any way to stop pregnancy now.

Dermatologist, Mumbai
My friend got pregnant due to pre-cum one week back i. E, on last week Wednesday, she don't want to get pregnant now,...
Dear lybrate-user there are various ways to prevent like surgical as well as medical. As pregnancy is of one week only medical treatment will work. Tc.
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I am 42 yrs old male. I have Endometriosis from last 3 months. Please help.

B.H.M.S., Senior Homeopath Consultant
I am 42 yrs old male. I have Endometriosis from last 3 months. Please help.
Please take following medicine:- lob. Incar. 30 / 5 drops in little water thrice a day for one month. Rub. Met. 30 / 5 drops in little water thrice a day for one month. Keep a 10 to 15 minutes gap in between these medicines. Revert back after one month with feedback.
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Hello lyb doctor, my question is how hypothyroid affects married women when she wants to Conceive.

MBBS, DGO, MD, Fellowship in Gynae Oncology
Gynaecologist, Delhi
Hello lyb doctor, my question is how hypothyroid affects married women when she wants to Conceive.
Hypothyroidism is a leading cause of difficulty in achieving and maintaining pregnancy. Low thyroid function has a negative impact on reproductive health. Along with your doctor monitoring thyroid hormone levels and prescribing thyroid medication, there are specific foods, key nutrients and herbs that can all be used to improve thyroid health.
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I am 24years old after my Delivery my breast is loosen and have become too small please help me to bring back my normal breast.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
I am 24years old after my Delivery my breast is loosen and have become too small please help me to bring back my norm...
put on little weight and do chest exercise if no improvement than you have to go for breast augmentation surgery
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10 Foods That Can Jumpstart Your Metabolism

M.Sc - Dietitics / Nutrition
10 Foods That Can Jumpstart Your Metabolism

Foods that elevate your metabolism is a good method of losing fat from the body. Include these foods in your breakfast, lunch and dinner to harness their fat burning power. Try these foods to kick start your metabolism:

  1. Eggs: Eggs are considered to be super foods as they are packed with nutrients. Rich in protein and vitamin D, eggs also help boost your metabolism.
  2. Lean meat: Include lean meats, such as chicken and turkey to your diet as they are rich sources of protein. They are also good sources of iron, the deficiency of which may lead to sluggish metabolism.
  3. Chili peppers: Chili peppers are good sources of 'capsaicin', a component that is known to kick start your metabolism into high gear. You may add chili peppers to your dishes to add some pungent flavor as well.
  4. Water: Dehydration may lead to you to feel sluggish the entire day; thus it is necessary to drink cold water as the body burns calories while warming the water.
  5. Coffee: The caffeine content in coffee is known to stimulate your metabolism.
  6. Beans: Beans are known to contain good amounts of protein and fiber. The fiber in the beans help in promoting satiety and restricts your food cravings. They are also rich in iron, a macronutrient that helps in improving metabolism.
  7. Berries: Berries are rich in antioxidants such as vitamin C that help combat free radical damage in the body. They also contain fiber that promotes healthy digestion.
  8. Chocolate: Chocolate is a good source of magnesium that helps to regulate blood sugar levels in the body. It is also known to stimulate various hormones in the body that burn fat.
  9. Vinegar: Apple cider vinegar is known to regulate blood sugar levels in the body. It also boosts acid production in the stomach, thus promoting healthy digestion and contributing to an increased metabolism.
  10. Cinnamon: Cinnamon is a herb that has certain properties which help in metabolizing carbohydrates in the body, thus increasing your overall calorie burn and kick starting your metabolism.
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Hi, I am 35 year old woman having problem of water retention, swelling and very sensitive skin of face at the time of menstruation and last for 15 days from last 5 months. I have gained almost 11 kg in these 5 months. Please suggest what should I do? one more thing I have copper t inserted in november 2014.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, 24 Parganas
Pulsetilla 0/1 ---16 dose daily 2 times after 10 stroke 1 dose mix in 1 cup of water any problem consult me in private question.
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Hi My name is Ms. lalwani Mujhe khuch dino sai vagina mai bahut jyada etching ho rhi h orr kaafi dryness feel ho rhi h.After sex mujhe jalan hoti h.Or back mai, vagina,tummy per and face red pimples with white pus nikalte ja rhe h.Suggest mujhe kya karna cahiye and sex karna cahiye ya nhi. Or mai bahut jald hi tired feel karti hu. Pls suggest mujhe kya karna cahiye I am totaly confused.

MBBS, DNB (Obstetrics and Gynecology), MNAMS, Training in USG
Gynaecologist, Delhi
Hello You are probably having vaginal infection. You should get yourself examined by gynaecologist and start treatment. Your problem will be definitely solved. Its nothing to be worried about.
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I'm 21 years old got i really want to conceive the baby but i am failed to do that. please do help me .

DNB (Diplomate of National Board of Examinations ), DGO (Diploma in Obstetrics & Gynaecology)
Gynaecologist, Mumbai
I'm 21 years old got i really want to conceive the baby but i am failed to do that. please do help me .
Hi, you need to see a infertility consultant at your place. Get yourself and husband examined and get done with all tests. So that some conclusion will come out and plan of action will be chalked out. Don't worry you are just 21. All the best!
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My last menstruation cycle was from 1-3 Sep and next from 24-26 Sep. Why it is too early this time? What may be the reasons behind this?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist, Haldwani
My last menstruation cycle was from 1-3 Sep and next from 24-26 Sep. Why it is too early this time? What may be the r...
Hello, Early menstruation cannbe possible due to factors like excessive consumption of green chilly and spices, history of fever in past few days, intkae of caffienated drinks in excess, or consumption of two much salt in your diet. The condition can be regularised by the regular use of Ashokarishtha.
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Hi, I would like to know how likely is to get pregnant when one has had unsafe sex during one's period and the male has not had the orgasm inside but outside the vagina. My period started on the 1st of August and I had sex on the 8th and 9th of August and also there was a slight brown discharge happening on those days too! please help me with the stress and tell me how likely it is for me to get pregnant!

MS - Obstetrics and Gynaecology, MBBS, Post Doctoral Fellowship in Reproductive Medicine, Fellowship in Minimal Access Surgery
Gynaecologist, Pune
The chances are 50 %.but I do not think there is any reason to get stressed. You can wait for the periods to come. If they get missed then do a urine pregnancy test. Even if the test is positive you can get it aborted by taking tablets only. At present you can do nothing so do not take stress. Stress itself can postpone your periods.
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Hi I am 33+ and my weight is 80 kg. I am diabatic. I have a girl child but now I wan't 2nd issu. My fasting blood suger level 196 and p p is 270 how I plan my pregnancy.

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
It would be best to start insulin for you. But do so only under your diabetologist's advice. Also, undergo a complete evaluation to look for complications because they can influence your planned pregnancy.
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