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Dr. Sashikala Hande

Gynaecologist, Bangalore

300 at clinic
Dr. Sashikala Hande Gynaecologist, Bangalore
300 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. Sashikala Hande
Dr. Sashikala Hande is an experienced Gynaecologist in Malleshwaram, Bangalore. You can consult Dr. Sashikala Hande at Cloudnine Hospital - Malleshwaram in Malleshwaram, Bangalore. Book an appointment online with Dr. Sashikala Hande on

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Cloudnine Hospital - Malleshwaram

#47, 11th Main, 17th Cross, Malleswaram. Landmark: Near MES CollegeBangalore Get Directions
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Best Keto Diet Foods That Can Help You To Lose Weight!

M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Chandigarh
Best Keto Diet Foods That Can Help You To Lose Weight!

Keto diet foods are very much in trend today. We at Live Life More Diet Clinic, have tried to suggest few Keto diets plans, especially keto diet for Indians, who are majorly vegetarians. These foods are the meal plans that set our body into the state of “ketosis”.


A diet with low carbohydrates, moderate proteins & high-fat content, has been proved to be very helpful in various conditions from epileptic treatment to anti-obesity or weight loss. It is believed that while on ketogenic or low-carb high-fat diet plan, our metabolism sets our body into the fat burning furnace, resulting in weight loss. More ketone bodies are produced which act as fuel for the brain and also improves the physical performance, thus, are used for athletes to provide them with more stamina for practice.


As it is also referred to be a low carb diet plan, thus, precisely, a diet routine using fats as a major source of energy for the body is called a ketogenic diet. There are a number of forms of KETO diets like Atkins, Paleo etc. But in strict sense to set the body in ketosis following must be the macro composition-

  • Carbohydrates – 5 percent.
  • Proteins – (20-25) percent.
  • Fats – 70 percent.

Thus, for 1600 kcal KETO diet:

  • Carbohydrates – 20 g/ day.
  • Proteins – 80 g/ day.
  • Fats – 130 g/ day.

How does KETO plan work as anti- obesity diet, which helps in weight loss?

KETO plan feeds lesser carbohydrates in a day.

  • Using fat as a fuel, letting body enter the state of ketosis.
  • Ketosis is breaking down of stored fat in the liver to produce energy. Thus, the stored fat will be used and you lose weight.
  • As the fat will not be deposited in the body, you will become leaner and healthier.
  • Finally, with a lesser fat deposit in the body, you will be saved from many other harmful conditions like heart diseases, diabetes, cholesterol levels etc.


A number of times we scroll on the web in search of the food plan that can help us understand that what foods can be used in KETO plan. But mostly that we get into our vision are the products that we Indians are not using in our diets. So, here is a sample of some useful tips that can help you choose wisely from the variety of eatables to get benefitted by the Indianized KETO foods for vegetarians (as veg eaters consume more carbs then non- vegetarians).


Protein sources Fat & oil sources Low carbs



Dairy foods Fruits
Almonds. Olive oil Beans Butter Blackberries
Pumpkin, Chia Seeds Coconut oil



Cucumber Paneer Strawberries
Tofu Flax seed oil Spinach Hard full fat cheese Avocado
Walnuts. Avocado Pepper Cream


(whipped & sour)

Pista, Cashew Cocoa butter Onion Yogurt  
Almond flour Peanut oil Tomato Cream cheese  
Soya flour Ghee Broccoli Coconut butter  
    Summer Squash    

Sample Keto Diet Meal Plan


  • Paneer or Soya Patties -2.
  • Avocado-1.


  • Tofu salad – Toss 3 cups of lettuce, crumbled tofu, tomato with 2 tbsp. Mayo.
  • Yogurt with chia seeds.


  • Strawberries smoothie with whipped cream.


  • Baked broccoli & pepper with 2 tbsp. of olive oil with soya roti coated with ghee.
4 people found this helpful

I am 25 years old and I had stopped white sticky stuff in my vagina from last 2 months. I am virgin. Please help me out. Is this serious? or not.

Diploma in Community Medicine, MBBS Alternative Medicine, Diploma in Acupuncture
Alternative Medicine Specialist, Delhi
Hello, this white sticky stuff, is your orgasm, when you seduce or think to seduce it comes out before discharged to soften your vagina, it sometimes stop due to some body weakness, some mental stress, low libido. So find out the reason and work on it.
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Manage Menopause With Diet

Masters in Human Nutrition and Nutraceuticals
Dietitian/Nutritionist, Madurai
Manage Menopause With Diet

Managing the menopause with diet and fitness.

Menopause: a mile stone in a woman's life is nothing but the stage where the menstrual periods stop permanently. After menopause, a woman can no longer bear children. The targeted group is usually between 49 to 52 years of age. There is a marked decrease in the production of hormones by the ovaries. In case, uterus has been removed for any other reasons prior to menopause, the symptoms usually occur at an average age of 45 which is commonly associated with shivering, sweating, vaginal dryness, trouble in sleeping and mood swings. Woman experiences hot flashes which last for about 30 seconds.

Symptoms of menopause:
Fluctuation in hormone level, no ovulation
Shorter menses (2-7 days)
Poor memory, anxiety, irritability
Joint soreness, dry and itchy skin, stiffness
Dizziness, night sweats,
Back pain, breast pain
Weight gain and urinary urgency.

These symptoms may vary from person to person. But there is a common issue that is faced by all women at their menopause stage is that joint problems. Their bone health is diminished by decreased calcium and other minerals in their serum. As the hormone oestrogen diminishes their activity, hence lead to less bone density.

Calcium and menopause:
Women at this stage are advised to take more calcium rich foods thus avoiding the deficiency of calcium and increasing the bone health. Due to this the women may face several joint pains, fractures and severe weakness in the bones.

Diet to be followed:
Always choose calcium rich foods like milk, yogurt, cheese, sardines, broccoli, nuts and seeds to compensate the high calcium requirement.

Calcium in the food is well absorbed when there is the presence of phosphorous and vitamin d. So it is beneficial to take foods of phosphorous foods like peanuts, meat, cheese, garlic, onion and vitamin d foods like lentils, egg, fish and brown rice

Eat fiber rich foods like fruits, vegetables, grains like oats, barley and bajra.
Fruits are best partners during this stage since it possess a good amount of fiber and also rich in potassium which aid in fluid retention.
Fruits like banana, mango, egg, milk, sesame and soy beans help in the production of serotonin that assists in sleep trouble and mood swings.
Eat more fruits and vegetables along with green leafy vegetables than the amount of rice that help to prevent from weight gain.
Keep yourself hydrated by having more water and fruit juices if you are non diabetic.
Always have six meal patterns and choose complex carbohydrate foods since it possess a good amount of fiber.
Avoid sugars, processed foods and junk foods, spicy foods and hot drinks.
Limit the stimulants like coffees, tea, alcohol, salt and saturated fats which are the barriers to calcium absorption.
Always be positive and have only positive people around you. Don't stress yourself. Stay connected with the people.
Prefer practicing yoga for relieving the mental stress and to control your emotions.

The Rubella infection occur after 15 week of pregnancy. If Foetus not infected then rubella IgM TITRE increases or decreases? How many days after Rubella IgM TITRE diminished? If Foetus infected then rubella IgM TITRE increases or decreases? How many days after Rubella IgM TITRE diminished? Pls give answer of above questions separately.

C.S.C, D.C.H, M.B.B.S
General Physician,
Fetal infection is acquired hematogenously, and the rate of transmission varies with the gestational age at which maternal infection occurs. After infecting the placenta, the rubella virus spreads through the vascular system of the developing fetus, causing cytopathic damage to blood vessels and ischemia in developing organs.16 When maternal infection/exposure occurs in the first trimester, fetal infection rates are near 80%, dropping to 25% in the late second trimester and increasing again in the third trimester from 35% at 27–30 weeks’ gestation to nearly 100% beyond 36 weeks’ gestation. The risk of congenital defects has been reported to be 90% when maternal infection occurs before 11 weeks of gestation, 33% at 11–12 weeks, 11% at 13–14 weeks, 24% at 15–16 weeks, and 0% after 16 weeks.7 Therefore, the risk of congenital defects after maternal infection is essentially limited to the first 16 weeks of gestation. Little, if any, risk of CRS is associated with infection beyond 20 weeks, and FGR seems to be the only sequela of third trimester infection
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Is there any permanent treatment of pcod. I hv been under treatment frm last many years. I am taking medication but after some time symptoms start again.

General Physician, Nashik
Pcod can be adequately treated. Mention your ongoing treatment and consult privately for personalised management.
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Hello doctor, im pregnant, 9th week started ,from wen its gud to take mothers horlicks? Im willing to tak now but everyone around me says its heavy heat so should avoid in the early pregnancy so wen its gud to take?

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
You can start horlicks now at 9 weeks though personally I believe in taking milk with less fats without supplements for proteins as they may induce vomiting during early pregnancy.
1 person found this helpful
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Hi My wife is 6 months pregnant and she is having cough from last 1 week. Will it affect my baby? Baby can suffer from pneumonia? Please reply.

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
Hi, it won't affect the baby just like that. Baby is inside the uterus in a safe place. But straining due to cough can have some impact. Ask your wife to do steam inhalation ,salt water warm water gargling and breathing exercises. If not relieved consult a physician.
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Preconception health checkup and counselling

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Gurgaon
Preconception health checkup and counselling

Health checkup before conceiving is important as a healthy mother is able to handle changes of pregnancy better. If there is any health problem, it should be evaluated and treated before pregnancy. Folic acid supplementation should be started 3 months before conceiving.

Are Krimpson 35 and Benforce M are the perfect medicines for PCOs? I have suggested to take krimpson 35 for 6 months and Benforce M for 3 months. Should I take these medicines? Are these two safe and will it cure my pcos?

DGO, MD, MRCOG, CCST, Accredation in Colposcopy
Gynaecologist, Kolkata
Yes please take them. Pcos is never 100% curable as it is a genetically inherited condition. But these medicines will help in regularising your periods and other problems you might have like acne/pimples as well as reduce your tendency to developing glucose intolerance. Please read my health tip on pcos. You may find it useful.
2 people found this helpful
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My wife is 6 week pregnant and she gets a abdominal pain during night that goes away after half hour. Is anything to worry a bout?

MS - Obstetrics and Gynaecology, MBBS, DNB (Obstetrics and Gynecology)
Gynaecologist, Mumbai
If she doesn't have any other complaints, no need to worry. She should take light dinner. Avoid heavy work at all cost.
1 person found this helpful
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Hi, he has been married since 6 months and till date not able to have sex ,he had a word with me about the same. I asked him why ? He replied lack of interest and almost no knowledge about the it in both him and his wife. PLEASE SUGGEST .

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Chandigarh
Lack of interest means loss of libido. Genitals blood supply is poor, weakness, low volume of semen, hormonal imbalance lead or much more causes to this. We have sexually satisfied clients till 79 years of age.
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Is it necessary to have sex between the two individuals. As we see around many children are homeless instead of sex ,they can adopt a child as they will procure the child's life and their also. Sometimes women are effected by this sex with several diseases around their surroundings.

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. I can understand. Your thoughts are noble. You can always adopt a home less orphan child. But you can have sex too. Just make sure that your sex is for enjoyment and not for producing children. Women or men are not affected by sexual diseases if they practice safe sex. Take care.
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I had sex with my relative she came to my home for vacation. As we both were sharing same bed. At midnight we were unable to control ourselves and had vaginal sex with her .her last date was 5th of this month. I gave her I pill .is it enough or should I take any other step? Her age is 17 years.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
Hello, If ipill has been given within 72 hrs of sex, then she is likely to be safe. She would get her withdrawal beed in next 5-7 days and that shall indicate that she is pregnancy safe.
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I got recently married (on 29th Jan 2016) and around that time I was taking pills to stop periods. The pills were taking after consulting a doctor. Since that i'm experience that my body becomes very hot during nights, when we are sleeping. Any specific reason why this is happening and to whom should I consult.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Getting hot at noght after marriage is a result of hormones secreted by your body in response to sexual activity. It has no relation with the pill you took in january.
2 people found this helpful
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My wife's monthly period has been stopped. It was from 10th june, we have made a pregnancy test yesterday and it is positive. So please tell me what can we do first now? she also having fever from 4 days and not taking medicines by afraiding. So please give a solution as soon as possible.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Vadodara
Hi, go and visit a near by gynec first, doctor will guide you further, low grade fever may be there during start of pregnancy but it is since last 4 days, donot ignore any such kind of symptom during pregnancy and go and see the gynecologist as soon ass possible.
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I had unprotected sex on the 6 day of my period and the next day I took an emergency contraceptive pill now its 6 Days since I took the pill and and yesterday I was bleeding is it breakthrough bleeding or implantation bleeding am I pregnant? Please help I dnt wanna get pregnant any chances of pregnancy?

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi Afreen very less chance of getting pregnant if you had emergency contraceptive pill. This could be withdrawal bleeding don't worry about it. Your expected periods can get delayed due to ipill.
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Anti Calorie Diet - 7 Foods That Are Part of It!

Dietitian/Nutritionist, Delhi
Anti Calorie Diet - 7 Foods That Are Part of It!

The theory behind the anti-calorie diet is that they contain a negligible amount of calories. The body spends more calories in digesting them than their combined calorie value of the diet. Whether or not it is a true statement, it is pretty evident that the following food items have scant calorie value and will not even put a dent in your daily diet:

  1. Celery: A hundred grams serving of celery contains 16 calories. The water content of this food is close to 90 percent. The stringy covering only holds the water content inside. As such the body spends much more energy in digesting this food. Celery, therefore, is a perfect definition of anti-calorie food.
  2. Cabbage: Cabbage is a great vegetable that helps in preventing cardiovascular diseases and cancer. The count of calorie is extremely less in cabbage. The body can digest it without any additional effort. It’s filling nature addresses hunger while making sure that the body digests it easily. It is estimated that 100 grams of cabbage contain only 20 calories.
  3. Cucumber: Cucumber has close to 95 percent of water content. Being light weight and less filling, this food can be consumed until one is full. This is perhaps the reason why cucumber finds a place in almost every salad along with other low-calorie fruits and vegetables. 100 grams of cucumber contains mere 16 calories, making it the ideal anti-calorie food.
  4. Mushroom: Mushrooms are a great replacement for high-calorie foods. A mere 22 calories in a 100-gram serving makes them an ideal item to be a part of the anti-calorie diet. The fungi presents in mushrooms are not only good for health, but is extremely light weight. It can be consumed along with other food items as a side dish or in the form of soup.
  5. Watermelon: Despite its sweet nature, watermelon has a surprisingly low-calorie count. Apart from being extremely light weight, watermelon can be easily digested and has antioxidant properties. A 100 gram serving of watermelon has only 30 calories. This, however, should not be taken daily, if you are very health conscious.
  6. Tomatoes: The red tomatoes are one of the healthiest foods that are easily available. It can prevent serious diseases such as cancer and heart blockages. A calorie count of 17 makes it a great fruit to be included in the anti-calorie diet.
  7. Lemons: Although lemon has a calorie count of 30, it can be included in the anti-calorie diet to ensure a different flavor in your diet. It can be consumed in the form of juice to finish your meal or start a day. Its vitamin C content is extremely beneficial for the body.
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Hi I am 2 mnth 6 days pregnant when I scan on 9 th it doesn't shown heartbeat some Dr. said to abort some said to wait and scan on 24 th I am confused what to do there is a chance kya that In next scan heartbeat can b detected. My periods are not regular. Pls help me.

MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
If gestational sac diameter is less than 25 mm and if crl is visible and if crl is less than 7 mm and heartbeat is not visible, repeat ultrasound is needed after a week. Enlarge yolk sac needs to be evaluated again after 7 days repeat scan.
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Hi, I have thyroid and we are planning baby I had periods since last month but I have a bought weather I am pregnant or not cause i'm feeling drowsy these days and even I am getting vomiting sensation these days I got my last periods on 28th of last month and it lasted till 31st.

DHMS (Hons.)
Homeopath, Patna
Hello, Lybrate user, If, you had a regular period on 28 August, possibility of your being pragnant is very less, however,U should go for home pregnancy test to confirm the fact. Your symptoms might be due to gastric disorder or out of stress. It might be due to thyroidism. Menstrual disorder is caused due to stress, anxiety,depression, malnutrition,anaemia, over exertion, Pcod, thyroidism ,results in ,delayed, painful,excess & frequent blood flow during menstruation. * Tk, plenty of water to hydrate yourself ,to eliminate toxins & to dilute your blood to establish your flow by regulating metabolism to absorb neutrients to nourish your body. * go for meditation to reduce your stress, anxiety to calm your nerve to ease your stress, improving Oxygen volume in blood in order, to establish your smooth flow, improving haemoglobin level. * your diet be simple, non- irritant, easily digestible on time to maintain your digestion, avoiding gastric disorder. * Tk, Apple, carrots,cheese, milk,banana, papaya, pomegranate, spinach,almonds, walnuts to improve your haemoglobin to release your flow, timely. * Tk, Homoeo medicine, gentle & rapid in action with no adverse effect, thereof. @ Pulsatilla 200-6 pills, thrice. * 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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