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Dr. Saila

Gynaecologist, Bangalore

Dr. Saila Gynaecologist, Bangalore
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I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Saila
Dr. Saila is a trusted Gynaecologist in Yelahanka, Bangalore. You can consult Dr. Saila at Ashwini Hospital in Yelahanka, Bangalore. Book an appointment online with Dr. Saila 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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#1022-05-65, BB Road, Old Town,Yelahanka.Landmark: Opposite BDK Kalyana MantapaBangalore Get Directions
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Hi doctor am married last 2 years bt am not conceive pregnancy in my husband have no problem nd last month am done ultrasound have no any problem soo according to you which problems to me.

MD
Gynaecologist
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Hi doctor am married last 2 years bt am not conceive pregnancy in my husband have no problem nd last month am done ul...
Both of you must investigate with sememanalysis, hormone profile. Tubal patency with laparoscopy or hysterosalpingography then a reason can be found and proper mgt can be done.
1 person found this helpful

Hlo gud afternoon . Plzz help me . Mai jb apni gf k sath sex krne lga to uski vagina itni tight thi ki mera penis andar enter hi nhi ho rha thaa . Mne 2 baar try kiya but kuch ni hua . Bdi insult feel hui kyaa kru plzzz help me plzz.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist
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Hlo gud afternoon . Plzz help me . Mai jb apni gf k sath sex krne lga to uski vagina itni tight thi ki mera penis and...
Do not try to forcefully penetrate the vagina just to prove that you are efficient in sex. That would do more harm than good. A girl having vaginal tightness might need lubrications or even anxiolytics or muscle relaxants to relax muscles of perineum. Ask her to consult a gynecologist for the same.
6 people found this helpful

From two regular months, I am suffering from unusual periodic days. The first day, bleeding occurs moderately or less. Second day it doesn't occur.& from third day, it occurs normally for a week or more days. I fear. Am I alright?

BHMS
Homeopath
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From two regular months, I am suffering from unusual periodic days. The first day, bleeding occurs moderately or less...
Hello, do not worry, take Pulsatilla 200 ch , 5drops single dose ,before the onset of menses,BC No 15 , tabs ,twice daily for the whole month.Revert me after 1 month.

Menopause- How to tackle it

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA)
Gynaecologist
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Today 18th October is WORLD MENOPAUSE DAY....
Aging is an inevitable phenomenon in our lives. Often our parents or grand-parents say “we are aged now, so it’s just a matter of few years”. But is it really so? French author Jules Renard said “It`s not how old you are, it`s how you are old”. Scientific studies has shown that “we can expect to become old”. There are mainly two reasons for it. One is our life style changes, leading to faster aging of the general population. The second thing is profound improvement in medical care that made it possible to conquer death even at the age of 80 years.In 1000 BC, the life expectancy was only 18 years. By 100 BC, the time of Julius Caesar, it had reached 25 years. In 2005, it was 80 years for women and 75 years for men. And today, you can expect to reach 82 years if you are a male and 85 years if you are a female. Men and women population need to be addressed differently from social, economic and biological points of view. Half of men at 85 and above live with their wives, but only 10% of elderly women live with their husbands. Aging is nothing but a sign of maturity. There are three signs of maturity in each sex. Two of them are common in both men and women; graying of hair and cataract in eye. The third one is unique to each sex. In men, it’s increased size of prostate gland (prostatism) and in female, it’s menopause.

Menopause is unavoidable in a woman’s life. In simplest term, it is the cessation of menstruation permanently at the end of reproductive life. The ovaries stop secreting female sex hormones- mainly estrogen and progesterone. In medical terminology, menstruation should be absent for 12 consecutive cycles to define it as menopause. Though menopause is the stoppage of reproductive function, it has profound effect in almost every organ of the body. Despite our socio-economic improvement, the age of menopause remains relatively the same; average 51 years with range of 45 to 55 years. However, there are some causes that may cause early menopause. If it occurs before 40 years, it’s called premature menopause. This needs medical consultation because it is caused by some serious diseases like genetic causes (may have family history of premature menopause- in elder sisters and mother), smoking, autoimmune disorders (body makes destructive substances against itself) etc. Sometimes premature menopause is the side-effect of some treatments like drugs (especially anti-cancer drugs), radiation and removal of ovaries by surgery. On the other hand, if menstruation continues to occur after 55 years, it’s called delayed menopause. It also deserves consultation with gynaecologists, as it is often caused by diabetes, some tumours and even some cancers. So, if menopause occurs too early or too late, it should never be ignored.

But if menopause occurs in time, do the women should consult gynaecologists? Well. You can find the answers from this article. Most of the women have some common problems after menopause; they become irritable or depressed and sometimes very much emotional and moody. Even suicidal tendency is not uncommon. Often they complain of sudden sensation of excessive warmth, the hot sensation, as if there is something burning on the head, the ears or other parts of the body. This is called “hot flush”, which is often associated with excessive sweating at night, palpitation and anxiety. This happens due to absence of estrogen hormone. These problems can be solved by hormonal drugs. Even non-hormonal drugs also work well. So, timely treatment can give them good quality of life and you don’t have to say “my mother has become intolerable these days”.

Frequently our mothers and grand-mothers complain of having back-pain or pain in the bones. This is due to osteoporosis; the destruction of components of bones and joints. They often get fracture with minor trauma. Again, this is due to deficiency of estrogen and also inadequate calcium intake. So, the treatment of this problem is exercise (at least 30 minutes per day), avoidance of smoking and the drugs that inhibits bone formation and adequate calcium and vitamin D intake. Hormone therapy is also effective and there are many non-hormonal drugs that can prevent destruction of bone. Thus timely medical consultation may stop our mothers saying “I cannot go outside for pain in my knees”.

Cardiovascular disease is the leading cause of death in elderly. Before the age of 40 years, males are more likely to die, than females, due to heart attacks. After 40, the sex difference is lost. This is because of absence of estrogen in women after menopause that alters the composition of fat (especially cholesterol) in blood. Cholesterol get deposited in the wall of blood vessels. Such problems can be avoided by dietary control, control of high blood pressure and diabetes and regular medical checkup.

The worst problemof the menopause is faced by the urinary and reproductive systems, i.e., the private parts of the body. In medical terminology, this is called “pelvic atrophy”. Our women remain very silent of it; most of them do not consult doctors for such problems. There is feeling of increased frequency of urination (women has go to the toilets frequently), burning sensation during urination and sometimes inability to hold the urine until they can reach the toilet or leakage of urine during coughing and sneezing (medically called “urinary incontinence”). The incontinence is not only a medical problem but also a social and hygienic embarrassment, for which many women avoid participation in social activities and even do not want to go outside. Sexuality is a thing that is often ignored both by the elderly people as well as the doctors. Menopause does not mean end of the conjugal life. Often the women may feel decreased libido (the desire) because of low hormone levels. And again there is difficulty in keeping intimacy for problems in the concerned area (due to decreased blood supply), again due to deficiency of estrogens. This may even lead to damage to the private parts and bleeding, while leading the conjugal life. For this, the couples should not suffer silently. There are many treatments that can avoid such urinary and sexual problems. Sometimes, simple counselling and some special exercises may prove to be adequate. Otherwise hormonal drugs (estrogens) can be used. And for this purpose, even we don’t need to take the hormones orally or by injection; simple local use of some creams or jellies help a lot. You will be surprised to know that testosterone may also help some women, because testosterone is not only found in male but is also an important female hormone. Those who want to avoid hormones, can try other non-hormonal agents. Even pregnancy is possible after menopause. There have been many examples of conception, either naturally or by test-tube baby (in vitro fertilization), after menopause. The recent socio-economic trend of delaying the age of marriage and child-birth is making this issue of pregnancy after menopause very much relevant.

Cancer is the second leading cause of death in elderly, after heart attack. Lung cancer is increasing day by day in women and even non-smokers can also have lung cancers. Discharge of blood with cough or vomiting, long-standing cough, chest pain and weight loss needs consultation with chest physician. Breast cancer is a major cause of death in women. This can be avoided by monthly self-breast examination and consultation; if any abnormal swelling or discharge is found. Colo-rectal cancer (cancer of lower part of our digestive tract), recently showed increased incidence in all the age groups. So, if there is any bleeding with stool or passage of black coloured stool, it should never be ignored. Ovarian cancer is showing increased incidences all over the world. Despite significant improvement in cancer management, ovarian cancer is a nightmare of the gynaecologists. Often, even after best possible treatment, patients of ovarian cancer don’t survive beyond one year of diagnosis. So, if you have any problems in digestion, abdominal discomfort, pain and swelling, please don’t just go to medicine shop to take antacids; instead go to your doctor. Post-menopausal bleeding is a medical term, used to describe the condition where there is bleeding through vagina, after menopause. Even if the bleeding is only one drop, it should never be ignored. Though, most causes of such bleeding are not worrisome (due to drugs and ‘’pelvic atrophy”- as mentioned earlier), some cancers may present in this way. Cancer of endometrium (the inner lining of uterus) almost always present with post-menopausal bleeding. Cancer of cervix (the mouth of uterus) is the commonest cancer of reproductive system in our country, which is totally preventable by timely diagnosis by screening (even before actual cancer occurs) and timely HPV vaccination.

“What cannot be cured, must be endured”. We cannot cure the menopause, nor can we avoid it. But definitely we can give our older generation a better quality of life. The first step is obviously making them aware of the menopause and its aftermaths. Second issue is regular health checkup by physicians and gynaecologists, even if they feel no problems as such. But the most important issue is managing their problems. As mentioned above, life-style modifications (like diet, exercise) and non-hormonal drugs play important role. But if we consider the basic problem is menopause, it’s simply deficiency of secretion of female sex hormones from the ovaries. So, if we can artificially introduce those hormones in women, menopausal symptoms can be reduced. This led to emergence of a treatment modality, called HRT (Hormone Replacement Therapy).

Clearly, as discussed earlier, HRT is required in women complaining of menopausal symptoms like “hot flush”, urinary and sexual problems, osteoporosis, and mood depression and also for young women having premature menopause. HRT does not only help to improve these problems, but also has some added advantage like preventing excessive weight gain, problems in oral cavity, eyes and ears and even colorectal cancer. Majority of the women report feeling better and having improved quality of life (social, personal, biological and conjugal) after start of HRT. There are multiple ways to give HRT to a woman. Those include injections (one in 1-3 month), oral tablets, local creams or jellies, skin patches etc. And the drugs include estrogen only, estrogen plus progesterone, tibolone etc.

Now the million-dollar question is, “is HRT absolutely safe?” The answer is difficult to give in one word. After the publication of the reports of the WHI (Women’s Health Initiative) and the MWS (Million Women Study), there have been a great hue and cry regarding safety of HRT. Those study found out many serious side effects of HRT and concluded that HRT should not be used in all the menopausal women. However, subsequently, many flaws of those studies were found out and subsequent review of the WHI study proved that HRT has few side effects. Thrombosis (increased tendency of blood to form clots) is a known side effect of hormonal drugs, but the problem occurs only to those who are at risk of thrombosis due to other causes (like obesity). Breast cancer is definitely a risk factor but the risk is small. So, the women need to continue self-breast examination and yearly checkup by their consultants. Blood fat concentration (cholesterol) may be altered, which needs regular lipid profile checkup. And finally there is increased risk of heart attacks and stroke. But possibility of heart attack is there only if HRT is started in very elderly women (after 60 years) and those who are already have some risks (obesity, smokers, and hypertensive). Even, timely initiation of HRT (before 60 years) can protect the heart and brain against stroke.

Thus HRT is found to have very minimum side-effects and that too at the expense of so many benefits. There are very few women who should not use HRT; those having thrombosis, heart disease or liver disease at present and very high blood fat level (high triglyceride). If the woman has any mass in the breast or post-menopausal bleeding, then HRT should be used only when the diagnosis of the mass or the bleeding is certain. To be on the safe side, before start of HRT, details examination by the consultant doctor is required. This includes checkup of blood pressure, heart, breast, liver and the pelvic organs. The best time to start HRT is as early as after menopause. For premature menopause, the women are relatively younger (before 40, even before 30). So, they should start HRT soon after consultation with doctors, if HRT is suitable for them. For women with natural menopause, HRT should be started before 60 years. Annual visit to the doctor is necessary to detect any side effects and to find whether HRT is needed further or not. HRT need not be continued lifelong. Most of the women can stop it after 5 years. Very few women have to continue it beyond 10 years. Actually, after 2-3 years of HRT, most of the menopausal problems subside and women do not require to continue HRT. However, before stoppage, doctor consultation is required.

In a nutshell, elderly people deserve special care. But that does not mean they should always be in the bed. They should continue their day to day activities. They have the full right to enjoy their life by themselves. What we can do is be supportive to boost up their confidence and self-esteem. That needs social as well as medical attention. Regular touch with physician and gynaecologist cannot be overemphasized. Most of the symptoms can be taken care by life style modifications and drugs. HRT should be used as necessary. HRT is very safe and cost-effective modality. “Not everyone grows to be old, but everyone has been younger than he is now”.
Menopause- How to tackle it

What is test tube baby process or IVF?

FNB Reproductive Medicine, MD -Obstretics & Gynaecology, MBBS
Gynaecologist
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What is test tube baby process or IVF?
What is test tube baby process or IVF?
30 people found this helpful

My period date was 15 april but I had taken regestrone from april 11 to april 20 two times a day but from april 15 to april 22 I have sex with my husband and I have taken unwanted 72 tablet two times with in this period of time. Now I am waiting for my period but it is not happening so what can I do to get my period immediately?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist
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My period date was 15 april but I had taken regestrone from april 11 to april 20 two times a day but from april 15 to...
You have done a excess loading of the hormones in your body. If you had taken regesterone for postponement of periods, it was ok, but to have unprotected relations was fallacious and so was the decision to take 2 ipill tablets now the only thing you can do it wait. For the natural menses to begin, which will be delayed. And no one can predict how much delay. Unwanted 72 is meant for people who have infrequent sex, and ideally should be taken under a doctors guidance. If a person has (say) 5 unprotected sexual acts, it does not mean she should take 5 ipills after each act. In such case, it is better to use condom or take oral contraceptive pill from the earlier menses date.
1 person found this helpful

I'm married n we r planning for a child. We are trying from past 6months but no any positive results. Are any tests to be done to know y I'm not conceiving?

MBBS, MS - Obstetrics and Gynaecology
IVF Specialist
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I'm married n we r planning for a child. We are trying from past 6months but no any positive results. Are any tests t...
It is advised that couples try for 1 year before seeking doctor consultation unless there is some apparent problem that needs to be addressed.
1 person found this helpful

What step take by a pengency women to be good for her unborn child?

MBBS
Sexologist
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What step take by a pengency women to be good for her unborn child?
Do slow and deep breathing relaxation exercises in the morning. Take proper balanced diet. Avoid garlic and red chilly and non veg and eggs. Take 8 to 10 glasses of water daily.
1 person found this helpful

Boost Vision and healthy Eye

Certificate in Diabetes update, Post Graduate Diploma In Hospital Administration (PGDHA), PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , PG Dip Panchakarma, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Refresh in each break (3-5min after every 20-30min) by sprinkling n washing eyes n face) while working on screens of monitors computers.

One can use rose water or simple water swabs to cool eyes or wash with trifala (5gms soaked overnight) 100ml of (clear) water in the early morning

Reduce salty food habits. N extra pungent too

Add yoga balanced exercise, add floral veggies, milk n cream n clarified fat to diet sos almond oil

Habit of massage before bed by castor oil on feet by kasya (special metal) patra u'll find at malls of kitchen wear.

Encouraging boost you'll get by
Basti detox therapy in monsoon
Blood donation in oct heat followed by virechan therapy n rasaya, and if your vision fluctuates with diabetes insist for tarpan therapy too

Professional care required for swimmers.

Though ayurveda proved to great extent on prevention but the same drugs n therapies now scientifically significant on simple allergic conjunctivitis to hypertensive pathology n diabetic retinal detachment.

Boost Vision and healthy Eye

Is getting wife pregnant within first month of marriage is considered odd and immature?

DNB (Diplomate of National Board of Examinations ), DGO (Diploma in Obstetrics & Gynaecology)
Gynaecologist
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Is getting wife pregnant within first month of marriage is considered odd and immature?
Hi, nothing like that. Please don't follow taboos and un necessary stress factors. If pregnant, please continue. All the best!
1 person found this helpful

Hi Sir, My girlfriend has taken about 8 ipill last 1 year. Now periods every month only 1 day coming. Before using ipill normally 5-6 day periods time, but now only 1 day in Every month. But we got into such situations. Can you please answer this. Is this any problem for that. Pls answer me.

MD - Obstetrtics & Gynaecology, FMAS, DMAS, MBBS
Gynaecologist
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Hi Sir,
My girlfriend has taken about 8 ipill last 1 year. Now periods every month only 1 day coming. Before using ip...
Hello, she needs to stop ipill completely and has to be placed on low dose oc-pills fro next 3-6 cycles to regularise the cycles again and it shall add up as contraceptive as well.

Make Food Your Medicine

MD - Consultant Physician, Doctor of Medicine, MD
General Physician
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Socrates said a long time back to make food your medicine.
The nature has provided us with a wide variety of food fruits and vegetables with curative properties.
These contain anti oxidants phytochemical and phytonutrients with healing properties.
We should take whole grains
High fibre
Low salt
Low fats
Mod. Carbs
High class proteins
Condiments
Nuts
Seeds
Red/purple colour fruits and veg.
Black berries cherries strawberries and ber all good.
Omega3 is best.
Broccoli
Onion and garlic
Honey
Cinnamon
Turmeric
Black pepper
Basil
Green tea
Have a nice day.
Make Food Your Medicine

Sir/madam, We are just married couples after 3 years of love. After before and after our we tried many times to do sex. But we failed to contact. My vaginal opening is too small. Can insert only 2 fingers , and its too hard. First we thought its because any tension or some thing like fear. But for me now its really a problem now. My husband is very supportive but how can I solve this problem.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Ayurveda
Sexologist
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Sir/madam,
We are just married couples after 3 years of love. After before and after our we tried many times to do se...
Hello- you can dilate your vaginal opening by insertion of penis with lubrication/or you can dilate by inserting more fingers in it. Once the passage gets dilated it will automatically widens the space due to hormonal changes and will ease the penitration of penis nxt time. Use proper lubrication during all this.
1 person found this helpful

After 1st ruination in morning feels burning sensation. Nausea ,legs ache very much. In evening also after sleep head is rolling (chakar) leg ache occurs. Feels very week. After sleep feels heads weight is increased even if unable to move and open the eye.

M.Sc - Dietitics / Nutrition, B.Sc Home Science (hons)
Dietitian/Nutritionist
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After 1st ruination in morning feels burning sensation. Nausea ,legs ache very much. In evening also after sleep head...
Hello you need to see a physician and get your urine test and routine blood test checked. You need not worry. Drink plenty of water. You can consult after getting your tests done for detailed diet plans. Thank you.

I am 22 years old. Previously I used to have period for 4 days. Now I find that the flow occurs for 2 days and on the third day very little amount. I don't suffer from irregularities or pain or any other issues. Is this a matter of concern?

BHMS
Homeopath
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I am 22 years old. Previously I used to have period for 4 days. Now I find that the flow occurs for 2 days and on the...
Make changes in your diet. Take lots of vegetables and fruits in your diet. These changes in your diet can improve your condition. If not then consult the doctor personally with detailed hiostory.
1 person found this helpful

My period date is 11 feb. I am taking regestrone on 17 feb to 19 feb. My pregnancy test is negative but missed my period. So how would I know that I am pregnant or not. I am very tensed if I am pregnant and this tablet effect to the baby. Pls give me suggestion.

MBBS, DNB (Obstetrics and Gynecology), MD - Obstetrtics & Gynaecology
Gynaecologist
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My period date is 11 feb. I am taking regestrone on 17 feb to 19 feb. My pregnancy test is negative but missed my per...
Your pregnancy test is negative, why should you worry! please wait a week after completing regesterone course.. your upcoming periods will reassure you

I have a both anal and oral sex with a gay men and I tested for chlamydia in mouth (oral) and it came negative and if I tested negative from oral test should I have any chlamydia in butt (ass)

BHMS
Homeopath
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I have a both anal and oral sex with a gay men and I tested for chlamydia in mouth (oral) and it came negative and if...
The incubation times varies from person-to-person; for the most accurate results, get tested two weeks after initial exposure. If youtest positive for chlamydia, it is advised to get retested two weeks after completing treatment to be sure that all of the Chlamydiatrachomatis bacteria is cleared from your system.

Internet Addiction Disorder is associated with structural and functional changes in brain regions involving emotional processing, decision making and cognitive control

D.P.M, MBBS
Psychiatrist
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Internet Addiction Disorder is associated with structural and functional changes in brain regions involving emotional processing, decision making and cognitive control.
Internet Addiction Disorder is associated with structural and functional changes in brain regions involving emotional...
35 people found this helpful

It's not thrush or an STI, what is it? Just to give a bit of background, im 16 years old and female and lately there has been a lot of abnormal discharge from my vagina, it is a yellowy colour and quite thick and stringy, it also itches and is very painful when beginning sex. I went to a clinic to get a full STI check to be on the safe.

BHMS
Homeopath
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It's not thrush or an STI, what is it?
Just to give a bit of background, im 16 years old and female and lately there ...
This may be due to chronic cervicitis. Rx sepia 30/tds daily 2-2 drops direct on tongue. For 15 days hydrastis q/bd 15-15 drops +1/2 cup water daily. For 15 days.
6 people found this helpful

I am suffering with Irregular periods please help me.

BHMS
Homeopath
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Poly cystic ovarian syndrome, excessive stress, hormonal imbalances, eating disorders, over weight or weight loss etc are the causes for irregular periods. Homoeopathy will cure your problem. How long are you suffering from this problem?
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